Evidence map›Paper›PMID 41057549›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

IL-1β contributes to neurological disability in NMOSD AQP4 + Patients.

Antonio Bruno, Angela Borrelli, Gianluca Lauritano, Sonia Di Lemme, Veronica Di Caprio, Roberta Fantozzi, Ettore Dolcetti, Federica Azzolini, Luana Gilio, Giovanni Galifi and 8 more

Abstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Antonio Bruno *IRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Angela Borrelli *IRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Gianluca LauritanoIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Sonia Di LemmeIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Veronica Di CaprioIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Roberta FantozziIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Ettore DolcettiIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Federica AzzoliniIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Luana GilioIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Giovanni GalifiIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Roberto FurlanClinical Neuroimmunology Unit, Institute of Experimental Neurology (INSpe), Division of Neuroscience, San Raffaele Scientific Institute, Milan, Italy.
Annamaria FinardiClinical Neuroimmunology Unit, Institute of Experimental Neurology (INSpe), Division of Neuroscience, San Raffaele Scientific Institute, Milan, Italy.
Francesca De VitoIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Alessandra MusellaSynaptic Immunopathology Lab, IRCCS San Raffaele Roma, Roma, Italy.
Georgia MandolesiSynaptic Immunopathology Lab, IRCCS San Raffaele Roma, Roma, Italy.
Mario Stampanoni BassiIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.
Diego CentonzeIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy. centonze@uniroma2.it.ORCID http://orcid.org/0000-0002-8390-8545
Fabio ButtariIRCCS Neuromed, Via Atinense, 18, Pozzilli (IS), 86077, Italy.

Funding

Fondazione Italiana Sclerosi Multipla Fondazione Italiana Sclerosi MultiplaMinistero della Salute Ministero della Salute
6 · The paper itself

Abstract

backgroundNeuromyelitis Optica Spectrum Disorder (NMOSD) is a central nervous system inflammatory disease that causes severe disability. Differently from relapsing-remitting multiple sclerosis (RRMS) a group of patients present aquaporin-4 (AQP4) antibodies in the serum. Although its pathogenesis is unclear, cytokine profiles may impact disease activity and severity.

objectiveTo analyze cerebrospinal fluid (CSF) cytokine levels in NMOSD AQP4 + and their relationship with neurological disability, comparing findings with RRMS patients and non-inflammatory controls (NIC).

methodsSixty-four participants were recruited: 11 NMOSD AQP4+, 29 RRMS, and 24 NIC. CSF cytokine levels were measured using a multiplex assay. Group comparisons were performed with Kruskal-Wallis and Mann-Whitney U tests, while linear regression models evaluated the association between cytokine levels and Expanded Disability Status Scale (EDSS) scores.

resultsNMOSD AQP4 + patients displayed significantly higher CSF levels of IL-1β (p = 0.040), TNF-α (p < 0.001), G-CSF (p = 0.003), Eotaxin (p = 0.008), and MIP-1α (p = 0.005) compared to RRMS and NIC. Moreover, IL-1β CSF levels were positively associated with disability at the time of lumbar puncture (β = 22.24, SE = 7.73, p = 0.018), a relationship that remained significant after adjusting for age (β = 18.96, SE = 6.33, p = 0.040).

conclusionsExpression of proinflammatory cytokines may differ between NMOSD and RRMS. Elevated IL-1β levels in NMOSD AQP4 + patients are associated with neurological disability, suggesting a potential role as a biomarker of disease severity. Further studies are needed to confirm these findings and evaluate the therapeutic potential of targeting IL-1β in NMOSD.

Indexed as

Aquaporin 4Interleukin-1betaMultiple Sclerosis, Relapsing-RemittingNeuromyelitis OpticaAdultBiomarkersCytokinesDisability EvaluationFemaleHumansMaleMiddle AgedSeverity of Illness IndexYoung AdultAQP4 protein, humanAquaporin 4BiomarkersCytokinesIL1B protein, humanInterleukin-1betaAquaporin-4CytokinesDisabilityIL-1βNeuroinflammationNMOSD

Identifiers

PMID41057549
PMCPMC12678549

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