Evidence map›Paper›PMID 34163430›Full record

ReviewFrontiers in neurology2021

The Role of B Cells in Primary Progressive Multiple Sclerosis.

Jameson P Holloman, Robert C Axtell, Nancy L Monson, Gregory F Wu

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 23 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

4 authors at 3 institutions in 1 country.

Jameson P HollomanDepartment of Neurology, Washington University in St. Louis, St. Louis, MO, United States.
Robert C AxtellDepartment of Arthritis and Clinical Immunology Research, Oklahoma Medical Research Foundation, Oklahoma City, OK, United States.
Nancy L MonsonDepartment of Neurology and Neurotherapeutics, University of Texas Southwestern, Dallas, TX, United States.
Gregory F WuDepartment of Neurology, Washington University in St. Louis, St. Louis, MO, United States.
Washington University in St. Louis · USOU HealthThe University of Texas Southwestern Medical Center · US

Funding

Understanding the roles type I Interferon and TH17 play in Neuromyelitis Optica and other autoimmune diseases.R01AI137047 · NIAID · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI AXTELL, ROBERT C · 2018 to 2021
$2.8M
Pathogenic B cell and T helper cell interactions in Neuromyelitis OpticaR01EY027346 · NEI · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI AXTELL, ROBERT C · 2017 to 2021
$2.2M
The Role of TRPV4 in central nervous system immunity and diseaseR01NS106289 · NINDS · WASHINGTON UNIVERSITY · PI WU, GREGORY · 2018 to 2021
$1.6M
NEI NIH HHS R01 EY027346NIAID NIH HHS R01 AI137047NINDS NIH HHS R01 NS106289
6 · The paper itself

Abstract

The success of ocrelizumab in reducing confirmed disability accumulation in primary progressive multiple sclerosis (PPMS) via CD20-targeted depletion implicates B cells as causal agents in the pathogenesis of PPMS. This review explores the possible mechanisms by which B cells contribute to disease progression in PPMS, specifically exploring cytokine production, antigen presentation, and antibody synthesis. B cells may contribute to disease progression in PPMS through cytokine production, specifically GM-CSF and IL-6, which can drive naïve T-cell differentiation into pro-inflammatory Th1/Th17 cells. B cell production of the cytokine LT-α may induce follicular dendritic cell production of CXCL13 and lead indirectly to T and B cell infiltration into the CNS. In contrast, production of IL-10 by B cells likely induces an anti-inflammatory effect that may play a role in reducing neuroinflammation in PPMS. Therefore, reduced production of IL-10 may contribute to disease worsening. B cells are also capable of potent antigen presentation and may induce pro-inflammatory T-cell differentiation via cognate interactions. B cells may also contribute to disease activity via antibody synthesis, although it's unlikely the benefit of ocrelizumab in PPMS occurs via antibody decrement. Finally, various B cell subsets likely promulgate pro- or anti-inflammatory effects in MS.

Indexed as

B cellimmune pathogenesisinflammationmultiple sclerosisprimary progressive multiple sclerosis

Identifiers

PMID34163430
PMCPMC8215437
OpenAlexW3171160704

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.