Evidence map›Paper›PMID 35581004›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2022

Innate Immune Cell-Related Pathology in the Thalamus Signals a Risk for Disability Progression in Multiple Sclerosis.

Olavi Misin, Markus Matilainen, Marjo Nylund, Eveliina Honkonen, Eero Rissanen, Marcus Sucksdorff, Laura Airas

Abstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The effect of ibudilast on thalamic volume in progressive multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Predictors of risk of secondary progression in multiple sclerosis.Therapeutic advances in neurological disorders · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. P2XEJNMMI research · 2024
    Article
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  17. Review
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.

Olavi MisinFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland.
Markus MatilainenFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland.ORCID 0000-0002-5597-2670
Marjo NylundFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland.ORCID 0000-0001-6695-5684
Eveliina HonkonenFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland.
Eero RissanenFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland.
Marcus SucksdorffFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland.
Laura AirasFrom the Turku PET Centre (O.M., M.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital and University of Turku, Finland; Neurocenter (O.M., M.N., E.H., E.R., M.S., L.A.), Turku University Hospital, Finland; Department of Clinical Neurosciences (O.M., M.N., M.S., L.A.), University of Turku, Finland; and Faculty of Science and Engineering (M.M.), Åbo Akademi University, Turku, Finland. laura.airas@utu.fi.ORCID 0000-0002-9751-5881

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesOur aim was to investigate whether 18-kDa translocator protein (TSPO) radioligand binding in gray matter (GM) predicts later disability progression in multiple sclerosis (MS).

methodsIn this prospective imaging study, innate immune cells were investigated in the MS patient brain using PET imaging. The distribution volume ratio (DVR) of the TSPO-binding radioligand [

resultsThe cohort consisted of 66 patients with MS and 18 healthy controls. Patients with later disability progression (n = 17) had more advanced atrophy in the thalamus, caudate, and putamen at baseline compared with patients with no subsequent worsening. TSPO binding was significantly higher in the thalamus among the patients with later worsening. The thalamic DVR was the only measured imaging variable that remained a significant predictor of disability progression in the regression model. The final model predicted disability progression with 52.9% sensitivity and 93.9% specificity with an area under the curve value of 0.82 (receiver operating characteristic curve). DISCUSSION: Increased TSPO radioligand binding in the thalamus has potential in predicting short-term disability progression in MS and seems to be more sensitive for this than GM atrophy measures.

Indexed as

Multiple SclerosisAtrophyDisease ProgressionHumansImmunity, InnateProspective StudiesReceptors, GABAThalamusReceptors, GABATSPO protein, human

Identifiers

PMID35581004
PMCPMC9128041

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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.