Evidence map›Paper›PMID 33389030›Full record

ArticleJournal of neurology2021

Neutrophil-to-lymphocyte ratio: a marker of neuro-inflammation in multiple sclerosis?

Stefano Gelibter, Marco Pisa, Tommaso Croese, Gloria Dalla Costa, Mario Orrico, Paolo Preziosa, Francesca Sangalli, Vittorio Martinelli, Roberto Furlan, Massimo Filippi

Abstract read
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In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.9field-weighted citation impact, top 6% 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, 29 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

10 authors at 2 institutions in 2 countries.

Stefano GelibterNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Marco PisaVita-Salute San Raffaele University, Milan, Italy.
Tommaso CroeseClinical Neuroimmunology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Gloria Dalla CostaVita-Salute San Raffaele University, Milan, Italy.
Mario OrricoNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Paolo PreziosaNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Francesca SangalliNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Vittorio MartinelliNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Roberto FurlanClinical Neuroimmunology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo FilippiNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. filippi.massimo@hsr.it.ORCID http://orcid.org/0000-0002-5485-0479
Vita-Salute San Raffaele University · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe significance of neutrophil-to-lymphocyte ratio (NLR) has been explored in different diseases. Few studies addressed its role in patients with multiple sclerosis (MS), with promising results regarding its association with disease activity or disability.

objectivesWe aimed at confirming the role of NLR as a marker of neuro-inflammation in a cohort of newly diagnosed MS and clinically isolated syndrome (CIS) patients. Furthermore, we compared the validity of NLR with established markers of neuro-inflammation, such as serum neurofilament light chain (Nfl), CSF microvesicles (CSF-MVs) and CSF IgG indices.

methodsWe retrospectively selected, from a prospectively collected cohort of newly diagnosed MS/CIS patients hospitalized for diagnostic work-up, 121 patients who underwent CSF examination, brain MRI and blood cell count within the time of hospitalization and did not receive steroid treatment before sample collection. Patients were grouped according to presence of gadolinium enhancement at brain MRI.

resultsNo association was found between NLR and disease activity, nor with other clinical measures. Nfl, CSF-MVs, Link and Tourtellotte indices were significantly higher in patients with brain MRI activity.

conclusionsOur negative results do not support the use of NLR as a marker of disease activity and disability in patients with MS.

Indexed as

Multiple SclerosisBiomarkersContrast MediaGadoliniumHumansInflammationLymphocytesNeurofilament ProteinsNeutrophilsRetrospective StudiesBiomarkersContrast MediaGadoliniumNeurofilament ProteinsBiomarkerCSFExtracellular vesiclesMicrovesiclesMultiple sclerosisNeurofilamentNeuro-inflammationNeutrophil-to-lymphocyte ratio

Identifiers

PMID33389030
OpenAlexW3119070906

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.