Evidence map›Paper›PMID 31728855›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

HMGB1 as a potential new marker of disease activity in patients with multiple sclerosis.

Maria Bucova, Beata Majernikova, Vladimira Durmanova, Daniela Cudrakova, Karin Gmitterova, Iveta Lisa, Eleonora Klimova, Kristina Kluckova, Milan Buc

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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 3 institutions in 1 country.

Maria BucovaInstitute of Immunology, Faculty of Medicine, Comenius University, Spitalska 24, 813 72, Bratislava, Slovakia. maria.bucova@fmed.uniba.sk.ORCID https://orcid.org/0000-0003-4742-3505
Beata MajernikovaInstitute of Immunology, Faculty of Medicine, Comenius University, Spitalska 24, 813 72, Bratislava, Slovakia.
Vladimira DurmanovaInstitute of Immunology, Faculty of Medicine, Comenius University, Spitalska 24, 813 72, Bratislava, Slovakia.
Daniela Cudrakova1st. Department of Neurology, Faculty of Medicine, Comenius University and University Hospital, Bratislava, Slovakia.
Karin Gmitterova2nd Department of Neurology, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Iveta Lisa2nd Department of Neurology, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Eleonora KlimovaCentre for Therapy and Diagnosis of Multiple Sclerosis, Faculty Hospital of JA Raiman, Presov, Slovakia.
Kristina KluckovaInstitute of Immunology, Faculty of Medicine, Comenius University, Spitalska 24, 813 72, Bratislava, Slovakia.
Milan BucInstitute of Immunology, Faculty of Medicine, Comenius University, Spitalska 24, 813 72, Bratislava, Slovakia.
Comenius University Bratislava · SKUniversity Hospital Bratislava · SKUniversity of Prešov · SK

Funding

Ministry of Education, Slovak Republic grant Vega 1/0833/13
6 · The paper itself

Abstract

objectivesNeuroinflammation represents one of the two major pathological components of multiple sclerosis (MS). The aim of our study was to find the role of the late pro-inflammatory cytokine HMGB1 (high mobility group box) in MS pathogenesis. SUBJECTS AND

methodsA total of 165 patients from three MS centers in Slovakia were enrolled in the study. Patients underwent a complex clinical investigation and their plasma levels of HMGB1 were analyzed by a sandwich ELISA test.

resultsMS patients had 4.5 times higher plasma level of HMGB1 (median, 13.529 ng/mL; IQR = 2.330-113.45) than healthy controls (median, 2.999 ng/mL; IQR = 1.686-9.844; P < 0.0001). The concentrations of HMGB1 were significantly associated with increased number of affected areas diagnosed by MRI (P < 0.0001) (the median for one affected area, 4.205 ng/mL; median for five affected areas, 17.843 ng/mL; P < 0.05). Patients with at least one active lesion in any of the affected areas in the brain had significantly higher plasma levels of HMGB1 (median, 20.118 ng/mL; IQR, 3.693-100.12) than those without any active lesion (median, 16.695 ng/mL; IQR, 3.255-113.45; P < 0.0235). We found also a very highly significant association of HMGB1 plasma levels with clinical condition expressed as EDSS (expanded disability status scale) (P < 0.0001); patients with higher EDSS had higher levels of HMGB1 (EDSS ≤ 2.5, 11.648 ng/mL vs. EDSS ≥ 3, 17.549 ng/mL; P = 0.0115).

conclusionOur results suggest chronic low-grade inflammation in MS patients that correlates with clinical conditions of MS patients, and for HMGB1 as a possible target molecule in future therapy.

Indexed as

AdultBiomarkersFemaleHMGB1 ProteinHumansInflammationMagnetic Resonance ImagingMaleMiddle AgedMultiple SclerosisSeverity of Illness IndexBiomarkersHMGB1 ProteinHMGB1 protein, humanEDSSHMGB1ImmunityInflammationMSSSMultiple sclerosis

Identifiers

PMID31728855
OpenAlexW2986177219

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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.