Evidence map›Paper›PMID 42135428›Full record

ArticleScientific reports2026

The correlation between serum markers of oxidative stress and fatigue and related factors in minimally disabled patients with relapsing-remitting multiple sclerosis.

Ali Alipour, Reza Mosaddeghi-Heris, Afra Darvishi, Shahriar Parvaneh, Malihe Talebi, Niloofar Taheri, Mahnaz Talebi, Amirreza Naseri

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Fatigue and contributing factors in relapsing-remitting multiple sclerosis: a descriptive study based on the comprehensive fatigue assessment battery for multiple sclerosis (CFAB-MS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    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

8 authors.

Ali Alipour *Student Research Committee, Tabriz University of Medical Sciences, Tabriz, 5166614756, Iran.ORCID http://orcid.org/0009-0000-4752-0394
Reza Mosaddeghi-Heris *Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID http://orcid.org/0000-0002-3353-1102
Afra DarvishiStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, 5166614756, Iran.ORCID http://orcid.org/0009-0005-0584-8750
Shahriar ParvanehSchool of Rehabilitation Therapy, Queen's University, Toronto, Canada.ORCID http://orcid.org/0000-0003-0709-5017
Malihe TalebiResearch Center for Evidence-Based Medicine, Iranian EBM Centre: A Joanna Briggs Institute (JBI) Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran.
Niloofar TaheriDepartment of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-9514-4968
Mahnaz TalebiNeurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, 5166614756, Iran. Talebi511@yahoo.com.ORCID http://orcid.org/0000-0002-7613-3913
Amirreza NaseriStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, 5166614756, Iran. Amirx2eza@gmail.com.

Funding

Student Research Committee, Tabriz University of Medical Sciences 69049
6 · The paper itself

Abstract

Oxidative stress is recognized as a key pathological mechanism in multiple sclerosis (MS), and fatigue is one of the most prevalent and disabling symptoms. In this cross-sectional study, 85 patients diagnosed with relapsing-remitting MS (RRMS) and Expanded Disability Status Scale (EDSS) < 4.5 were recruited. Fatigue was evaluated by the Comprehensive Fatigue Assessment battery MS (CFAB-MS), which also assesses fatigue-related factors. Venous blood samples were collected to measure levels of glutathione peroxidase (GPX), catalase (CAT), malondialdehyde (MDA), reduced glutathione (GSH), total antioxidant capacity (TAC), and superoxide dismutase (SOD). Most correlations between oxidative stress markers and fatigue measures were not statistically significant. However, MDA levels showed significant positive correlations with Visual Analog Scale (VAS) scores for sleep problems (r:0.23, p-value:0.04); Walking problems VAS (r:0.31, p-value < 0.01); anxiety and worry (r:0.22, p-value < 0.05); and significant negative correlations with mood (r:-0.21, p-value < 0.05) and fatigue management (r:-0.22, p-value:0.04). Additionally, GSH levels were positively correlated with Fatigue VAS (r:0.24, p-value:0.02) and CAT was negatively correlated with stress VAS (r:-0.21, p-value:0.04). After applying the Benjamini-Hochberg correction, none of the correlations remained statistically significant. At an exploratory level, this study suggests that there is a minimal association between oxidative stress, fatigue and its related factors in minimally disabled RRMS patients.

Indexed as

BiomarkersFatigueMultiple Sclerosis, Relapsing-RemittingOxidative StressAdultCatalaseCross-Sectional StudiesFemaleGlutathioneGlutathione PeroxidaseHumansMaleMalondialdehydeMiddle AgedSuperoxide DismutaseBiomarkersCatalaseGlutathioneGlutathione PeroxidaseMalondialdehydeSuperoxide DismutaseFatigueGlutathione peroxidaseMalondialdehydeMultiple sclerosisOxidative stressTotal antioxidant capacity

Identifiers

PMID42135428
PMCPMC13369142

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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.