Evidence map›Paper›PMID 22961471›Full record

ArticleNeuroscience bulletin2012

Clinical significance of detection of antibodies to fetal and adult acetylcholine receptors in myasthenia gravis.

Qi-Guang Shi, Zhi-Hong Wang, Xiao-Wei Ma, Da-Qi Zhang, Chun-Sheng Yang, Fu-Dong Shi, Li Yang

Open access · greenAbstract read
In one paragraph

Article in Neuroscience bulletin, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Italian recommendations for the diagnosis and treatment of myasthenia gravis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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 at 2 institutions in 2 countries.

Qi-Guang ShiDepartment of Neurology and Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Zhi-Hong Wang
Xiao-Wei Ma
Da-Qi Zhang
Chun-Sheng Yang
Fu-Dong Shi
Li Yang
Tianjin Medical University General Hospital · CNSt. Joseph's Hospital and Medical Center · US

Funding

NK cells in CNS inflammation and autoimmunityR01AI083294 · NIAID · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI SHI, FU-DONG · 2010 to 2014
$2.0M
NIAID NIH HHS R01 AI083294
6 · The paper itself

Abstract

objectiveTo evaluate the frequency, distribution and clinical significance of the antibodies to the fetal and/or adult acetylcholine receptor (AChR) in patients with myasthenia gravis (MG).

methodsAChR antibodies were detected by cell-based assay in the serum of ocular MG (OMG) (n = 90) and generalized MG (GMG) patients (n = 110). The fetal-type (2α: β: γ: δ) and adult-type (2α: β: ε: δ) AChR were used as antigens, and their relevance to disease presentation was assessed.

resultsThe overall frequencies of anti-adult and anti-fetal AChR antibodies were similar in all 200 patients examined, with 14 having serum specific to the AChR-Γ subunit, and 22 to the AChR-ε subunit. The overall sensitivity when using the fetal and adult AChR antibodies was higher than that when using the fetal AChR antibody only (P = 0.015). Compared with OMG patients, the mean age at disease onset and the positive ratio of antibodies to both isoforms of the AChR were significantly higher in patients who subsequently progressed to GMG. Older patients and patients with both anti-fetal and anti-adult AChR antibodies had a greater risk for developing generalized disease [odds ratio (OR), 1.03; 95% confidence interval (CI), 1.01-1.06 and OR, 5.09; 95% CI, 2.23-11.62].

conclusionUsing both fetal- and adult-type AChRs as the antigens may be more sensitive than using either subtype. Patients with serum specific to both isoforms are at a greater risk of progressing to GMG. Patients with disease onset at an advanced age appear to have a higher frequency of GMG conversion.

Indexed as

AdolescentAdultAgedAged, 80 and overAutoantibodiesBiomarkersFetusHEK293 CellsHumansMiddle AgedMyasthenia GravisReceptors, CholinergicYoung AdultAutoantibodiesBiomarkersReceptors, Cholinergic

Identifiers

PMID22961471
PMCPMC3600950
OpenAlexW2080010267

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Registered trials

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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.