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Autoimmune markers and their implications in multiple sclerosis – Neurology

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<main class="site-main" id="main"> <article id="post-86" class="post-86 post type-post status-publish format-standard has-post-thumbnail hentry category-multiple-sclerosis tag-aquaporin-4 tag-autoimmune-markers tag-magnetic-resonance-imaging tag-multiple-sclerosis tag-myelin-oligodendrocyte-glycoprotein tag-oligoclonal-bands tag-pediatric-multiple-sclerosis" itemtype="https://schema.org/CreativeWork" itemscope> <div class="inside-article"> <div class="featured-image page-header-image-single "> <img width="1200" height="628" src="https://neurocare.blog/archive/wp-content/uploads/2024/09/image-_24_-min-1-scaled-e1726234282367.jpg" class="attachment-full size-full" alt="" itemprop="image" decoding="async" fetchpriority="high" /> </div> <header class="entry-header"> <h1 class="entry-title" itemprop="headline">Autoimmune markers and their implications in multiple sclerosis</h1> <div class="entry-meta"> <span class="posted-on"><time class="updated" datetime="2024-09-13T19:01:38+05:30" itemprop="dateModified">September 13, 2024</time><time class="entry-date published" datetime="2024-09-13T17:20:30+05:30" itemprop="datePublished">September 13, 2024</time></span> <span class="byline">by <span class="author vcard" itemprop="author" itemtype="https://schema.org/Person" itemscope><a class="url fn n" href="https://neurocare.blog/archive/author/neurocare/" title="View all posts by neurocare" rel="author" itemprop="url"><span class="author-name" itemprop="name">neurocare</span></a></span></span> </div> </header> <div class="entry-content" itemprop="text"> <p><span style="font-weight: 400;">Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system (CNS), paving way to a large number of neurological symptoms and disability. The disease is featured by the immune system targeting the myelin sheath, a protective covering of nerve fibers, leading to inflammation and damage . The exact reason for MS remains unknown, but it is considered to result from a combination of genetic , environmental, and immunological factors. One important aspect of understanding and diagnosing MS involves the identification and study of autoimmune markers, Which can give insights into disease mechanisms,development and capable therapeutic targets.</span></p> <h3><b>The Role of Oligoclonal Bands in MS Diagnosis</b></h3> <p><span style="font-weight: 400;">Oligoclonal bands (OCBs) are immunoglobulins found in the cerebrospinal fluid (CSF) of most MS sufferers. Their existence is considered a hallmark of MS and can be determined through electrophoresis. The importance of OCBs lies in their capability to indicate intrathecal synthesis of immunoglobulins, suggesting an ongoing immune response within the CNS. research has proved that OCBs are an independent risk factor for evolving MS in patients with clinically isolated syndromes (CIS) . This discovery highlights the significance of OCBs in the preliminary diagnosis and observation of disease development.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Yearwise Publication Trend on <b>“<a href="https://neurocare.blog/publication-trends/index/multiple sclerosis" target="_blank" title="multiple sclerosis - yearwise publication trends">multiple sclerosis</a>”</b></h2> </div> </div><div class="results-container"><div class="chart-block" style="padding:15px;"> <div class="left"> <div id="results" class="results"></div> </div> <div class="right"> <div class="chart-container"><canvas id="publicationChart"></canvas></div> </div> <div class="keywordsdiv"> <div style="text-align:center;"><b>Find publication trends on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-stats"></span> </div> </div></div></div><div class="inside-article"><style> table { margin: 0 0 1.5em; 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'NA' : count; tableHTML += ` <tr> <td>${year}</td> <td>${displayCount}</td> </tr> `; }); tableHTML += '</table></div>'; resultsContainer.innerHTML = tableHTML; } function displayLineChart(statistics) { var years = Object.keys(statistics); var counts = Object.values(statistics); var ctx = document.getElementById('publicationChart').getContext('2d'); // Destroy existing chart instance if it exists if (chart !