Evidence map›Paper›PMID 39767159›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Kappa Free Light Chains in Multiple Sclerosis as a Marker of Intrathecal Humoral Response: A Sex-Disaggregated Study.

Raffaella Candeloro, Maila Galloppa, Laura Lombardo, Michele Laudisi, Sara Ghisellini, Giovanna Negri, Caterina Ferri, Carla Marcialis, Tiziana Bellini, Maura Pugliatti and 1 more

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

11 authors.

Raffaella CandeloroDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Maila GalloppaDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Laura LombardoDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Michele LaudisiDepartment of Neuroscience, "S. Anna" University Hospital, 44124 Ferrara, Italy.
Sara GhiselliniClinical Pathology Unit, "S. Anna" University Hospital, 44124 Ferrara, Italy.ORCID 0009-0007-3194-9621
Giovanna NegriClinical Pathology Unit, "S. Anna" University Hospital, 44124 Ferrara, Italy.
Caterina FerriDepartment of Neuroscience, "S. Anna" University Hospital, 44124 Ferrara, Italy.ORCID 0000-0001-8699-7283
Carla MarcialisDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Tiziana BelliniDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Maura PugliattiDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-9396-8683
Massimiliano CastellazziDepartment of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-6555-6075

Funding

European Union PNRR-MAD-2022-12376868University of Ferrara FIR 2021; FAR 2021
6 · The paper itself

Abstract

backgroundKappa free light chains (KFLCs) are emerging as promising biomarkers for intrathecal B cell activity for diagnosing multiple sclerosis (MS) through cerebrospinal fluid (CSF) analysis. In this study, we evaluated the ability of KFLC formulas to identify the presence of MS and their agreement with the 'gold standard' of CSF IgG oligoclonal bands (OCBs).

methodsA total of 233 patients were included in this study: 149, comprising 43 males and 106 females, had MS, and the remainder, 40 males and 44 females, had other neurological diseases (ONDs). We evaluated the potential of KFLCs in terms of sensitivity, specificity, and accordance. All analyses were conducted using a sex-disaggregated approach.

resultsKFLCs showed a high sensitivity for both sexes with respect to the diagnosis of MS, with values between 74.42% and 93.03%. The specificity of the various formulas was much lower for females when compared to males, with values between 45.45% and 59.09%, with a significant difference between the two sexes for the K Index > 5.9 (

conclusionsThis study highlights the potential of KFLCs as a biomarker for MS but emphasises the need for sex-specific thresholds to improve diagnostic accuracy.

Indexed as

cerebrospinal fluidintrathecal synthesiskappa free light chainsmultiple sclerosissex differences

Identifiers

PMID39767159
PMCPMC11674690

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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.