Evidence map›Paper›PMID 35778909›Full record

ArticleClinical and experimental immunology2022

Immunopathology of the optic nerve in multiple sclerosis.

Laura Fernández Blanco, Manuel Marzin, Alida Leistra, Paul van der Valk, Erik Nutma, Sandra Amor

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.2field-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

14 citing papers in PubMed, 18 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

6 authors at 2 institutions in 2 countries.

Laura Fernández BlancoDepartment of Pathology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
Manuel MarzinDepartment of Pathology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
Alida LeistraDepartment of Pathology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
Paul van der ValkDepartment of Pathology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
Erik NutmaDepartment of Pathology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.ORCID 0000-0002-7332-1636
Sandra AmorDepartment of Pathology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.ORCID 0000-0001-6169-9845
Amsterdam University Medical Centers · NLQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optic neuritis, a primary clinical manifestation commonly observed in multiple sclerosis (MS), is a major factor leading to permanent loss of vision. Despite decreased vision (optic neuritis), diplopia, and nystagmus, the immunopathology of the optic nerve in MS is unclear. Here, we have characterized the optic nerve pathology in a large cohort of MS cases (n = 154), focusing on the immune responses in a sub-cohort of MS (n = 30) and control (n = 6) cases. Immunohistochemistry was used to characterize the myeloid (HLA-DR, CD68, Iba1, TMEM119, and P2RY12) and adaptive immune cells (CD4, CD8, and CD138) in the parenchyma, perivascular spaces, and meninges in optic nerve tissues from MS and control cases. Of the 154 MS cases, 122 (79%) reported visual problems; of which, 99 (81%) optic nerves showed evidence of damage. Of the 31 cases with no visual disturbances, 19 (61%) showed evidence of pathology. A pattern of myeloid cell activity and demyelination in the optic nerve was similar to white matter lesions in the brain and spinal cord. In the optic nerves, adaptive immune cells were more abundant in the meninges close to active and chronic active lesions, and significantly higher compared with the parenchyma. Similar to brain tissues in this Dutch cohort, B-cell follicles in the meninges were absent. Our study reveals that optic nerve pathology is a frequent event in MS and may occur in the absence of clinical symptoms.

Indexed as

Multiple SclerosisOptic NeuritisBrainHumansOptic NerveSpinal Cordlymphocytesmacrophagesmeningesmicrogliamultiple sclerosisoptic neuritis

Identifiers

PMID35778909
PMCPMC9390848
OpenAlexW4283783244

What OpenQuestion holds

Textmetadata
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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.