Evidence map›Paper›PMID 42368888›Full record

ArticleTherapeutic advances in neurological disorders2026

Brain age gap in multiple sclerosis: associated with disability but independent of serum biomarkers.

Marc Pawlitzki, Patricia Kirschner, Lars Masanneck, Ramona Hagler, Elias Meier, Marius Vach, Hernan Inojosa, Tjalf Ziemssen, Vivien Lorena Ivan, Shammi More and 8 more

3 registry-linked trialsAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this 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.

NCT05701423 terminatednot on this map

End of Dose Phenomena in Subcutaneous Natalizumab Treated MS Patients

TypeobservationalSponsorBiogenRan2023 to 2024Enrolled34ConditionsMultiple SclerosisArmsNatalizumab
NCT06461481 recruitingnot on this map

Strategies for Adaptive Follow-up and Evaluation - Guiding Use of Indicators for De-Escalation in Multiple Sclerosis

TypeobservationalSponsorHeinrich-Heine University, DuesseldorfRan2024 to 2026Enrolled150ConditionsMultiple SclerosisArmsWithings Scanwatch
NCT06501950 recruitingnot on this map

Measuring Silent Disease Progression in Multiple Sclerosis With a Multimodal Approach

TypeobservationalSponsorHeinrich-Heine University, DuesseldorfRan2024 to 2027Enrolled77ConditionsMultiple Sclerosis
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

18 authors.

Marc PawlitzkiDepartment of Neurology, Heinrich-Heine University Duesseldorf, Moorenstraße 5, Duesseldorf 40225, Germany.ORCID https://orcid.org/0000-0003-3080-2277
Patricia KirschnerDepartment of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0009-0002-0835-0120
Lars MasanneckDepartment of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0003-2496-1415
Ramona HaglerDepartment of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany.
Elias MeierDepartment of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany.
Marius VachDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Hernan InojosaDepartment of Neurology, Center of Clinical Neuroscience, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Tjalf ZiemssenDepartment of Neurology, Center of Clinical Neuroscience, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.ORCID https://orcid.org/0000-0001-8799-8202
Vivien Lorena IvanDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Shammi MoreInstitute of Neuroscience and Medicine, Brain & Behaviour (INM-7), Research Centre Jülich, Jülich, Germany.
Kaustubh PatilInstitute of Neuroscience and Medicine, Brain & Behaviour (INM-7), Research Centre Jülich, Jülich, Germany.
Parnian Firouzi-MemarpuriDepartment of Dermatology, University Hospital Düsseldorf, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Julian CaspersDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Jonathan ReppleDepartment for Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University Frankfurt, Germany.
Udo DannlowskiInstitute for Translational Psychiatry, University of Münster, Münster, Germany.
Michael KhalilDepartment of Neurology, Medical University of Graz, Graz, Austria.
Sven G MeuthDepartment of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0003-2571-3501
Christian RubbertDepartment of Diagnostic and Interventional Radiology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0002-9461-1173

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple sclerosis (MS) is influenced by age-related brain alterations and affects cellular aging mechanisms. Machine-learning models can estimate brain-predicted age from magnetic resonance imaging (MRI) to quantify these aging-related changes. Objectives: This study examines whether the difference between predicted and chronological age (BrainAGE) relates to clinical disability and biomarkers of neuro-axonal injury in MS. Design: This study analyzed brain-predicted age from structural 3D T1-weighted MRI in 82 patients with relapsing MS enrolled in three prospective clinical trials and 30 healthy controls. Methods: BrainAGE, calculated as MRI-predicted minus chronological age, was correlated with the Expanded Disability Status Scale (EDSS), MS Functional Composite subtests, and serum neurofilament light chain and glial fibrillary acidic protein. Results: The mean chronological age of patients and healthy controls included in this study was 39.2 and 40.9 years, respectively. Patients with MS ( Conclusion: Our findings suggest that BrainAGE and serum biomarkers capture complementary aspects of MS pathology, supporting a multimodal approach to assess disease progression. Trial registration: ClinicalTrials.gov ID: SATURATE: NCT05701423, 360PMS: NCT06501950, SAFEGUIDE-MS: NCT06461481.

Indexed as

brain-predicted ageglial fibrillary acidic proteinmultiple sclerosisneurofilament

Identifiers

PMID42368888
PMCPMC13305517

What OpenQuestion holds

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Registered trials

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.