Evidence map›Paper›PMID 31566584›Full record

Trial reportThe Journal of clinical investigation2019

Early adaptive immune activation detected in monozygotic twins with prodromal multiple sclerosis.

Eduardo Beltrán, Lisa Ann Gerdes, Julia Hansen, Andrea Flierl-Hecht, Stefan Krebs, Helmut Blum, Birgit Ertl-Wagner, Frederik Barkhof, Tania Kümpfel, Reinhard Hohlfeld and 1 more

Open access · bronzeAbstract readClinical TrialTwin Study
In one paragraph

Trial report in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

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  19. Innate acting memory Th1 cells modulate heterologous diseases.Proceedings of the National Academy of Sciences of the United States of America · 2024
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 6 countries.

Eduardo BeltránInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Lisa Ann GerdesInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Julia HansenInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Andrea Flierl-HechtInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Stefan KrebsLaboratory for Functional Genome Analysis (LAFUGA), Gene Center; and.
Helmut BlumLaboratory for Functional Genome Analysis (LAFUGA), Gene Center; and.
Birgit Ertl-WagnerDepartment of Radiology, Grosshadern Medical Campus; Ludwig Maximilian University of Munich, Munich, Germany.
Frederik BarkhofDepartment of Radiology and Nuclear Medicine, VU University Medical Center, Amsterdam, Netherlands.
Tania KümpfelInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Reinhard HohlfeldInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Klaus DornmairInstitute of Clinical Neuroimmunology, Biomedical Center and Hospital.
Institute of Neuroimmunology of the Slovak Academy of Sciences · SKGenetic Analysis (Norway) · NOMunich Cluster for Systems Neurology · DEUniversity College London · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a disabling disease of the CNS. Inflammatory features of MS include lymphocyte accumulations in the CNS and cerebrospinal fluid (CSF). The preclinical events leading to established MS are still enigmatic. Here we compared gene expression patterns of CSF cells from MS-discordant monozygotic twin pairs. Six "healthy" co-twins, who carry a maximal familial risk for developing MS, showed subclinical neuroinflammation (SCNI) with small MRI lesions. Four of these subjects had oligoclonal bands (OCBs). By single-cell RNA sequencing of 2752 CSF cells, we identified clonally expanded CD8+ T cells, plasmablasts, and, to a lesser extent, CD4+ T cells not only from MS patients but also from subjects with SCNI. In contrast to nonexpanded T cells, clonally expanded T cells showed characteristics of activated tissue-resident memory T (TRM) cells. The TRM-like phenotype was detectable already in cells from SCNI subjects but more pronounced in cells from patients with definite MS. Expanded plasmablast clones were detected only in MS and SCNI subjects with OCBs. Our data provide evidence for very early concomitant activation of 3 components of the adaptive immune system in MS, with a notable contribution of clonally expanded TRM-like CD8+ cells.

Indexed as

Lymphocyte ActivationTwins, MonozygoticAdultAgedCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleHumansInflammationMaleMiddle AgedMultiple SclerosisRisk FactorsAdaptive immunityImmunologyMultiple sclerosisNeuroscience

Identifiers

PMID31566584
PMCPMC6819125
OpenAlexW2977543492

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.