Evidence map›Paper›PMID 34755135›Full record

ArticleCell reports. Medicine2021

Multi-omic evaluation of metabolic alterations in multiple sclerosis identifies shifts in aromatic amino acid metabolism.

Kathryn C Fitzgerald, Matthew D Smith, Sol Kim, Elias S Sotirchos, Michael D Kornberg, Morgan Douglas, Bardia Nourbakhsh, Jennifer Graves, Ramandeep Rattan, Laila Poisson and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. The Gut Microbiome in Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Dissecting inflammation in the immunemetabolomic era.Cellular and molecular life sciences : CMLS · 2025
    Review
  20. Article

2 more citing papers are in PubMed but not listed here.

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

16 authors at 3 institutions in 1 country.

Kathryn C FitzgeraldDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Matthew D SmithDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sol KimDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elias S SotirchosDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Michael D KornbergDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Morgan DouglasDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Bardia NourbakhshDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jennifer GravesDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Ramandeep RattanDepartment of Neurology, Henry Ford Health System, Wayne State University School of Medicine, Detroit, MI, USA.
Laila PoissonDepartment of Neurology, Henry Ford Health System, Wayne State University School of Medicine, Detroit, MI, USA.
Mirela CerghetDepartment of Neurology, Henry Ford Health System, Wayne State University School of Medicine, Detroit, MI, USA.
Ellen M MowryDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Emmanuelle WaubantDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Shailendra GiriDepartment of Neurology, Henry Ford Health System, Wayne State University School of Medicine, Detroit, MI, USA.
Peter A CalabresiDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Pavan BhargavaDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USHenry Ford Health System · USUniversity of California, San Francisco · US

Funding

Imaging Neurodegeneration in Multiple SclerosisR01NS082347 · NINDS · JOHNS HOPKINS UNIVERSITY · PI PETER A CALABRESI, Shiv Saidha · 2013 to 2026
$7.0M
Targeting SNO-GAPDH in inflammatory neurodegeneration and mitochondrial injuryK08NS104266 · NINDS · JOHNS HOPKINS UNIVERSITY · PI KORNBERG, MICHAEL D · 2020 to 2024
$1.0M
Circadian Rhythms and Sleep, Structural Neuroimaging and Depression in People with Multiple SclerosisK01MH121582 · NIMH · JOHNS HOPKINS UNIVERSITY · PI FITZGERALD, KATHRYN C. · 2019 to 2022
$675k
NIMH NIH HHS K01 MH121582NINDS NIH HHS K08 NS104266NINDS NIH HHS R01 NS082347
6 · The paper itself

Abstract

The circulating metabolome provides unique insights into multiple sclerosis (MS) pathophysiology, but existing studies are relatively small or characterized limited metabolites. We test for differences in the metabolome between people with MS (PwMS; n = 637 samples) and healthy controls (HC; n = 317 samples) and assess the association between metabolomic profiles and disability in PwMS. We then assess whether metabolic differences correlate with changes in cellular gene expression using publicly available scRNA-seq data and whether identified metabolites affect human immune cell function. In PwMS, we identify striking abnormalities in aromatic amino acid (AAA) metabolites (p = 2.77E-18) that are also strongly associated with disability (p = 1.01E-4). Analysis of scRNA-seq data demonstrates altered AAA metabolism in CSF and blood-derived monocyte cell populations in PwMS. Treatment with AAA-derived metabolites

Indexed as

MetabolomeAdolescentAdultAgedAmino Acids, AromaticCase-Control StudiesCytokinesDatabases, GeneticEndocytosisFemaleHumansMaleMetabolomicsMiddle AgedMonocytesMultiple SclerosisAmino Acids, AromaticCytokinesaromatic amino acidgut microbiomemetabolismmetabolomicsmetabotoxinmultiple sclerosis

Identifiers

PMID34755135
PMCPMC8561319
OpenAlexW3207370032

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.