Evidence map›Paper›PMID 17536048›Full record

ArticleNeurology2007

Autoimmune autonomic ganglionopathy: IgG effects on ganglionic acetylcholine receptor current.

Z Wang, P A Low, J Jordan, R Freeman, C H Gibbons, C Schroeder, P Sandroni, S Vernino

Open access · greenAbstract read
In one paragraph

Article in Neurology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

27 citing papers in PubMed, 72 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Autoimmune Autonomic Neuropathy: From Pathogenesis to Diagnosis.International journal of molecular sciences · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Autoimmune autonomic neuropathies and ganglionopathies: epidemiology, pathophysiology, and therapeutic advances.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Sudomotor dysfunction in autoimmune autonomic ganglionopathy: a follow-up study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2012
    Article
  19. Article
  20. Review
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 at 1 institution in 1 country.

Z WangDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9036, USA.
P A Low
J Jordan
R Freeman
C H Gibbons
C Schroeder
P Sandroni
S Vernino
Beth Israel Deaconess Medical Center · US

Funding

Physiological Characterization and Data Integration CoreP01DK068055 · NIDDK · MAYO CLINIC ROCHESTER · PI BHARUCHA, ADIL E. · 2004 to 2019
$23.8M
SYMPATHETIC REGULATION OF VENOUS FUNCTION IN ORTHOSTATIC INTOLERANCE AND AGINGP50NS032352 · NINDS · MAYO CLINIC ROCHESTER · PI LOW, PHILLIP A · 1996 to 2009
$11.4M
Experimental Dysautonomia: Pathogenesis and TreatmentR01NS048077 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI VERNINO, STEVEN A · 2004 to 2006
$630k
Structure and Function: Diabetic Small Fiber NeuropathyF32NS049899 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GIBBONS, CHRISTOPHER H · 2004 to 2006
$157k
ELECTRODE ARRAYS BASED ON THIN FILM TECHNOLOGYN01NS032352 · NINDS · STANFORD UNIVERSITY · PI WHITE, ROBERT L · 1985 to 1985
–
NIDDK NIH HHS DK68055NIDDK NIH HHS P01 DK068055NINDS NIH HHS F32 NS049899NINDS NIH HHS N01 NS032352NINDS NIH HHS NS48077NINDS NIH HHS P50 NS032352NINDS NIH HHS R01 NS048077
6 · The paper itself

Abstract

backgroundAutoimmune autonomic ganglionopathy (AAG) is an acquired immune-mediated form of diffuse autonomic failure. Many patients have serum antibodies that bind to the ganglionic acetylcholine receptors (AChRs) that mediate fast synaptic transmission in autonomic ganglia. Previous clinical studies and observations in animal models suggest that AAG is an antibody-mediated neurologic disorder.

methodsUsing whole-cell patch clamp techniques, we recorded ganglionic AChR currents in cultured human IMR-32 cells and examined the effects of bath application of IgG derived from patients with AAG.

resultsIgG from seven patients with AAG all produced a progressive decline in whole-cell ganglionic AChR current, whereas IgG from control subjects had no effect. The effect was abolished at low temperature. Fab antibody fragments had no effect unless a secondary antibody was added concurrently. IgG from one patient also produced a more immediate reduction of ganglionic AChR current.

conclusionsThe characteristics of antibody-mediated inhibition of ganglionic acetylcholine receptor (AChR) current are consistent with modulation and blocking of the membrane AChR, analogous to the effects of muscle AChR antibodies in myasthenia gravis. Our observations demonstrate that antibodies in patients with autoimmune autonomic ganglionopathy (AAG) cause physiologic changes in ganglionic AChR function and confirm that AAG is an antibody-mediated disorder.

Indexed as

AdultAgedAnimalsAutoantibodiesAutoimmune DiseasesAutonomic Nervous System DiseasesCell Line, TumorFemaleGanglia, AutonomicHumansImmunoglobulin GMaleMembrane PotentialsMiddle AgedPatch-Clamp TechniquesRabbitsAutoantibodiesImmunoglobulin GReceptors, Cholinergic

Identifiers

PMID17536048
PMCPMC2615674
OpenAlexW2136548564

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.