Evidence map›Paper›PMID 20227484›Full record

ArticleBrain, behavior, and immunity2010

Anti-neural antibody reactivity in patients with a history of Lyme borreliosis and persistent symptoms.

Abhishek Chandra, Gary P Wormser, Mark S Klempner, Richard P Trevino, Mary K Crow, Norman Latov, Armin Alaedini

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Lyme borreliosis.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Neuropsychiatric Lyme Disease and Vagus Nerve Stimulation.Antibiotics (Basel, Switzerland) · 2023
    Review
  13. Review
  14. Neuropsychiatric Symptoms and Tick-Borne Diseases.Current topics in behavioral neurosciences · 2023
    Article
  15. Persistent Symptoms After Treatment of Lyme Disease.Infectious disease clinics of North America · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Metabolic Response in Patients With Post-treatment Lyme Disease Symptoms/Syndrome.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  20. Morphea afterJournal of scleroderma and related disorders · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Abhishek ChandraDepartment of Neurology and Neuroscience, Cornell University, New York, NY 10065, USA.
Gary P Wormser
Mark S Klempner
Richard P Trevino
Mary K Crow
Norman Latov
Armin Alaedini
Boston University · USCornell University · USHospital for Special Surgery · USNew York Medical College · US

Funding

Satellite Diagnostic and Treatment Clinic CoreP50AG008702 · NIA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI DE JAGER, PHILIP L · 1989 to 2019
$46.3M
TOXICITY AND SPECIFICITY COMPONENTS OF HD PATHOGENESISP50NS016367 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GUSELLA, JAMES F · 1996 to 2010
$15.8M
TRABECULAR BONE ADAPTATION TO MECHANICAL LOADINGP30AR046121 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI DOTY, STEPHEN BRUCE · 1999 to 2010
$5.5M
CLINICAL STUDIES OF CHRONIC LYME DISEASE-266965308N01AI065308 · NIAID · TUFTS MEDICAL CENTER · 1996 to 2004
$810k
OspA and autoimmunity in chronic Lyme diseaseR21AI071180 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALAEDINI, ARMIN · 2006 to 2007
$471k
RECEPTOR MECHANISMS IN STRIATAL DEVELOPMENT AND HUNTINGTON'S DISEASEP01NS016367 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI GUSELLA, JAMES F · 1985 to 1995
–
NIAID NIH HHS N01 AI065308NIAID NIH HHS R21 AI071180NIAMS NIH HHS AR 46121NIAMS NIH HHS P30 AR046121NIA NIH HHS 5 P50 AG08702-15NIA NIH HHS P50 AG008702NINDS NIH HHS NS 16367-24NINDS NIH HHS P50 NS016367
6 · The paper itself

Abstract

Some Lyme disease patients report debilitating chronic symptoms of pain, fatigue, and cognitive deficits despite recommended courses of antibiotic treatment. The mechanisms responsible for these symptoms, collectively referred to as post-Lyme disease syndrome (PLS) or chronic Lyme disease, remain unclear. We investigated the presence of immune system abnormalities in PLS by assessing the levels of antibodies to neural proteins in patients and controls. Serum samples from PLS patients, post-Lyme disease healthy individuals, patients with systemic lupus erythematosus, and normal healthy individuals were analyzed for anti-neural antibodies by immunoblotting and immunohistochemistry. Anti-neural antibody reactivity was found to be significantly higher in the PLS group than in the post-Lyme healthy (p<0.01) and normal healthy (p<0.01) groups. The observed heightened antibody reactivity in PLS patients could not be attributed solely to the presence of cross-reactive anti-borrelia antibodies, as the borrelial seronegative patients also exhibited elevated anti-neural antibody levels. Immunohistochemical analysis of PLS serum antibody activity demonstrated binding to cells in the central and peripheral nervous systems. The results provide evidence for the existence of a differential immune system response in PLS, offering new clues about the etiopathogenesis of the disease that may prove useful in devising more effective treatment strategies.

Indexed as

AgedAntibodies, Anti-IdiotypicAntibodies, BacterialAntibody SpecificityBorrelia burgdorferiCross ReactionsDisease ProgressionEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin GImmunohistochemistryLyme DiseaseMaleMiddle AgedNerve TissueAntibodies, Anti-IdiotypicAntibodies, BacterialImmunoglobulin GNerve Tissue Proteins

Identifiers

PMID20227484
PMCPMC2897967
OpenAlexW2011334611

What OpenQuestion holds

Textmetadata
LicenceTDM
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.