Evidence map›Paper›PMID 41092258›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2025

Genetic Risk Variants for Multiple Sclerosis and Other Loci Linked to Intrathecal Immunoglobulin G Synthesis.

Albert Pukaj, Adil Harroud, Klementy Shchetynsky, Laura Wirsching, Lucy Peters, Till F M Andlauer, Kimmo Pääkkönen, Steffan D Bos, Sinéad Moylett, Bénédicte Dubois and 27 more

Abstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. EpiATLAS - a reference for human epigenomic research.bioRxiv : the preprint server for biology · 2026
    Article
  2. 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

37 authors.

Albert PukajDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.
Adil HarroudThe Neuro (Montreal Neurological Institute-Hospital), Department of Neurology and Neurosurgery, Department of Human Genetics, McGill University, QC, Canada.ORCID 0000-0003-2616-7274
Klementy ShchetynskyThe Karolinska Neuroimmunology and Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.
Laura WirschingDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.
Lucy PetersDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.
Till F M AndlauerDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.ORCID 0000-0002-2917-5889
Kimmo PääkkönenInstitute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Finland.ORCID 0009-0009-6099-6106
Steffan D BosDepartment of Neurology, University Hospital Oslo, University of Oslo, Norway.ORCID 0000-0002-2975-7520
Sinéad MoylettLaboratory for Neuroimmunology, Department of Neurosciences, Leuven Brain Institute, KU Leuven, Belgium.
Bénédicte DuboisLaboratory for Neuroimmunology, Department of Neurosciences, Leuven Brain Institute, KU Leuven, Belgium.ORCID 0000-0003-0604-8702
Sara LlufriuNeuroimmunology and Multiple Sclerosis Unit, Hospital Clinic de Barcelona, Spain.ORCID 0000-0003-4273-9121
Felix LuessiDepartment of Neurology, Focus Program Translational Neurosciences (FTN) and Research Center for Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn2), University Medical Center of the Johannes Gutenberg University Mainz, Germany.ORCID 0000-0003-4334-4199
Björn TackenbergDepartment of Neurology, Clinical Neuroimmunology Group, Philipps-University, Marburg, Germany.
Markus C KowarikDepartment of Neurology and Hertie Institute for Clinical Brain Research, Eberhard Karl University, Tübingen, Germany.ORCID 0000-0003-1389-5539
Florian Then BerghDepartment of Neurology, University of Leipzig, Germany.ORCID 0000-0001-8604-8408
Corinna TrebstDepartment of Neurology, Hannover Medical School, Germany.ORCID 0009-0005-1402-8877
Hayrettin TumaniDepartment of Neurology, University of Ulm, Germany.ORCID 0000-0002-1647-6201
Brigitte WildemannMolecular Neuroimmunology Group, Department of Neurology, University of Heidelberg, Germany.ORCID 0000-0002-5389-3338
Antonios BayasDepartment of Neurology, Medical Faculty, University of Augsburg, Augsburg, Germany.
Joachim HavlaInstitute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians University Munich, Germany.ORCID 0000-0002-4386-1340
Tania KümpfelInstitute of Clinical Neuroimmunology, LMU Hospital, Ludwig-Maximilians University Munich, Germany.ORCID 0000-0001-7509-5268
Matthias KnopMax Planck Institute of Psychiatry, Munich, Germany.
Regeneron Genetics CenterRegeneron Genetics Center, Tarrytown, NY.
Pernilla StridhThe Karolinska Neuroimmunology and Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.
Jan A HillertThe Karolinska Neuroimmunology and Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-7386-6732
Tomas OlssonThe Karolinska Neuroimmunology and Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-2938-1877
Lars AlfredssonThe Karolinska Neuroimmunology and Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0003-1688-6697
Chris CotsapasDepartment of Neurology, Yale University School of Medicine, New Haven, CT.ORCID 0000-0002-7772-5910
Hanne Flinstad HarboCenter for Molecular Medicine Norway, University of Oslo, Norway.ORCID 0000-0002-6047-0122
Frauke ZippDepartment of Neurology, Focus Program Translational Neurosciences (FTN) and Research Center for Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn2), University Medical Center of the Johannes Gutenberg University Mainz, Germany.ORCID 0000-0002-1231-1928
Janna SaarelaInstitute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Finland.ORCID 0000-0002-0853-6219
Sergio E BaranziniDepartment of Neurology, UCSF Weill Institute for Neurosciences, University of California, San Francisco; and.ORCID 0000-0003-0067-194X
Achim BertheleDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.ORCID 0000-0001-9650-6222
Ingrid KockumThe Karolinska Neuroimmunology and Multiple Sclerosis Centre, Department of Clinical Neuroscience, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-0867-4726
Bernhard HemmerDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.ORCID 0000-0001-5985-6784
Christiane GasperiDepartment of Neurology, TUM University Hospital - Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Germany.ORCID 0000-0002-0524-6005
MultipleMS consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIntrathecal synthesis of immunoglobulin G (IgG) is a key feature of multiple sclerosis (MS) and a prognostic marker for the disease course. Although previous studies identified 2 genetic regions-the major histocompatibility complex (MHC) region on chromosome 6 and the immunoglobulin heavy chain constant (IGHC) locus on chromosome 14-associated with intrathecal IgG synthesis in MS, the genetic underpinnings remain insufficiently understood.

methodsWe conducted a genome-wide association study on intrathecal IgG synthesis using the IgG index to identify individuals with (≥0.7) or without (<0.7) quantitative intrathecal synthesis. We used logistic regression models adjusting for sex, age, and population structure. We performed secondary analyses to examine associations between identified loci and the extent of intrathecal IgG synthesis and the presence and extent of intrathecal immunoglobulin A and M synthesis. We further conducted association analyses for imputed human leukocyte antigen alleles and analyzed whether a higher genetic burden for MS risk-quantified through polygenic risk scores-is associated with intrathecal IgG synthesis.

resultsIn the discovery cohort (n = 3,934), we identified a novel genome-wide significant association of the intronic variant rs844586 ( DISCUSSION: Our study revealed a previously unknown association between an intronic variant in

Indexed as

Genetic Predisposition to DiseaseImmunoglobulin GMultiple SclerosisAdultFemaleGenetic LociGenome-Wide Association StudyHumansMaleMiddle AgedPolymorphism, Single NucleotideImmunoglobulin G

Identifiers

PMID41092258
PMCPMC12533489

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