Evidence map›Paper›PMID 37903821›Full record

ArticleNature communications2023

Proteomics reveal biomarkers for diagnosis, disease activity and long-term disability outcomes in multiple sclerosis.

Julia Åkesson, Sara Hojjati, Sandra Hellberg, Johanna Raffetseder, Mohsen Khademi, Robert Rynkowski, Ingrid Kockum, Claudio Altafini, Zelmina Lubovac-Pilav, Johan Mellergård and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

64 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  12. A framework for blood biomarker discovery in MS.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Review
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4 more citing papers are in PubMed but not listed here.

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

15 authors.

Julia Åkesson *Bioinformatics, Department of Physics, Chemistry and Biology, Linköping University, 581 83, Linköping, Sweden.ORCID 0000-0002-9276-0546
Sara Hojjati *Division of Inflammation and Infection, Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.
Sandra HellbergBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, 581 83, Linköping, Sweden.
Johanna RaffetsederDivision of Inflammation and Infection, Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.ORCID 0000-0001-8871-2560
Mohsen KhademiNeuroimmunology Unit, Department of Clinical Neuroscience, Center for Molecular Medicine, Karolinska University Hospital, Karolinska Institute, 171 76, Stockholm, Sweden.ORCID 0000-0003-0801-1444
Robert RynkowskiDepartment of Neurology, and Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.
Ingrid KockumNeuroimmunology Unit, Department of Clinical Neuroscience, Center for Molecular Medicine, Karolinska University Hospital, Karolinska Institute, 171 76, Stockholm, Sweden.ORCID 0000-0002-0867-4726
Claudio AltafiniDivision of Automatic Control, Department of Electrical Engineering, Linköping University, 581 83, Linköping, Sweden.ORCID 0000-0003-4142-6502
Zelmina Lubovac-PilavSystems Biology Research Centre, School of Bioscience, University of Skövde, 541 28, Skövde, Sweden.ORCID 0000-0001-6427-0315
Johan MellergårdDepartment of Neurology, and Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.ORCID 0000-0003-0120-3734
Maria C JenmalmDivision of Inflammation and Infection, Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.ORCID 0000-0002-2117-5366
Fredrik PiehlNeuroimmunology Unit, Department of Clinical Neuroscience, Center for Molecular Medicine, Karolinska University Hospital, Karolinska Institute, 171 76, Stockholm, Sweden.ORCID 0000-0001-8329-5219
Tomas Olsson *Neuroimmunology Unit, Department of Clinical Neuroscience, Center for Molecular Medicine, Karolinska University Hospital, Karolinska Institute, 171 76, Stockholm, Sweden.
Jan Ernerudh *Department of Clinical Immunology and Transfusion Medicine, and Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden.ORCID 0000-0001-9456-2044
Mika Gustafsson *Bioinformatics, Department of Physics, Chemistry and Biology, Linköping University, 581 83, Linköping, Sweden. mika.gustafsson@liu.se.ORCID 0000-0002-0048-4063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sensitive and reliable protein biomarkers are needed to predict disease trajectory and personalize treatment strategies for multiple sclerosis (MS). Here, we use the highly sensitive proximity-extension assay combined with next-generation sequencing (Olink Explore) to quantify 1463 proteins in cerebrospinal fluid (CSF) and plasma from 143 people with early-stage MS and 43 healthy controls. With longitudinally followed discovery and replication cohorts, we identify CSF proteins that consistently predicted both short- and long-term disease progression. Lower levels of neurofilament light chain (NfL) in CSF is superior in predicting the absence of disease activity two years after sampling (replication AUC = 0.77) compared to all other tested proteins. Importantly, we also identify a combination of 11 CSF proteins (CXCL13, LTA, FCN2, ICAM3, LY9, SLAMF7, TYMP, CHI3L1, FYB1, TNFRSF1B and NfL) that predict the severity of disability worsening according to the normalized age-related MS severity score (replication AUC = 0.90). The identification of these proteins may help elucidate pathogenetic processes and might aid decisions on treatment strategies for persons with MS.

Indexed as

Multiple SclerosisBiomarkersDisease ProgressionHumansNeurofilament ProteinsProteomicsBiomarkersNeurofilament Proteins

Identifiers

PMID37903821
PMCPMC10616092

What OpenQuestion holds

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Registered trials

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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.