Evidence map›Paper›PMID 31635066›Full record

ReviewCells2019

The Adaptive Immune System in Multiple Sclerosis: An Estrogen-Mediated Point of View.

Alessandro Maglione, Simona Rolla, Stefania Federica De Mercanti, Santina Cutrupi, Marinella Clerico

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cladribine tablets in the new multiple sclerosis era.Therapeutic advances in neurological disorders · 2025
    Review
  7. Article
  8. Article
  9. Pain mechanisms in the transgender individual: a review.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Skeletal muscle wasting: the estrogen side of sexual dimorphism.American journal of physiology. Cell physiology · 2022
    Review
  20. Review
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

5 authors at 1 institution in 1 country.

Alessandro MaglioneDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, Italy. alessandro.maglione@unito.it.ORCID 0000-0001-7153-2248
Simona RollaDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, Italy. simona.rolla@unito.it.ORCID 0000-0002-6371-7354
Stefania Federica De MercantiDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, Italy. stefania.demercanti@unito.it.
Santina CutrupiDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, Italy. santina.cutrupi@unito.it.
Marinella ClericoDepartment of Clinical and Biological Sciences, University of Turin, 10043 Orbassano, Italy. marinella.clerico@unito.it.
University of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a chronic central nervous system inflammatory disease that leads to demyelination and neurodegeneration. The third trimester of pregnancy, which is characterized by high levels of estrogens, has been shown to be associated with reduced relapse rates compared with the rates before pregnancy. These effects could be related to the anti-inflammatory properties of estrogens, which orchestrate the reshuffling of the immune system toward immunotolerance to allow for fetal growth. The action of these hormones is mediated by the transcriptional regulation activity of estrogen receptors (ERs). Estrogen levels and ER expression define a specific balance of immune cell types. In this review, we explore the role of estradiol (E2) and ERs in the adaptive immune system, with a focus on estrogen-mediated cellular, molecular, and epigenetic mechanisms related to immune tolerance and neuroprotection in MS. The epigenome dynamics of immune systems are described as key molecular mechanisms that act on the regulation of immune cell identity. This is a completely unexplored field, suggesting a future path for more extensive research on estrogen-induced coregulatory complexes and molecular circuitry as targets for therapeutics in MS.

Indexed as

Adaptive ImmunityAnimalsEpigenomeEstradiolEstrogensFemaleGene Expression RegulationHumansMultiple SclerosisPregnancyReceptors, EstrogenEstradiolEstrogensReceptors, Estrogenadaptive immune systemepigenomeestrogen receptorsestrogensmultiple sclerosispregnancy

Identifiers

PMID31635066
PMCPMC6829884
OpenAlexW2980333117

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.