Evidence map›Paper›PMID 39272777›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Can Selected Parameters of Brain Injury Reflect Neuronal Damage in Smoldering Multiple Sclerosis?

Natalia Niedziela, Maria Nowak-Kiczmer, Lina Malciene, Mariusz Stasiołek, Jolanta Zalejska-Fiolka, Zenon P Czuba, Jacek T Niedziela, Jarosław Szczygieł, Michał Lubczyński, Monika Adamczyk-Sowa

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Natalia NiedzielaDepartment of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul. 3-go Maja 13-15, 41-800 Zabrze, Poland.ORCID 0000-0003-0834-5727
Maria Nowak-KiczmerDepartment of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul. 3-go Maja 13-15, 41-800 Zabrze, Poland.
Lina MalcieneKlaipeda University Hospital, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Mariusz StasiołekDepartment of Neurology, Medical University of Lodz, Ul. Kopcińskiego 22, 90-419 Łódź, Poland.ORCID 0000-0002-2582-1708
Jolanta Zalejska-FiolkaDepartment of Biochemistry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul, Jordana 19, 41-808 Zabrze, Poland.ORCID 0000-0002-3879-6548
Zenon P CzubaDepartment of Microbiology and Immunology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul. Jordana 19, 41-808 Zabrze, Poland.ORCID 0000-0001-8216-4495
Jacek T Niedziela3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Silesian Centre for Heart Disease, Ul. M.C. Sklodowskiej 9, 41-800 Zabrze, Poland.ORCID 0000-0001-5016-8862
Jarosław SzczygiełDepartment of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul. 3-go Maja 13-15, 41-800 Zabrze, Poland.
Michał LubczyńskiDepartment of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul. 3-go Maja 13-15, 41-800 Zabrze, Poland.ORCID 0009-0003-7949-1817
Monika Adamczyk-SowaDepartment of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Ul. 3-go Maja 13-15, 41-800 Zabrze, Poland.ORCID 0000-0002-6894-9891

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory demyelination and impaired recovery processes result in permanent neurodegeneration and neurological disability in patients with multiple sclerosis (MS). In terms of smoldering MS, chronic neuroinflammation develops in the early period of the disease and leads to confirmed disability accumulation. There is a great need to identify biomarkers of neurodegeneration and disease progression.

methodsA single-center prospective observational study was performed. The median age of the patients was 40 (31-52) years. Women comprised 64% of the study population. We evaluated the concentrations of the parameters of brain injury (NF-H, GFAP, S100B and UCHL1) in the cerebrospinal fluid (CSF) and the selected interleukins (ILs) in serum of 123 relapsing-remitting MS (RRMS) and 88 progressive MS (PMS) patients.

resultsThe levels of GFAP, S100B and UCHL were higher in the PMS group than the RRMS group, in contrast to the levels of NF-H. We observed a positive correlation between the selected pro-inflammatory cytokines and the parameters of brain injury. The Expanded Disability Status Scale (EDSS) score increased with GFAP and NF-H levels and was correlated with the selected ILs. The concentrations of S100B, UCHL1 and NF-H reflected the duration of MS symptoms.

conclusionsThe levels of brain injury parameters in the CSF and the selected serum ILs in MS patients seem to be promising biomarkers to determine neurodegeneration and neuroinflammation in smoldering MS. Further studies are warranted in this respect.

Indexed as

GFAPinterleukinsneurodegenerationneuroinflammationNF-HS100Bsmoldering multiple sclerosisUCHL1

Identifiers

PMID39272777
PMCPMC11394557

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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.