Evidence map›Paper›PMID 39455532›Full record

Observational studyActa neurologica Belgica2024

Lipid and brain volumetric measures in multiple sclerosis patients: findings from a large observational study.

Balazs Lorincz, Michal Vrablik, Ramanathan Murali, Eva Kubala Havrdova, Dana Horakova, Jan Krasensky, Manuela Vaneckova, Tomas Uher

Abstract readObservational Study
In one paragraph

Observational study in Acta neurologica Belgica, 2024. 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
–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

4 citing papers in PubMed.

  1. The Role of Lipid Alteration in Multiple Sclerosis.International journal of molecular sciences · 2026
    Review
  2. Article
  3. Article
  4. 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

8 authors.

Balazs LorinczDepartment of Neurology, Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Michal VrablikThird Department of Internal Medicine, Department of Endocrinology and Metabolism, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Ramanathan MuraliDepartment of Pharmaceutical Sciences and Neurology, University at Buffalo, State University of New York, Buffalo, NY, USA.
Eva Kubala HavrdovaDepartment of Neurology, Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Dana HorakovaDepartment of Neurology, Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Jan KrasenskyDepartment of Radiology, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Manuela VaneckovaDepartment of Radiology, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic.
Tomas UherDepartment of Neurology, Center of Clinical Neuroscience, First Faculty of Medicine, Charles University in Prague and General University Hospital, Prague, Czech Republic. tomas.uher@vfn.cz.ORCID http://orcid.org/0000-0003-3160-9022

Funding

RVO VFN 64165
6 · The paper itself

Abstract

objectivesThis study aimed to investigate relationships between cholesterol profile, brain volumetric MRI, and clinical measures in a large observational cohort of multiple sclerosis (MS) patients. MATERIALS AND

methodsWe included 1.505 patients with 4.966 time points including complete lipid, clinical, and imaging data. The time among lipid, brain MRI and clinical measures was under 90 days. Cross-sectional statistical analysis at baseline was performed using an adjusted linear regression and analysis of longitudinal lipid and MRI measures data was performed using adjusted linear mixed models.

resultsWe found associations between higher high-density lipoprotein cholesterol (HDL-C) and lower brain parenchymal fraction (BPF) at cross-sectional analysis at baseline (B = -0.43, CI 95%: -0.73, -0.12, p = 0.005), as well as in longitudinal analysis over follow-up (B = -0.32 ± 0.072, χ

conclusionsOur results contradict the previously described exclusively positive effect of HDL-C on brain atrophy in patients with MS. Higher LDL-C was weakly associated with higher brain atrophy but not with higher lesion burden.

Indexed as

BrainCholesterol, HDLMagnetic Resonance ImagingMultiple SclerosisAdultCholesterolCholesterol, LDLCohort StudiesCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedCholesterolCholesterol, HDLCholesterol, LDLBrain atrophyCholesterolHDLLDLLesion volumeLipidMRIMultiple sclerosis

Identifiers

PMID39455532
PMCPMC11614926

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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.