Evidence map›Paper›PMID 35840705›Full record

ReviewNature reviews. Neurology2022

From the prodromal stage of multiple sclerosis to disease prevention.

Ruth Ann Marrie, Mark Allegretta, Lisa F Barcellos, Bruce Bebo, Peter A Calabresi, Jorge Correale, Benjamin Davis, Philip L De Jager, Christiane Gasperi, Carla Greenbaum and 21 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
11.0field-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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Interpreting Viral Associations in Neurodegenerative Diseases.International journal of molecular sciences · 2026
    Review
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Review
  8. Article
  9. Article
  10. Toward a global research agenda for preventing multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. High-risk populations should be screened for MS: Yes.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Article
  20. Article
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

31 authors at 20 institutions in 7 countries.

Ruth Ann MarrieDepartment of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. rmarrie@hsc.mb.ca.ORCID http://orcid.org/0000-0002-1855-5595
Mark AllegrettaNational Multiple Sclerosis Society, New York, NY, USA.
Lisa F BarcellosDivision of Epidemiology and Genetic Epidemiology and Genomics Laboratory, School of Public Health, University of California Berkeley, Berkeley, CA, USA.
Bruce BeboNational Multiple Sclerosis Society, New York, NY, USA.ORCID http://orcid.org/0000-0003-0941-9169
Peter A CalabresiJohns Hopkins University School of Medicine, Departments of Neurology, Neuroscience and Ophthalmology, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-7776-6472
Jorge CorrealeDepartment of Neurology, Fleni, Buenos Aires, Argentina.ORCID http://orcid.org/0000-0003-4756-9889
Benjamin DavisMultiple Sclerosis Society of Canada, Toronto, Ontario, Canada.
Philip L De JagerMultiple Sclerosis Center, Center for Translational & Computational Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center, New York, NY, USA.
Christiane GasperiDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Munich, Germany.
Carla GreenbaumCenter for Interventional Immunology and Diabetes Program, Benaroya Research Institute, Seattle, WA, USA.
Anne HelmeMultiple Sclerosis International Federation, London, UK.ORCID http://orcid.org/0000-0001-8880-2347
Bernhard HemmerDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Munich, Germany.
Pamela KanellisMultiple Sclerosis Society of Canada, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-6554-838X
Walter KostichNational Multiple Sclerosis Society, New York, NY, USA.
Douglas LandsmanNational Multiple Sclerosis Society, New York, NY, USA.ORCID http://orcid.org/0000-0002-3614-9283
Christine Lebrun-FrenayCHU de Nice Pasteur 2, CRCSEP, UR2CA-URRIS, Université Nice Cote d'Azur Nice, Nice, France.
Naila MakhaniDepartments of Pediatrics and Neurology, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-2325-130X
Kassandra L MungerDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, USA.
Darin T OkudaThe University of Texas Southwestern Medical Center, Department of Neurology, Neuroinnovation Program, Multiple Sclerosis and Neuroimmunology Imaging Program, Dallas, TX, USA.
Daniel OntanedaMellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, OH, USA.
Ronald B PostumaDepartment of Neurology, McGill University, Montreal, Quebec, Canada.
Jacqueline A QuandtDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Sharon RomanPatient representative, Vancouver, British Columbia, Canada.
Shiv SaidhaDivision of Neuroimmunology and Neurological Infections, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Maria Pia SormaniDepartment of Health Sciences, University of Genova, and IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0000-0001-6892-104X
Jon StrumRealTalk MS, Long Beach, CA, USA.
Pamela ValentineMultiple Sclerosis Society of Canada, Toronto, Ontario, Canada.
Clare WaltonMS Society, London, UK.
Kathleen M ZackowskiNational Multiple Sclerosis Society, New York, NY, USA.
Yinshan ZhaoFaculty of Medicine (Neurology), University of British Columbia, Vancouver, British Columbia, Canada.
Helen TremlettFaculty of Medicine (Neurology), University of British Columbia, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0001-5804-2535
National Multiple Sclerosis Society · USMultiple Sclerosis Society of Canada · CAUniversity of British Columbia · CAJohns Hopkins University · USTUM Klinikum · DEBenaroya Research InstituteCanadian Patient Safety Institute · CACentre Hospitalier Universitaire de Nice · FRCleveland Clinic · USColumbia University Irving Medical Center · USFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARHarvard University · USKaiser Permanente · USManitoba Health · CAMcGill University · CAMultiple Sclerosis International Federation · GBMultiple Sclerosis Society · GBOspedale Policlinico San Martino · ITThe University of Texas Southwestern Medical Center · USYale University · US

Funding

The Radiologically Isolated Syndrome in ChildrenK23NS101099 · NINDS · YALE UNIVERSITY · PI MAKHANI, NAILA · 2017 to 2022
$792k
NINDS NIH HHS K23 NS101099
6 · The paper itself

Abstract

A prodrome is an early set of signs or symptoms that indicate the onset of a disease before more typical symptoms develop. Prodromal stages are well recognized in some neurological and immune-mediated diseases such as Parkinson disease, schizophrenia, type 1 diabetes mellitus and rheumatoid arthritis. Emerging evidence indicates that a prodromal stage exists in multiple sclerosis (MS), raising the possibility of intervention at this stage to delay or prevent the development of classical MS. However, much remains unclear about the prodromal stage of MS and considerable research is needed to fully characterize the prodrome and develop standardized criteria to reliably identify individuals with prodromal MS who are at high risk of progressing to a diagnosis of MS. In this Roadmap, we draw on work in other diseases to propose a disease framework for MS that incorporates the prodromal stage, and set out key steps and considerations needed in future research to fully characterize the MS prodrome, identify early disease markers and develop standardized criteria that will enable reliable identification of individuals with prodromal MS, thereby facilitating trials of interventions to slow or stop progression beyond the prodrome.

Indexed as

Multiple SclerosisSchizophreniaHumansProdromal Symptoms

Identifiers

PMID35840705
OpenAlexW4285593417

What OpenQuestion holds

Textmetadata
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.