Evidence map›Paper›PMID 41752043›Full record

ArticleInternational journal of molecular sciences2026

Immune Checkpoint Signatures Reveal Stage-Specific Biomarkers for High-Activity Multiple Sclerosis.

MariPaz López-Molina, Gabriel Torres Iglesias, Laura Vidal, Nerea Díaz Gamero, Álvaro Sánchez-Pascual, Beatriz Chamorro, Roberto Lozano-Rodríguez, Gonzalo Sáenz de Santa María-Diez, Julia Del Prado-Montero, Eduardo López-Collazo and 4 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

MariPaz López-MolinaNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.ORCID 0000-0002-9171-2606
Gabriel Torres IglesiasNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Laura VidalNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Nerea Díaz GameroNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.ORCID 0009-0000-3767-4074
Álvaro Sánchez-PascualNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Beatriz ChamorroNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Roberto Lozano-RodríguezImmune Innate Response Group, La Paz Hospital Institute for Health Research IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.ORCID 0000-0003-0093-9707
Gonzalo Sáenz de Santa María-DiezImmune Innate Response Group, La Paz Hospital Institute for Health Research IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.
Julia Del Prado-MonteroImmune Innate Response Group, La Paz Hospital Institute for Health Research IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.
Eduardo López-CollazoImmune Innate Response Group, La Paz Hospital Institute for Health Research IdiPAZ, La Paz University Hospital, 28046 Madrid, Spain.
Exuperio Díez-TejedorNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Fernando Laso-GarcíaNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.ORCID 0000-0002-5481-0514
María Gutiérrez-FernándezNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.
Laura Otero-OrtegaNeurological Sciences and Cerebrovascular Research Laboratory, Department of Neurology, Neurology and Cerebrovascular Disease Group, Neuroscience Area of Hospital La Paz Institute for Health Research IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, 28046 Madrid, Spain.ORCID 0000-0001-8765-6341

Funding

Carlos III Health Institute CP20/00024; FI22/00009 ; CD24/00073
6 · The paper itself

Abstract

The early identification of patients with highly active multiple sclerosis (HAMS) is crucial for guiding therapeutic decisions and initiating high-efficacy treatment strategies. This study aimed to characterize peripheral immune profiles that can distinguish between patients who are candidates for intensive therapy at disease onset and in later stages. Using spectral flow cytometry, we identified distinct immune signatures to differentiate early-stage patients from those with refractory, long-standing disease. In newly diagnosed individuals, decreased herpesvirus entry mediator (HVEM) expression on effector T helper (Th) cells distinguished HAMS from non HAMS cases. In contrast, patients with therapeutic resistance exhibited reduced CD28 expression on naïve regulatory and CD8

Indexed as

BiomarkersImmune Checkpoint ProteinsMultiple SclerosisAdultCD28 AntigensCD8-Positive T-LymphocytesDisease ProgressionFemaleHumansKiller Cells, NaturalMaleMiddle AgedProgrammed Cell Death 1 ReceptorReceptors, Tumor Necrosis Factor, Member 14T-Lymphocytes, Helper-InducerBiomarkersCD28 AntigensImmune Checkpoint ProteinsProgrammed Cell Death 1 ReceptorReceptors, Tumor Necrosis Factor, Member 14TNFRSF14 protein, humanhighly active multiple sclerosisimmune checkpointsimmune landscapemultiple sclerosistreatment choice

Identifiers

PMID41752043
PMCPMC12941322

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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.