Evidence map›Paper›PMID 22907239›Full record

ArticleMuscle & nerve2012

Granulocyte macrophage colony-stimulating factor treatment of a patient in myasthenic crisis: effects on regulatory T cells.

Julie Rowin, Muthusamy Thiruppathi, Ebinehita Arhebamen, Jianrong Sheng, Bellur S Prabhakar, Matthew N Meriggioli

Abstract readCase Reports
In one paragraph

Article in Muscle & nerve, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

47 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. T cells, α-synuclein and Parkinson disease.Handbook of clinical neurology · 2022
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Advances in autoimmune myasthenia gravis management.Expert review of neurotherapeutics · 2018
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  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

6 authors at 2 institutions in 1 country.

Julie RowinDepartment of Neurology and Rehabilitation, University of Illinois Medical Center, 912 South Wood Street, 855N, M/C 796, Chicago, Illinois 60612, USA. rowin@uic.edu
Muthusamy Thiruppathi
Ebinehita Arhebamen
Jianrong Sheng
Bellur S Prabhakar
Matthew N Meriggioli
University of Illinois Chicago · USUniversity of Chicago Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029879 · NCRR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MAZZONE, THEODORE · 2009 to 2011
$11.0M
Therapeutic treatment of EAT by inducing dendritic cellR01AI058190 · NIAID · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PRABHAKAR, BELLUR S · 2006 to 2010
$1.8M
Immunoregulation of Experimental Autoimmune Myasthenia GravisK08NS058800 · NINDS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MERIGGIOLI, MATTHEW NICHOLAS · 2007 to 2011
$886k
NCRR NIH HHS UL1 RR029879NCRR NIH HHS UL1RR029879NIAID NIH HHS R01 AI 058190NIAID NIH HHS R01 AI058190NINDS NIH HHS K08 NS058800NINDS NIH HHS K08NS058800
6 · The paper itself

Abstract

introductionIn this study we describe a patient with a prolonged myasthenic crisis refractory to conventional immunomodulatory therapy who was treated with GM-CSF (granulocyte macrophage colony-stimulating factor, sargramostim).

methodsT-regulatory cell (Treg) suppressive function and Foxp3 expression were evaluated before and after treatment with GM-CSF.

resultsTreatment with GM-CSF was associated with clinical improvement, expansion in the circulating numbers of Foxp3(+) cells, increase in Foxp3 expression levels in Tregs, early improvement in Treg suppressive capacity for AChR-α-induced T-cell proliferation, and subsequent enhancement in Treg suppression of polyclonal T-cell proliferation.

conclusionAlthough definitive conclusions cannot be drawn from a single case, the correlation with similar findings in GM-CSF-treated animals with experimental autoimmune myasthenia gravis suggests further exploration of the effects of GM-CSF in myasthenia gravis should be studied in a clinical trial setting.

Indexed as

AgedCell ProliferationForkhead Transcription FactorsGranulocyte-Macrophage Colony-Stimulating FactorHumansMaleMyasthenia GravisT-Lymphocytes, RegulatoryTreatment OutcomeForkhead Transcription FactorsFOXP3 protein, humanGranulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID22907239
PMCPMC3428740
OpenAlexW2018464736

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.