Evidence map›Paper›PMID 42079836›Full record

ArticleFrontiers in neurology

Assessing the value of oligoclonal band count in multiple sclerosis: insights from a large cohort analysis.

Konstantin F Jendretzky, Ulrich Wurster, Franz Felix Konen, Katja Döring, Jule Finia Friedrich, Sandra Nay, Nora Möhn, Lea Grote-Levi, Martin W Hümmert, Kurt-Wolfram Sühs and 3 more

Abstract read
In one paragraph

Article in Frontiers in neurology. 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. 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

13 authors.

Konstantin F JendretzkyDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Ulrich WursterDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Franz Felix KonenDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Katja DöringInstitute for Diagnostic and Interventional Neuroradiology, Hannover Medical School, Hannover, Germany.
Jule Finia FriedrichDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Sandra NayDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Nora MöhnDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Lea Grote-LeviDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Martin W HümmertDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Kurt-Wolfram SühsDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Philipp SchwenkenbecherDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Stefan GingeleDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Thomas SkripuletzDepartment of Neurology, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebrospinal fluid (CSF) specific oligoclonal bands (OCB) are a key diagnostic marker in multiple sclerosis (MS). Recent studies suggest that OCB reduction may reflect treatment efficacy and propose it as a potential endpoint in trials with chimeric antigen receptor (CAR) T-cell therapy. However, the prognostic value of baseline OCB count remains unclear. This study analyzed data from 454 persons (314 had MS, 140 clinically isolated syndrome). OCB analysis was performed by isoelectric focusing in polyacrylamide gel, followed by silver staining. The correlation of the number of OCBs with clinical and paraclinical parameters as well as follow-up outcomes was evaluated. Our results showed that in OCB positive persons with MS, the median number of CSF specific bands was 19. No significant correlation was found between OCB count and age, sex, initial EDSS, or MRI lesion load. OCB count also did not predict relapse risk or EDSS progression. However, strong correlations were observed with intrathecal synthesis of IgG and kappa free light chains. Therefore, our conclusion is that OCB count does not reflect clinical disease activity at diagnosis nor predict clinical progression within the observed median follow-up period of 9 months. Whether a decrease in OCB count indicates reduced humoral immune response in the CNS under certain therapies remains unclear and requires further prospective studies.

Indexed as

clinical manifestationCSFmultiple sclerosisoligoclonal bandsprognosis

Identifiers

PMID42079836
PMCPMC13133738

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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.