== null) { chart.destroy(); } // Create a new chart instance chart = new Chart(ctx, { type: 'line', data: { labels: years, datasets: [{ label: 'Publication Counts', data: counts, fill: false, borderColor: 'rgba(75, 192, 192, 1)', tension: 0.1 }] }, options: { scales: { y: { beginAtZero: true } }, plugins: { legend: { display: true, position: 'top' } } } }); } function displayKeywordStats(keywords) { var resultsContainer = document.getElementById('keyword-stats'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://neurocare.blog/publication-trends/index/${key_replace}" target="_blank" title="${key} - yearwise publication trends">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var statistics = { "2014": 2099, "2015": 2188, "2016": 2697, "2017": 2385, "2018": 2341, "2019": 3036, "2020": 3701, "2021": 4331, "2022": 4935, "2023": 8080, "2024": 2697 }; var keywordsArray = ["Multiple Sclerosis","Autoimmune Markers","Oligoclonal Bands","Magnetic Resonance Imaging","Myelin Oligodendrocyte Glycoprotein","Aquaporin-4","Pediatric Multiple Sclerosis"]; displayResults(statistics); displayLineChart(statistics); displayKeywordStats(keywordsArray); </script></p> <h3><b>Lesion Topographies and MRI Markers</b></h3> <p><span style="font-weight: 400;">Magnetic resonance imaging (MRI) is an important tool in the diagnosis and management of MS. particular lesion topographies, such as periventricular, juxtacortical and infratentorial lesions, are symbolic of MS. The count and location of these lesions helps in signifying the diagnosis according to the McDonald basis. Recent studies have explored the contribution of various lesion topographies, detecting that cortical &#8211; juxtacortical and corpus callosum lesions are especially important in diagnosing MS. Moreover , the involvement of more than one periventricular lesion develops diagnostic accuracy.</span></p> <h3><b>Biomarkers Beyond MRI: The Case for Multiple Biomarkers</b></h3> <p><span style="font-weight: 400;">While MRI remains a cornerstone in MS diagnosis , Other biomarkers have been detected to enhance diagnostic accuracy and analyze disease development. For example, myelin oligodendrocyte glycoprotein (MOG) antibodies and aquaporin &#8211; 4 ( AQP4) antibodies are related with definite clinical phenotypes within the spectrum of demyelinating diseases.MOG Antibodies , in particular , have been associated to a subgroup of MS patients who execute severe spinal cord and optic nerve inclusion. These biomarkers provide added layers of diagnostic accuracy and can guide treatment decisions.</span></p> <h3><b>The Diagnostic Algorithm and Revised Criteria</b></h3> <p><span style="font-weight: 400;">The advancement of diagnostic strategy for MS reflects developments in considering the disease and the need for more appropriate and early diagnosis. The 2010 revision of the McDonald strategy for instance, included new MRI markers and emphasized the importance of lesion dissemination in space and time. Studies differentiating the revised McDonald &#8211; 2010 and Filippi &#8211; 2010 basis have shown advancements in diagnostic correctness and the capability to analyze clinically definite MS. </span></p> <h3><b>Pediatric Multiple Sclerosis and Diagnostic Challenges</b></h3> <p><span style="font-weight: 400;">Diagnosing MS in children executes different challenges due to variation in disease presentation and development compared to adults . Pediatric onset often requires various diagnostic procedures, with a prominent emphasis on comprehensive clinical and radiological estimation. Studies have shown that the revised McDonald criteria can be effectively applied to pediatric patients , but additional markers and clinical features must be considered to guarantee correct diagnosis and timely intervention.