Evidence map›Paper›PMID 33197148›Full record

ArticleAnnals of clinical and translational neurology2021

Clinical and transcriptional recovery profiles in pediatric and adult multiple sclerosis patients.

Shay Menascu, Yulia Khavkin, Rina Zilkha-Falb, Mark Dolev, David Magalashvili, Anat Achiron, Michael Gurevich

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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

7 authors at 2 institutions in 1 country.

Shay MenascuMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.
Yulia KhavkinMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.
Rina Zilkha-FalbMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.
Mark DolevMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.
David MagalashviliMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.
Anat AchironMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.ORCID 0000-0002-2020-3126
Michael GurevichMultiple Sclerosis Center, Sheba Medical Center, Ramat-Gan, Israel.ORCID 0000-0003-1529-4876
Sheba Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether pediatric-onset multiple sclerosis (POMS) and adults-onset multiple sclerosis (AOMS) patients are different in initial disease severity and recovery and to investigate the associations with peripheral blood mononuclear cells (PBMCs) transcriptional profiles.

methodsClinical and radiological severity of first and second relapses and 6-month recovery were analyzed in 2153 multiple sclerosis (MS) patients and compared between POMS (onset at 8-18years old) and AOMS (onset at 19-40 years old) patients. PBMCs transcriptomes of 15 POMS and 15 gender-matched AOMS patients were analyzed 6 months after the first relapse and compared to 55 age-matched healthy controls. Differentially Expressed Genes (DEGs) with a false discovery rate ≤ 10% were evaluated using the Partek software.

resultsPOMS had increased Expanded Disability Status Scale (EDSS) score at first and second relapses, higher brain gadolinium-enhancing T1-lesions volume at first relapse, and more complete recovery after both relapses compared to AOMS. POMS patients, who recovered completely from the first relapse, were characterized by 19 DEGs that were mainly related to suppression of antigen presentation. Six upstream regulators of these genes were differentially expressed between pediatric and adult healthy controls. POMS patients, who showed no recovery from the first relapse, were characterized by 28 DEGs that were mainly associated with B-cell activation. Five upstream regulators of these genes were differentially expressed between pediatric and adult healthy controls.

interpretationPOMS patients may have more severe first and second relapses than AOMS. However, most often, POMS have better recovery that may be attributed to PBMCs age-related transcriptional profiles associated with antigen presentation and B-cell activation.

Indexed as

Disease ProgressionSeverity of Illness IndexAdolescentAdultAge of OnsetBrainChildCohort StudiesDisability EvaluationFemaleHumansMaleMultiple Sclerosis, Relapsing-RemittingRetrospective StudiesTranscriptomeYoung Adult

Identifiers

PMID33197148
PMCPMC7818128
OpenAlexW3099333830

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Registered trials

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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.