Evidence map›Paper›PMID 36576574›Full record

ArticleJournal of neurology2023

PET-measurable innate immune cell activation reduction in chronic active lesions in PPMS brain after rituximab treatment: a case report.

Jussi Lehto, Marcus Sucksdorff, Marjo Nylund, Roope Raitanen, Markus Matilainen, Laura Airas

Abstract readCase ReportsLetter
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. P2XEJNMMI research · 2024
    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

6 authors at 3 institutions in 1 country.

Jussi LehtoTurku PET Centre, Turku University Hospital, Po Box 52, 20521, Turku, Finland. jussi.lehto@tyks.fi.
Marcus SucksdorffTurku PET Centre, Turku University Hospital, Po Box 52, 20521, Turku, Finland.
Marjo NylundTurku PET Centre, Turku University Hospital, Po Box 52, 20521, Turku, Finland.
Roope RaitanenTurku PET Centre, Turku University Hospital, Po Box 52, 20521, Turku, Finland.
Markus MatilainenTurku PET Centre, Turku University Hospital, Po Box 52, 20521, Turku, Finland.
Laura AirasClinical Neurosciences, University of Turku, Turku, Finland.
Turku University Hospital · FITurku PET Centre · FIUniversity of Turku · FI

Funding

Academy of Finland 337530
6 · The paper itself

Abstract

objectivesTo evaluate the effects of rituximab treatment on innate immune cell activation in primary progressive multiple sclerosis (PPMS).

methodsA 48-year-old woman with PPMS was started on rituximab shortly after diagnosis. [

resultsThe PPMS patient had higher PK11195 DVRs and higher proportions of active voxels in the thalamus and the normal appearing white matter compared to the healthy control group. The thalamic and perilesional white matter DVRs and the proportions of active voxels decreased after rituximab treatment. The patient remained clinically stable during the 5-years follow-up.

conclusionsThis case suggests that while a degree of smoldering activity persists, high efficacy B-cell-targeting therapy may contribute to reduced innate immune cell activation in PPMS brain areas relevant for disease progression. This case supports the therapeutic concept that controlling smoldering brain inflammation is beneficial for slowing down progression independent of relapses.

Indexed as

Multiple SclerosisMultiple Sclerosis, Chronic ProgressiveWhite MatterBrainFemaleHumansImmunity, InnateMagnetic Resonance ImagingMiddle AgedPositron-Emission TomographyRituximabRituximabCase reportMicrogliaMultiple sclerosisPETRituximab

Identifiers

PMID36576574
OpenAlexW4313237708

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.