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Recent Publications on <b>“<a href="https://neurocare.blog/recent-publications/index/multiple sclerosis" target="_blank" rel="noopener" title="multiple sclerosis - yearwise publication list">multiple sclerosis</a>”</b></h2> </div> </div> <div class="pb-main"><div class="article-scroll"><div id="results_recent" class="results"></div></div><div class="keywordsdiv" style="margin: 0px 15px;margin-top:20px;"> <div style="text-align:center;"><b>Find publications on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-papers"></span> </div></div></div><div class="inside-article"> <style> .pb-main{ border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .author-main { border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .publication-block { padding: 10px; margin-bottom: 10px; background-color: #f9f9f9; text-align: left; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .publication-block h3 { margin: 0 0 10px; color: #000!important; } .publication-block a { font-size: 16px !important; line-height: 1em; font-weight: 600; text-transform: none; color: #000; padding: 0px; } .publication-block a:hover{ color: #227cdc; text-decoration:underline; } .article-scroll { max-height: 445px; overflow-y: auto; overflow-x: hidden; } ::-webkit-scrollbar-track { -webkit-box-shadow: inset 0 0 6px rgba(0,0,0,0.3); background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar { width: 6px; background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar-thumb { background-color: #ababab; border-radius:30px; } .publication-block p { margin-bottom: .5em; font-size: 15px; color: #000; } h3 { font-size: 18px !important; margin-bottom: 20px; line-height: 1.2em; font-weight: 600; text-transform: none; } a { padding: 5px; color: #a71c49; } #keyword-papers{ margin-top: 20px; text-align: center; } </style> <script> function decodeString(str) { str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); str = str.replace(/\\'/g, "'"); return str; } function displayResults_recent(papers) { var resultsContainer = document.getElementById('results_recent'); if (!papers || papers.length === 0) { resultsContainer.innerHTML = '<p>No recent publications found.</p>'; return; } papers.forEach(paper => { var publicationBlock = document.createElement('div'); publicationBlock.className = 'publication-block'; var title_de = decodeString(paper.title); var publicationHTML = ` <div style="margin-bottom: 10px;line-height: 24px;"><a href="${paper.url}" target="_blank" title="${title_de}">${title_de}</a></div> <p><strong>Issue Release:</strong> ${paper.publishedDate}</p> `; publicationBlock.innerHTML = publicationHTML; resultsContainer.appendChild(publicationBlock); }); } function displayKeywordPapers(keywords) { var resultsContainer = document.getElementById('keyword-papers'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://neurocare.blog/recent-publications/index/${key_replace}" target="_blank" title="${key} - publication list">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var recent_papers = [ { "title": "Discrimination of multiple sclerosis using scanning laser ophthalmoscopy images with autoencoder-based feature extraction.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38945032", "publishedDate": "2024" }, { "title": "Astrocyte-secreted C3 signaling impairs neuronal development and cognition in autoimmune diseases.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38945516", "publishedDate": "2024" }, { "title": "Optic Disc Cupping in Neuromyelitis Optica Spectrum Disorder, Myelin Oligodendrocyte Glycoprotein Antibody-Associated Disease, and Multiple Sclerosis and Its Relationship With Optical Coherence Tomography Parameters: A Multicenter Study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38946028", "publishedDate": "2024" }, { "title": "Clinical Profile and Outcome of Pediatric Demyelinating Disorders in Calabar, Nigeria: A Case Series.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38943292", "publishedDate": "2024" }, { "title": "Causal relationship between multiple sclerosis and cortical structure: a Mendelian randomization study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38245759", "publishedDate": "2024" }, { "title": "Low-dose dimethylfumarate attenuates colitis-associated cancer in mice through M2 macrophage polarization and blocking oxidative stress.