Evidence map›Paper›PMID 33609156›Full record

ArticleJournal of neurology2021

CSF interleukin 6 is a useful marker to distinguish pseudotumoral CNS inflammatory diseases from primary CNS lymphoma.

Aurelian Ungureanu, Magali Le Garff-Tavernier, Myrto Costopoulos, Timothée Parratte, Abdelmalek Brinet, Hélène Durand, Claude Gaultier, Remy Hurstel, Isabelle Alamome, François Sellal and 1 more

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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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 16 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

11 authors at 2 institutions in 1 country.

Aurelian UngureanuService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France. aurelianungureanu@hotmail.com.ORCID http://orcid.org/0000-0002-3162-5084
Magali Le Garff-TavernierService d'Hématologie Biologique, Hôpital Pitié-Salpêtrière, AP-HP, Paris, France.ORCID http://orcid.org/0000-0002-3131-3240
Myrto CostopoulosService d'Hématologie Biologique, Hôpital Pitié-Salpêtrière, AP-HP, Paris, France.ORCID http://orcid.org/0000-0003-3415-414X
Timothée ParratteService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France.
Abdelmalek BrinetService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France.
Hélène DurandService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France.
Claude GaultierService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France.ORCID http://orcid.org/0000-0003-3913-6127
Remy HurstelLaboratoire d'Hématologie, Hôpitaux Civils de Colmar, Colmar, France.
Isabelle AlamomeLaboratoire d'Hématologie, Hôpitaux Civils de Colmar, Colmar, France.
François SellalService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France.ORCID http://orcid.org/0000-0002-8581-7372
Guido AhleService de Neurologie, Hôpitaux Civils de Colmar, Colmar, France.ORCID http://orcid.org/0000-0002-0877-2289
Hopitaux Civils de Colmar · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterleukin 6 (IL-6) is a pleomorphic cytokine that can be found in the cerebrospinal fluid (CSF) in a wide spectrum of inflammatory pathologies of the central nervous system (CNS).

objectiveOur aim was to characterize the diagnostic significance of CSF IL-6 among various CNS inflammatory diseases with pseudotumoral lesions (CNSID) and primary CNS lymphoma (PCNSL).

methodsWe retrospectively analyzed the CSF IL-6 concentrations in 43 consecutive patients with suspected PCNSL. A total of 28 patients were positively diagnosed with PCNSL and 15 with CNSID. We verified the results with CSF IL-10, an established biomarker for PCNSL.

resultsIn the PCNSL group, the median CSF IL-6 concentration was 8 pg/ml, interquartile range (IQR) 5-18.5. For the patients with CNSID, the median concentration was 70 pg/ml, IQR 5-1368. A group comparison showed significantly higher CSF IL-6 levels in patients with CNSID than in those with PCNSL (p = 0.032). Moreover, IL-6 was correlated with CSF cell count in the CNSID group (r = 0.56, p = 0.028), but not in the PCNSL group (r = 0.3, p = 0.13). We found significantly higher CSF IL-10 levels in patients with PCNSL than in patients with CNS inflammatory lesions (p < 0.001). DISCUSSION AND

conclusionsOur study suggests that CSF IL-6 levels could represent, in addition to CSF IL-10, a useful biomarker in the differential diagnosis of CNSID and suspected PCNSL.

Indexed as

Central Nervous System NeoplasmsLymphomaBiomarkers, TumorDiagnosis, DifferentialGranuloma, Plasma CellHumansInterleukin-6Retrospective StudiesBiomarkers, TumorInterleukin-6Cerebrospinal fluidInflammationInterleukin 10Interleukin 6Primary central nervous system lymphoma

Identifiers

PMID33609156
OpenAlexW3130295506

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.