Evidence map›Paper›PMID 36140159›Full record

ArticleBiomedicines2022

Fatigue in Multiple Sclerosis Is Associated with Reduced Expression of Interleukin-10 and Worse Prospective Disease Activity.

Luana Gilio, Fabio Buttari, Luigi Pavone, Ennio Iezzi, Giovanni Galifi, Ettore Dolcetti, Federica Azzolini, Antonio Bruno, Angela Borrelli, Marianna Storto and 9 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Advancements in multiple sclerosis.Internal medicine journal · 2025
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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

19 authors at 5 institutions in 2 countries.

Luana GilioIRCCS Neuromed, 86077 Pozzilli, Italy.
Fabio ButtariIRCCS Neuromed, 86077 Pozzilli, Italy.
Luigi PavoneIRCCS Neuromed, 86077 Pozzilli, Italy.ORCID 0000-0002-0454-9784
Ennio IezziIRCCS Neuromed, 86077 Pozzilli, Italy.
Giovanni GalifiIRCCS Neuromed, 86077 Pozzilli, Italy.ORCID 0000-0002-6929-8795
Ettore DolcettiIRCCS Neuromed, 86077 Pozzilli, Italy.ORCID 0000-0002-4594-4895
Federica AzzoliniIRCCS Neuromed, 86077 Pozzilli, Italy.
Antonio BrunoIRCCS Neuromed, 86077 Pozzilli, Italy.ORCID 0000-0003-0976-3410
Angela BorrelliIRCCS Neuromed, 86077 Pozzilli, Italy.
Marianna StortoIRCCS Neuromed, 86077 Pozzilli, Italy.
Roberto FurlanClinical Neuroimmunology Unit, Institute of Experimental Neurology (INSpe), Division of Neuroscience, San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-7376-9425
Annamaria FinardiClinical Neuroimmunology Unit, Institute of Experimental Neurology (INSpe), Division of Neuroscience, San Raffaele Scientific Institute, 20132 Milan, Italy.
Tatjana PekmezovicFaculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0001-7978-1409
Jelena DrulovicFaculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0002-4516-3458
Georgia MandolesiSynaptic Immunopathology Lab, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0003-3612-6820
Diego FresegnaSynaptic Immunopathology Lab, IRCCS San Raffaele Roma, 00163 Rome, Italy.ORCID 0000-0002-6943-1904
Valentina VanniSynaptic Immunopathology Lab, IRCCS San Raffaele Roma, 00163 Rome, Italy.
Diego CentonzeIRCCS Neuromed, 86077 Pozzilli, Italy.
Mario Stampanoni BassiIRCCS Neuromed, 86077 Pozzilli, Italy.
Istituto Neurologico Mediterraneo · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Belgrade · RSSan Raffaele University of Rome · ITUniversity of Rome Tor Vergata · IT

Funding

Fondazione Italiana Sclerosi Multipla (FISM) Diego Centonze cod. 2019/S/1 and financed or co-financed with the '5 per mille' public funding;Fondazione Italiana Sclerosi Multipla (FISM) Mario Stampanoni Bassi cod. 2020/R-Multi/018 and financed or co-financed with the '5 per mille' public funding;Ministero della Salute (Ministry of Health, Italy) Diego Centonze and Georgia Mandolesi RF-2018-12366144;Ministero della Salute (Ministry of Health, Italy) Fabio Buttari GR-2018-12366154;Ministero della Salute (Ministry of Health, Italy) Progetto Ricerca Corrente to IRCCS Neuromed;Ministero della Salute (Ministry of Health, Italy) Progetto Ricerca Corrente to IRCCS San Raffaele; Georgia Mandolesi;Private donation in memory of Chiara Sardi to Diego Centonze;Project 'Nuovi Biomarker Diagnostici e Terapeutici delle Malattie Neurodegenerative' - ADOPT co-funded by FOE 2020 - funding from CNR to Diego Centonze.
6 · The paper itself

Abstract

In multiple sclerosis (MS), fatigue is a frequent symptom that negatively affects quality of life. The pathogenesis of fatigue is multifactorial and inflammation may play a specific role. To explore the association between fatigue, central inflammation and disease course in MS in 106 relapsing-remitting (RR)-MS patients, clinical characteristics, including fatigue and mood, were explored at the time of diagnosis. NEDA (no evidence of disease activity)-3 status after one-year follow up was calculated. Cerebrospinal fluid (CSF) levels of a set of proinflammatory and anti-inflammatory molecules and peripheral blood markers of inflammation were also analyzed. MRI structural measures were explored in 35 patients. A significant negative correlation was found at diagnosis between fatigue measured with the Modified Fatigue Impact Scale (MFIS) and the CSF levels of interleukin (IL)-10. Conversely, no significant associations were found with peripheral markers of inflammation. Higher MFIS scores were associated with reduced probability to reach NEDA-3 status after 1-year follow up. Finally, T2 lesion load showed a positive correlation with MFIS scores and a negative correlation with CSF IL-10 levels at diagnosis. CSF inflammation, and particularly the reduced expression of the anti-inflammatory molecule IL-10, may exacerbate fatigue. Fatigue in MS may reflect subclinical CSF inflammation, predisposing to greater disease activity.

Indexed as

fatigueIL-10inflammationNEDA-3relapsing-remitting multiple sclerosis (RR-MS)T2 lesion load

Identifiers

PMID36140159
PMCPMC9495727
OpenAlexW4293029265

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.