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38945373", "publishedDate": "2024" }, { "title": "DigiTRAC: Qualitative insights from knowledge users to inform the development of a Digital Toolkit for enhancing resilience among multiple sclerosis caregivers.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954857", "publishedDate": "2024" }, { "title": "Single-Cell RNA Sequencing Reveals Transcriptional Landscape of Neutrophils and Highlights the Role of TREM-1 in EAE.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38954781", "publishedDate": "2024" }, { "title": "Evaluating patient-reported adherence and outcomes in specialty disease states: A dual-site initiative.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38950163", "publishedDate": "2024" }, { "title": "The Iron Maiden: Oligodendroglial metabolic disfunction in multiple sclerosis and mitochondrial signalling.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38950685", "publishedDate": "2024" }, { "title": "No causal relationship between serum urate and neurodegenerative diseases: A Mendelian randomization study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38955238", "publishedDate": "2024" }, { "title": "An online, two-day educational seminar had no impact on disease-specific knowledge in patients with systemic sclerosis.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38877137", "publishedDate": "2024" }, { "title": "A novel tool for characterising upper limb function in progressive multiple sclerosis through kinematic assessment.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38850768", "publishedDate": "2024" }, { "title": "Clinical and biological predictors of Cladribine effectiveness in Multiple Sclerosis: A real-world, single Centre study considering a two-year interval from year-2 dosing.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38850773", "publishedDate": "2024" }, { "title": "STING orchestrates the neuronal inflammatory stress response in multiple sclerosis.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38878778", "publishedDate": "2024" }, { "title": "Exploring the relationship between manual dexterity and cognition in people with multiple sclerosis: 9-hole peg and multiple cognitive functions.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38850796", "publishedDate": "2024" }, { "title": "Real-world therapy management of patients with multiple sclerosis receiving cladribine tablets beyond year 4 - Results from a German cladribine cohort.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38878625", "publishedDate": "2024" }, { "title": "Can Voice Parameters Provide Cutoff Values to Predict Dysphagia in Individuals with Multiple Sclerosis?", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38872058", "publishedDate": "2024" }, { "title": "Clinical indications and protocol considerations for selecting initial body weight support levels in gait rehabilitation: a systematic review.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38849899", "publishedDate": "2024" }, { "title": "Ethnicity and deprivation negatively impact the access to disease-modifying therapy for relapsing-remitting multiple sclerosis: a retrospective, single-centre study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38839276", "publishedDate": "2024" } ]; var keywordsArray = ["Multiple Sclerosis","Autoimmune Markers","Oligoclonal Bands","Magnetic Resonance Imaging","Myelin Oligodendrocyte Glycoprotein","Aquaporin-4","Pediatric Multiple Sclerosis"]; displayResults_recent(recent_papers); displayKeywordPapers(keywordsArray); // function stripslashes(str) { // if (typeof str === 'string') { // return str.replace(/\/g, ''); // } // } </script></p> <h3><b>Autoantibodies and Disease Heterogeneity</b></h3> <p><span style="font-weight: 400;">Autoantibodies play a crucial role in the pathophysiology of MS and related disorders. The presence of antibodies against MOG and AQP4 highlights the heterogeneity within demyelinating diseases . Patients with MOG antibodies often have a different clinical course and response to treatment contrast to those with typical MS or AQP4 &#8211; positive neuromyelitis optic spectrum disorders. Understanding these differences is crucial for customized cure procedures and enhancing patient results.