Evidence map›Paper›PMID 41006414›Full record

ArticleScientific reports2025

Antinuclear antibodies in early multiple sclerosis reflect systemic lupus erythematosus shared risk factors.

Cato E A Corsten, Ana M Marques, Despoina Masmanidou, M Kamran Ikram, Marvin M van Luijn, Beatrijs Wokke, Joost Smolders

Abstract read
In one paragraph

Article in Scientific reports, 2025. 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

7 authors.

Cato E A CorstenDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Ana M MarquesDepartment of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Despoina MasmanidouDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
M Kamran IkramDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Marvin M van LuijnDepartment of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Beatrijs WokkeDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Joost SmoldersDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. j.j.f.m.smolders@erasmusmc.nl.

Funding

Nationaal MS fonds P2021-001Stichting MOVES 'Klimmen tegen MS' Inspiratiebeurs
6 · The paper itself

Abstract

After a clinically isolated syndrome (CIS), antinuclear antibodies (ANAs) are often measured in diagnostic workup of inflammatory diseases. Although ANAs are associated with systemic lupus erythematosus (SLE), increased prevalence has been observed in multiple sclerosis (MS) with controversial significance. We determined in a prospective cohort study the association of ANAs measured during diagnostic workup with shared MS and SLE risk factors, clinical characteristics and disease course in CIS patients aged 18-65 years. ANA positivity was found in 60/364 (16.5%) participants and associated with female sex (83.3% vs. 67.4%, p = 0.01) and higher anti-EBNA1 IgG titres (median 1450.0 vs. 588.0 U/ml, p < 0.01), compared to ANA-negative participants. ANA-positive participants were more often homozygous carriers of HLA-DRB1*15:01 (12.8% vs. 2.7%, p < 0.01), but did not show higher MS or SLE genetic risk. Clinical characteristics and early disease course, estimated with Cox regression, were similar between participants with or without ANAs, regardless of a subsequent MS diagnosis. This study helps clinicians better interpret ANA positivity in patients with CIS. Our data demonstrate that ANA positivity during diagnostic workup for MS does not indicate a different disease course, but may reflect shared genetic and environmental risk factors for MS and SLE. Further studies should explore shared disease mechanisms.

Indexed as

Antibodies, AntinuclearLupus Erythematosus, SystemicMultiple SclerosisAdolescentAdultAgedFemaleHLA-DRB1 ChainsHumansMaleMiddle AgedProspective StudiesRisk FactorsYoung AdultAntibodies, AntinuclearHLA-DRB1 ChainsClinically isolated syndromeEpstein–Barr virusGenetic risk scoresMultiple sclerosisRisk factorsSystemic lupus erythematosus

Identifiers

PMID41006414
PMCPMC12475448

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.