Evidence map›Paper›PMID 31727097›Full record

ArticleJournal of neuroinflammation2019

Cytokine and immune cell profiling in the cerebrospinal fluid of patients with neuro-inflammatory diseases.

Gildas Lepennetier, Zsuzsanna Hracsko, Marina Unger, Martijn Van Griensven, Verena Grummel, Markus Krumbholz, Achim Berthele, Bernhard Hemmer, Markus C Kowarik

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 2 pooled it
10.2field-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

106 citing papers in PubMed, 2 syntheses or guidelines pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Putative mechanisms of ocular inflammation in syphilis.Journal of ophthalmic inflammation and infection · 2026
    Review
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  11. CSF Proteins Associated With Neuroaxonal Damage in Early Active Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Article
  12. Article
  13. Review
  14. Article
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  17. Article
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  20. Article

46 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

9 authors at 4 institutions in 1 country.

Gildas LepennetierDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Zsuzsanna HracskoDepartment of Internal Medicine 1, Universitätsklinikum Erlangen, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
Marina UngerDepartment of Experimental Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Martijn Van GriensvenDepartment of Experimental Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Verena GrummelDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Markus KrumbholzDepartment of Neurology and Hertie Institute for Clinical Brain Research, Eberhard Karl University, Tübingen, Germany.
Achim BertheleDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Bernhard HemmerDepartment of Neurology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Markus C KowarikDepartment of Neurology and Hertie Institute for Clinical Brain Research, Eberhard Karl University, Tübingen, Germany. markus.kowarik@uni-tuebingen.de.
Klinikum rechts der Isar · DETechnical University of Munich · DEHertie Institute for Clinical Brain Research · DEUniversitätsklinikum Erlangen · DE

Funding

Deutsche Forschungsgemeinschaft Excellence Cluster Synergy
6 · The paper itself

Abstract

backgroundCytokines play multiple roles during neuro-inflammatory processes and several cytokines have been studied in the context of specific diseases. This study provides a comprehensive picture of cerebrospinal fluid (CSF) changes during neuro-inflammation by analyzing multiple cytokines in combination with immune cell subsets and standard CSF parameters.

methodsUsing multiplex assays, we simultaneously measured 36 cytokines (CCL1-3, CCL7, CCL8, CCL11, CCL13, CCL19, CCL20, CCL22-27, CXCL1, CXCL2, CXCL5, CXCL6, CXCL8, CXCL9, CXCL11-13, CXCL16, CX3CL1, IL2, IL4, IL6, IL10, IL16, GM-CSF, IFNγ, MIF, TNFα, and MIB1β) in the CSF and serum of 75 subjects. Diagnoses included clinically isolated syndrome and relapsing-remitting multiple sclerosis (MS, n = 18), secondary progressive MS (n = 8), neuro-syphilis (n = 6), Lyme neuro-borreliosis (n = 13), bacterial and viral meningitis (n = 20), and patients with non-inflammatory neurological diseases (NIND, n = 10). Cytokine concentrations were correlated with CSF standard parameters and CSF immune cell subsets (CD4 and CD8 T cells, B cells, plasmablasts, monocytes, and NK cells) quantified by flow cytometry.

resultsWe observed increased levels of multiple cytokines (26/36) in patients with neuro-inflammatory diseases when compared to NIND that consistently correlated with CSF cell count and Q

conclusionsUnder conditions of neuro-inflammation, multiple CSF cytokines are regulated in parallel and most likely produced locally. A combined increase of CSF CXCL13 levels and B cells occurs under conditions of an intact BBB. Under conditions of a disrupted BBB, CSF NK cells show significantly increased values and seem to have a major contribution to overall inflammatory processes, reflected by a strong correlation with multiple cytokines. Future studies are necessary to address the exact kinetics of these cytokines during neuro-inflammation and their relation to specific diseases phenotypes.

Indexed as

AdultAgedAged, 80 and overCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCytokinesFemaleFlow CytometryHumansInflammationKiller Cells, NaturalMaleMeningitis, BacterialMiddle AgedMonocytesMultiple SclerosisCytokinesB cellsBlood-brain barrierCSFCXCL13CytokinesImmune cell subsetsNeuro-inflammationNK cells

Identifiers

PMID31727097
PMCPMC6857241
OpenAlexW2989190040

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.