</span></p> <h3><b>Conclusion</b></h3> <p><span style="font-weight: 400;">Autoimmune markers such as OCBs, lesion topographies, and specific autoantibodies provide important insights into the diagnosis and management of multiple sclerosis. Advances in MRI technology and the integration of multiple biomarkers into diagnostic criteria have significantly enhanced our understanding of MS pathogenesis and have led to more targeted and effective therapies.</span></p> <p></p> <h3><b>References</b></h3> <ol> <li> <div class="citation-text">Arrambide G, Tintore M, Espejo C, Auger C, Castillo M, Río J, Castilló J, Vidal-Jordana A, Galán I, Nos C, Mitjana R, Mulero P, de Barros A, Rodríguez-Acevedo B, Midaglia L, Sastre-Garriga J, Rovira A, Comabella M, Montalban X. <a href="https://pubmed.ncbi.nlm.nih.gov/29462277/">The value of oligoclonal bands in the multiple sclerosis diagnostic criteria.</a> Brain. 2018 Apr 1;141(4):1075-1084. doi: 10.1093/brain/awy006. PMID: 29462277.</div> </li> <li> <div class="citation-text">Arrambide G, Tintore M, Auger C, Río J, Castilló J, Vidal-Jordana A, Galán I, Nos C, Comabella M, Mitjana R, Mulero P, de Barros A, Rodríguez-Acevedo B, Midaglia L, Sastre-Garriga J, Rovira A, Montalban X. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719929/">Lesion topographies in multiple sclerosis diagnosis: A reappraisal.</a> Neurology. 2017 Dec 5;89(23):2351-2356. doi: 10.1212/WNL.0000000000004715. Epub 2017 Nov 3. PMID: 29101276; PMCID: PMC5719929.</div> </li> <li> <div class="citation-text">Martinelli V, Dalla Costa G, Messina MJ, Di Maggio G, Sangalli F, Moiola L, Rodegher M, Colombo B, Furlan R, Leocani L, Falini A, Comi G. <a href="https://pubmed.ncbi.nlm.nih.gov/28393349/">Multiple biomarkers improve the prediction of multiple sclerosis in clinically isolated syndromes.</a> Acta Neurol Scand. 2017 Nov;136(5):454-461. doi: 10.1111/ane.12761. Epub 2017 Apr 9. PMID: 28393349.</div> </li> <li> <div class="citation-text">Preziosa P, Rocca MA, Mesaros S, Meani A, Montalban X, Drulovic J, Droby A, Zipp F, Calabrese M, Sastre-Garriga J, Dujmovic-Basuroski I, Rovira A, Filippi M. <a href="https://pubmed.ncbi.nlm.nih.gov/28724720/">Diagnosis of multiple sclerosis: a multicentre study to compare revised McDonald-2010 and Filippi-2010 criteria.</a> J Neurol Neurosurg Psychiatry. 2018 Mar;89(3):316-318. doi: 10.1136/jnnp-2017-315863. Epub 2017 Jul 19. PMID: 28724720.</div> </li> <li> <div class="citation-text">Hacohen Y, Mankad K, Chong WK, Barkhof F, Vincent A, Lim M, Wassmer E, Ciccarelli O, Hemingway C. <a href="https://pubmed.ncbi.nlm.nih.gov/28615429/">Diagnostic algorithm for relapsing acquired demyelinating syndromes in children.</a> Neurology. 2017 Jul 18;89(3):269-278. doi: 10.1212/WNL.0000000000004117. Epub 2017 Jun 14. PMID: 28615429.</div> </li> <li> <div class="citation-text">Brownlee WJ, Miszkiel KA, Altmann DR, Ciccarelli O, Miller DH. <a href="https://pubmed.ncbi.nlm.nih.gov/27600111/">Periventricular lesions and MS diagnostic criteria in young adults with typical clinically isolated syndromes.</a> Mult Scler. 2017 Jun;23(7):1031-1034. doi: 10.1177/1352458516667565. Epub 2016 Sep 6. PMID: 27600111.</div> </li> <li> <div class="citation-text">Tintore M, Otero-Romero S, Río J, Arrambide G, Pujal B, Tur C, Galán I, Comabella M, Nos C, Arévalo MJ, Vidal-Jordana A, Castilló J, Rodríguez-Acevedo B, Midaglia L, Mitjana R, Auger C, Sastre-Garriga J, Rovira À, Montalban X. <a href="https://pubmed.ncbi.nlm.nih.gov/27566747/">Contribution of the symptomatic lesion in establishing MS diagnosis and prognosis.</a> Neurology. 2016 Sep 27;87(13):1368-74. doi: 10.1212/WNL.0000000000003144. Epub 2016 Aug 26. PMID: 27566747.