Evidence map›Paper›PMID 40175894›Full record

ArticleBMC neurology2025

Intrathecal interleukin-6 levels are associated with progressive disease and clinical severity in multiple sclerosis.

Justine Itorralba, Koroboshka Brand-Arzamendi, Georges Saab, Alexandra Muccilli, Raphael Schneider

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Frailty Exacerbates Disability in Progressive Multiple Sclerosis.Annals of clinical and translational neurology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. 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

5 authors.

Justine ItorralbaDepartment of Medicine, St. Michael's Hospital, Unity Health Toronto, 30 Bond St, 17th floor, Peter Gilgan Tower, Toronto, ON, M5B 1W8, Canada.
Koroboshka Brand-ArzamendiDepartment of Medicine, St. Michael's Hospital, Unity Health Toronto, 30 Bond St, 17th floor, Peter Gilgan Tower, Toronto, ON, M5B 1W8, Canada.
Georges SaabUniversity of Manitoba Multiple Sclerosis Clinic, Winnipeg, MB, Canada.
Alexandra MuccilliDepartment of Medicine, St. Michael's Hospital, Unity Health Toronto, 30 Bond St, 17th floor, Peter Gilgan Tower, Toronto, ON, M5B 1W8, Canada.
Raphael SchneiderDepartment of Medicine, St. Michael's Hospital, Unity Health Toronto, 30 Bond St, 17th floor, Peter Gilgan Tower, Toronto, ON, M5B 1W8, Canada. raphael.schneider@unityhealth.to.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMS is characterized by persistent central nervous system (CNS) inflammation. Investigating the CNS-compartmentalized inflammation associated with progressive MS could uncover new biomarkers and therapeutic targets. Cerebrospinal fluid (CSF) interleukin-6 (IL-6) can be markedly elevated in neuroinflammatory conditions, such as neuromyelitis optica spectrum disorder and myelin oligodendrocyte glycoprotein antibody-associated disease. This study investigated the association between CSF IL-6 levels, progressive disease, and disease severity in MS.

methodsAdvanced technologies, including single-molecule arrays and microfluidics, were used to analyse CSF samples from individuals with MS at the time of diagnosis for IL-6. IL-6 levels were then correlated with clinical course, disease severity, and other known biomarkers associated with inflammation and disease severity.

resultsElevated IL-6 levels in the CSF were found in individuals with progressive MS, and CSF IL-6 showed positive correlations with the Expanded Disability Status Scale, the Multiple Sclerosis Severity Score, and CSF glial fibrillary acidic protein levels.

conclusionsIL-6 in CSF indicates ongoing CNS inflammation and may contribute to the compartmentalized inflammation associated with disease progression and overall disease severity.

Indexed as

Interleukin-6Multiple SclerosisMultiple Sclerosis, Chronic ProgressiveAdultBiomarkersDisease ProgressionFemaleHumansMaleMiddle AgedSeverity of Illness IndexBiomarkersIL6 protein, humanInterleukin-6Cerebrospinal fluidDisease progressionInterleukin-6Multiple sclerosisNeuroinflammation

Identifiers

PMID40175894
PMCPMC11963510

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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.