Evidence map›Paper›PMID 39379509›Full record

ArticleScientific reports2024

Profiling neuroinflammatory markers and response to nusinersen in paediatric spinal muscular atrophy.

Qiang Zhang, Ying Hong, Chiara Brusa, Mariacristina Scoto, Nikki Cornell, Parth Patel, Giovanni Baranello, Francesco Muntoni, Haiyan Zhou

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Cerebrospinal fluid metabolomics reveals predictive biomarkers of nusinersen therapy efficacy in type II and type III spinal muscular atrophy patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  4. Application of Biomarkers in Spinal Muscular Atrophy.International journal of molecular sciences · 2025
    Review
  5. Review
  6. Biomarkers in spinal muscular atrophy.Frontiers in neurology · 2025
    Review
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

9 authors.

Qiang ZhangGenetics and Genomic Medicine Research and Teaching Department, Great Ormond Street Institute of Child Health, University College London, London, UK.
Ying HongInfection, Immunity and Inflammation Research and Teaching Department, Great Ormond Street Institute of Child Health, University College London, London, UK.
Chiara BrusaDevelopmental Neurosciences Research and Teaching Department, Great Ormond Street Institute of Child Health, The Dubowitz Neuromuscular Centre, University College London, London, UK.
Mariacristina ScotoDevelopmental Neurosciences Research and Teaching Department, Great Ormond Street Institute of Child Health, The Dubowitz Neuromuscular Centre, University College London, London, UK.
Nikki CornellDevelopmental Neurosciences Research and Teaching Department, Great Ormond Street Institute of Child Health, The Dubowitz Neuromuscular Centre, University College London, London, UK.
Parth PatelGenetics and Genomic Medicine Research and Teaching Department, Great Ormond Street Institute of Child Health, University College London, London, UK.
Giovanni BaranelloDevelopmental Neurosciences Research and Teaching Department, Great Ormond Street Institute of Child Health, The Dubowitz Neuromuscular Centre, University College London, London, UK.
Francesco MuntoniDevelopmental Neurosciences Research and Teaching Department, Great Ormond Street Institute of Child Health, The Dubowitz Neuromuscular Centre, University College London, London, UK.
Haiyan ZhouGenetics and Genomic Medicine Research and Teaching Department, Great Ormond Street Institute of Child Health, University College London, London, UK. Haiyan.zhou@ucl.ac.uk.

Funding

EU H2020-MSCA-ITN-2020 SMABEYONDMedical Research Council MR/Y008405/1
6 · The paper itself

Abstract

Neuroinflammation is an emerging clinical feature in spinal muscular atrophy (SMA). Characterizing neuroinflammatory cytokines in cerebrospinal fluid (CSF) in SMA and their response to nusinersen is important for identifying new biomarkers and understanding the pathophysiology of SMA. We measured twenty-seven neuroinflammatory markers in CSF from twenty SMA children at different time points, and correlated the findings with motor function improvement. At baseline, MCP-1, IL-7 and IL-8 were significantly increased in SMA1 patients compared to SMA2, and were significantly correlated with disease severity. After six months of nusinersen treatment, CSF levels of eotaxin and MIP-1β were markedly reduced, while IL-2, IL-4 and VEGF-A were increased. The decreases in eotaxin and MIP-1β were associated with changes in motor scores in SMA1. We also detected a transient increase in MCP-1, MDC, MIP-1α, IL-12/IL-23p40 and IL-8 after the first or second injection of nusinersen, followed by a steady return to baseline levels within six months. Our study provides a detailed profile of neuroinflammatory markers in SMA CSF. Our data confirms the potential of MCP-1, eotaxin and MIP-1β as new neuroinflammatory biomarkers in SMA1 and indicates the presence of a subtle inflammatory response to nusinersen during the early phase of treatment.

Indexed as

BiomarkersCytokinesOligonucleotidesChemokine CCL11Chemokine CCL2Chemokine CCL4ChildChild, PreschoolFemaleHumansInfantInterleukin-8MaleMuscular Atrophy, SpinalNeuroinflammatory DiseasesSpinal Muscular Atrophies of ChildhoodBiomarkersCCL2 protein, humanChemokine CCL11Chemokine CCL2Chemokine CCL4CytokinesInterleukin-8nusinersenOligonucleotidesVascular Endothelial Growth Factor ABiomarkerCSFNeuroinflammationNusinersenSMA

Identifiers

PMID39379509
PMCPMC11461652

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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.