</div> </li> <li> <div class="citation-text">Spadaro M, Gerdes LA, Krumbholz M, Ertl-Wagner B, Thaler FS, Schuh E, Metz I, Blaschek A, Dick A, Brück W, Hohlfeld R, Meinl E, Kümpfel T. <a href="https://pubmed.ncbi.nlm.nih.gov/27458601/">Autoantibodies to MOG in a distinct subgroup of adult multiple sclerosis.</a> Neurol Neuroimmunol Neuroinflamm. 2016 Jun 30;3(5):e257. doi: 10.1212/NXI.0000000000000257. PMID: 27458601; PMCID: PMC4949775.</div> <div class="citation-actions"></div> </li> </ol> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Top Experts on “<b style="color:#000;font-size:22px;">multiple sclerosis</b>“</h2> </div> </div><div class="author-main"><div id="results_author"></div><div style="text-align: center;"><a class="register-button" href="https://neurocare.blog/expert-search" target="_blank" rel="noopener">Find experts on any field</a></div></div><div class="inside-article" style="background: none;border: none;box-shadow: none;margin-top: -70px;"> <style> .author-block { padding: 15px; margin-bottom: 10px; text-align: left; font-size: 15px; line-height: 1.2; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .author-block h3 { margin: 0 0 10px; color: #227cdc; } .author-block p { margin: 5px 0; } .author-b { display: flex; justify-content: space-between; flex-wrap: wrap; margin-bottom:10px; } .author-b .ainfo { flex: 1 1 30%; box-sizing: border-box; text-align: left; background: #dcdcdc; padding: 7px 14px; border-radius: 5px; margin-top: 3px; margin-right: 10px; } @media (max-width: 768px) { .author-b .ainfo { flex: 1 1 100%; margin: 10px 0; } } </style> <script> function displayResults_author(authors) { var resultsContainer = document.getElementById('results_author'); resultsContainer.innerHTML = ''; if (!authors || Object.keys(authors).length === 0) { resultsContainer.innerHTML = '<p>No authors found.</p>'; return; } Object.values(authors).slice(0, 10).forEach(author => { if (author.affiliation.length > 400) { return; } var authorBlock = document.createElement('div'); authorBlock.className = 'author-block'; var author_name=author.name; let key_replace = author_name.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); var authorHTML = ` <h3><a href="https://neurocare.blog/author/index/${key_replace}\/${author.aid}" target="_blank" title="${author.name}">${author.name}</a></h3> <div class="author-b"> <div class="ainfo"><strong>H-Index:</strong> ${author.hindex}</div> <div class="ainfo"><strong>Publication Count:</strong> ${author.paper_count}</div> <div class="ainfo"><strong>Citation Count:</strong> ${author.citation_count}</div> </div> <p><strong>Affiliation:</strong> ${author.affiliation}</p> `; authorBlock.innerHTML = authorHTML; resultsContainer.appendChild(authorBlock); }); } function displayKeywordAuthors(keywords) { var resultsContainer = document.getElementById('keyword-authors'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach(key => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://neurocare.blog/expert-search/index/${key_replace}" target="_blank" title="${key}">${key}</a>`; }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var authors_data = { "GOmoK4wBWBy50K-r97zZ": { "aid": "GOmoK4wBWBy50K-r97zZ", "name": "F. 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", "email": "JSareen@hsc.mb.ca", "slug_tail": "j-sareen" } }; //console.log(authors_data); displayResults_author(authors_data); var keywordsArray = ["Multiple Sclerosis","Autoimmune Markers","Oligoclonal Bands","Magnetic Resonance Imaging","Myelin Oligodendrocyte Glycoprotein","Aquaporin-4","Pediatric Multiple Sclerosis"]; displayKeywordAuthors(keywordsArray); </script></p> </div> <footer class="entry-meta" aria-label="Entry meta"> <span class="cat-links"><span class="gp-icon icon-categories"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M0 112c0-26.51 21.49-48 48-48h110.014a48 48 0 0143.592 27.907l12.349 26.791A16 16 0 00228.486 128H464c26.51 0 48 21.49 48 48v224c0 26.51-21.49 48-48 48H48c-26.51 0-48-21.49-48-48V112z" /></svg></span><span class="screen-reader-text">Categories </span><a href="https://neurocare.blog/archive/category/multiple-sclerosis/" rel="category tag">Multiple Sclerosis</a></span> <span 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