Evidence map›Paper›PMID 42251197›Full record

ArticleJournal of neurology2026

Distinct age-related pattern of mitochondrial somatic mutations across multiple sclerosis phenotypes.

Federica Esposito, Kaalindi Misra, Francesca Doyle, Ferdinando Clarelli, Antonio De Simone, Antonino Giordano, Giulia Visentin, Elisabetta Mascia, Maria Assunta Rocca, Massimo Filippi and 1 more

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

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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

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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

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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

11 authors.

Federica EspositoLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Kaalindi MisraLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Francesca DoyleLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Ferdinando ClarelliLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonio De SimoneLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonino GiordanoLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giulia VisentinLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Elisabetta MasciaLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maria Assunta RoccaNeurology and Neurorehabilitation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo FilippiNeurology and Neurorehabilitation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. filippi.massimo@hsr.it.ORCID http://orcid.org/0000-0002-5485-0479
Melissa SorosinaLaboratory of Human Genetics of Neurological Disorders, Institute of Experimental Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Funding

Ministero della Salute GR-2019-12368672
6 · The paper itself

Abstract

backgroundMitochondrial dysfunction has been proposed as a contributor to neurodegeneration in multiple sclerosis (MS). While the accumulation of somatic mitochondrial DNA (mtDNA) mutations with age is well documented in other neurodegenerative conditions, its role in MS progression remains largely unexplored. The aim of this study was to investigate the association between age and somatic mtDNA mutation burden in MS patients and evaluate whether any difference exists according to disease course.

methodsA total of 404 MS patients were recruited. Whole mtDNA was sequenced from blood-derived DNA using long-range PCR and the Illumina

resultsWe observed a significant age-dependent increase in low-frequency non-synonymous mtDNA mutations in MS. Analyses stratified by disease course revealed that this effect was substantially driven by PPMS patients (n = 238, P = 2.71 × 10

conclusionsThese findings support the existence of a differential age-related accumulation of somatic mtDNA mutations detected in blood across MS courses.

Indexed as

AgingDNA, MitochondrialMultiple SclerosisMutationAdultAgedAge FactorsDisease ProgressionFemaleHumansMaleMiddle AgedPhenotypeYoung AdultDNA, MitochondrialAgingMitochondrial DNAMultiple sclerosisSomatic mutations

Identifiers

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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.