Evidence map›Paper›PMID 41074269›Full record

ArticleCNS neuroscience & therapeutics2025

Lymphoplasmapheresis for Steroid-Refractory Neuromyelitis Optica Spectrum Disorder: A Real-World Multicenter Study in China.

Qiuming Zeng, Haobing Cai, Xi Yuan, Fei Jiang, Hongliang Li, Xiaohua Dong, Si Chen, Jing Li, Weiwei Duan, Song Ouyang and 7 more

Abstract readMulticenter Study
In one paragraph

Article in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Inflammatory Mammary Carcinoma in a Captive Bengal Tiger (Animals : an open access journal from MDPI · 2026
    Article
  6. Article
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  8. Review
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  10. The therapeutic potential of atorvastatin in treatment ofFrontiers in veterinary science · 2026
    Article
  11. Article
  12. 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

17 authors.

Qiuming ZengDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Haobing CaiDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Xi YuanDepartment of Blood Transfusion, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Fei JiangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.ORCID 0000-0003-1428-3788
Hongliang LiDepartment of Acupuncture and Tuina Rehabilitation, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, People's Republic of China.
Xiaohua DongDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Si ChenDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Jing LiDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Weiwei DuanDepartment of Neurology, Rehabilitation Hospital of Hunan Province, Changsha, Hunan, People's Republic of China.
Song OuyangDepartment of Neurology, The Affiliated Changsha Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, People's Republic of China.
Weifan YinThe "Double-First Class" Application Characteristic Discipline of Hunan Province (Clinical Medicine), Changsha Medical University, Changsha, Hunan, People's Republic of China.
Haipeng LiDepartment of Neurology, The First People's Hospital of Chenzhou City, Chenzhou, Hunan, People's Republic of China.
Yi ZhongDepartment of Neurology, Changde First People's Hospital, Changde, Hunan, People's Republic of China.
Jun YinDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Hongyu LongDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Bijuan LiDepartment of Blood Transfusion, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Huan YangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.ORCID 0000-0002-8690-2544

Funding

Beijing Health Alliance Charitable Foundation sjmy-2023-0007Hunan Provincial Department of Education Scientific Research Project 22B0358National Natural Science Foundation of China 82171399National Natural Science Foundation of China 82371413National Natural Science Foundation of China 82571544Natural Science Foundation of Hunan Province 2022JJ40724Natural Science Foundation of Hunan Province 2023JJ30062Natural Science Foundation of Hunan Province 2023JJ30868Natural Science Foundation of Hunan Province 2023JJ40502
6 · The paper itself

Abstract

backgroundLymphoplasmapheresis (LPE), an innovative hemopurification technique that integrates conventional plasma exchange (PE) with lymphopheresis, has demonstrated efficacy in various neuroimmune disorders by removing excessive or dysfunctional lymphocytes and pathological components from plasma. This study aimed to unveil the mechanisms of LPE and provide additional clinical evidence supporting its use in the acute treatment of steroid-refractory NMOSD.

methodsThis study included 105 acute-stage steroid-refractory NMOSD patients. The efficacy and potential mechanisms of LPE were clarified by monitoring severity scores, clinical laboratory parameters, immune cell subsets, and cytokine levels.

resultsIn the retrospective cohort, LPE proved effective in treating acute steroid-refractory NMOSD and was non-inferior to PE. In the prospective cohort, LPE significantly decreased Expanded Disability Status Scale (EDSS) and Activities of Daily Living (ADL) scores (p < 0.05). In both cohorts, erythrocytes, hemoglobin, and platelets decreased. Notably, LPE significantly reduced the proportions of activated platelet-adherent monocytes, plasmablasts, and memory B cells, while increasing that of naive CD8

conclusionWhile further validation is warranted, our findings suggest that LPE could represent a potential acute-phase treatment strategy for patients with AQP4-Ab

Indexed as

LeukapheresisNeuromyelitis OpticaAdultAgedAquaporin 4ChinaCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesRetrospective StudiesSteroidsTreatment OutcomeYoung AdultAquaporin 4SteroidsAQP4 antibodycytokinelymphoplasmapheresisneuromyelitis optica spectrum disorderplatelet

Identifiers

PMID41074269
PMCPMC12513854

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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.