Evidence map›Paper›PMID 37945762›Full record

ReviewJournal of neurology2024

The elusive nature of the oligoclonal bands in multiple sclerosis.

Peter G E Kennedy, Woro George, Xiaoli Yu

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of neurology, 2024. 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
4.3field-weighted citation impact, top 5% 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, 17 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

3 authors at 2 institutions in 2 countries.

Peter G E KennedyInstitute of Neuroscience and Psychology, University of Glasgow, Glasgow, G61 1QH, Scotland, UK.
Woro GeorgeDepartment of Neurosurgery, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Xiaoli YuDepartment of Neurosurgery, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA. Xiaoli.yu@cuanschutz.edu.ORCID http://orcid.org/0000-0003-4850-8586
University of Colorado Anschutz Medical Campus · USUniversity of Glasgow · GB

Funding

Development of Validation of Phage-Displayed Random Peptide Libraries Technologies for Rapid Isolation and Characterization of Extracellular Vesicles from Patients with Brain TumorsR33MH118174 · NIMH · UNIVERSITY OF COLORADO DENVER · PI GRANER, MICHAEL W., YU, XIAOLI · 2020 to 2022
$1.9M
NIMH NIH HHS 4R33MH118174
6 · The paper itself

Abstract

Intrathecal immunoglobulin G (IgG) and oligoclonal bands (OCBs) detected in both the brain and cerebrospinal fluid (CSF) are seminal features of multiple sclerosis (MS). The presence of OCBs correlates with elevated disease burden and severity and supports the diagnosis of MS. Despite numerous investigations into the potential viral and autoantigen targets, the precise antigenic specificity of OCBs has remained elusive. We have little knowledge of the nature regarding these oligoclonal IgG bands. Here, we present compelling evidence highlighting the key findings that both OCBs and intrathecal IgG antibodies are under genetic control and that OCBs originate from clonal B-cells in both the periphery and CNS. We propose that MS OCBs are IgG immune complexes composed of IgG1 and IgG3 antibodies and that the pathological role of OCB stems from the IgG effector functions of these complexes, leading to demyelination and axonal injuries. We present additional evidence regarding the nature of MS OCBs: (1) disease-modifying therapies have been shown to affect CSF OCB; (2) OCBs have also been detected in several neuroinfectious diseases; (3) Epstein-Barr virus (EBV) has been particularly linked with MS pathogenesis, and its association with OCB is an important area of study. Although OCBs are closely associated with MS, more meticulously planned research is necessary to clarify the precise role of OCB in MS, both in terms of disease pathogenesis and diagnosis.

Indexed as

Epstein-Barr Virus InfectionsMultiple SclerosisHerpesvirus 4, HumanHumansImmunoglobulin GOligoclonal BandsImmunoglobulin GOligoclonal BandsAntigenB-cellCerebrospinal fluidImmune complexesIntrathecal IgGMultiple sclerosisOligoclonal bandsVirus

Identifiers

PMID37945762
OpenAlexW4388523074

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.