Evidence map›Paper›PMID 35759479›Full record

ArticlePloS one2022

IL-2, IL-6 and chitinase 3-like 2 might predict early relapse activity in multiple sclerosis.

Marko Petržalka, Eva Meluzínová, Jana Libertínová, Hana Mojžišová, Jitka Hanzalová, Petra Ročková, Martin Elišák, Silvia Kmetonyová, Jan Šanda, Ondřej Sobek and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Chitinase Signature in the Plasticity of Neurodegenerative Diseases.International journal of molecular sciences · 2023
    Review
  6. Article
  7. 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

11 authors at 1 institution in 1 country.

Marko PetržalkaSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.ORCID 0000-0003-0912-2656
Eva MeluzínováSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Jana LibertínováSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Hana MojžišováSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Jitka HanzalováSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Petra RočkováSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Martin ElišákSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Silvia KmetonyováSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Jan ŠandaSecond Faculty of Medicine, Department of Radiology, Charles University and Motol University Hospital, Prague, Czech Republic.
Ondřej SobekTopelex sro, Laboratory for CSF, Neuroimmunology, Pathology and Special Diagnostics, Prague, Czech Republic.
Petr MarusičSecond Faculty of Medicine, Department of Neurology, Charles University and Motol University Hospital, Prague, Czech Republic.
Charles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe possibility to better predict the severity of the disease in a patient newly diagnosed with multiple sclerosis would allow the treatment strategy to be personalized and lead to better clinical outcomes. Prognostic biomarkers are highly needed.

objectiveTo assess the prognostic value of intrathecal IgM synthesis, cerebrospinal fluid and serum IL-2, IL-6, IL-10, chitinase 3-like 2 and neurofilament heavy chains obtained early after the onset of the disease.

methods58 patients after the first manifestation of multiple sclerosis were included. After the initial diagnostic assessment including serum and cerebrospinal fluid biomarkers, all patients initiated therapy with either glatiramer acetate, teriflunomide, or interferon beta. To assess the evolution of the disease, we followed the patients clinically and with MRI for two years.

resultsThe IL-2:IL-6 ratio (both in cerebrospinal fluid) <0.48 (p = 0.0028), IL-2 in cerebrospinal fluid ≥1.23pg/ml (p = 0.026), and chitinase 3-like 2 in cerebrospinal fluid ≥7900pg/ml (p = 0.033), as well as baseline EDSS ≥1.5 (p = 0.0481) and age <22 (p = 0.0312), proved to be independent markers associated with shorter relapse free intervals.

conclusionThe IL-2:IL-6 ratio, IL-2, and chitinase 3-like 2 (all in cerebrospinal fluid) might be of value as prognostic biomarkers in early phases of multiple sclerosis.

Indexed as

Multiple SclerosisBiomarkersChitinasesChronic DiseaseHumansInterleukin-2Interleukin-6RecurrenceBiomarkersCHI3L2 protein, humanChitinasesIL2 protein, humanIL6 protein, humanInterleukin-2Interleukin-6

Identifiers

PMID35759479
PMCPMC9236235
OpenAlexW4283579714

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.