Evidence map›Paper›PMID 23612879›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2013

Serum autoantibodies to myelin peptides distinguish acute disseminated encephalomyelitis from relapsing-remitting multiple sclerosis.

Keith Van Haren, Beren H Tomooka, Brian A Kidd, Brenda Banwell, Amit Bar-Or, Tanuja Chitnis, Silvia N Tenembaum, Daniela Pohl, Kevin Rostasy, Russell C Dale and 4 more

Open access · greenAbstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

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  14. Autoantibodies against central nervous system antigens in a subset of B cell-dominant multiple sclerosis patients.Proceedings of the National Academy of Sciences of the United States of America · 2020
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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

14 authors at 10 institutions in 4 countries.

Keith Van HarenDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Beren H Tomooka
Brian A Kidd
Brenda Banwell
Amit Bar-Or
Tanuja Chitnis
Silvia N Tenembaum
Daniela Pohl
Kevin Rostasy
Russell C Dale
Kevin C O'Connor
David A Hafler
Lawrence Steinman
William H Robinson
Stanford University · USYale University · USChildren's Hospital of Philadelphia · USGarrahan Hospital · ARLucile Packard Children's Hospital · USMassachusetts General Hospital · USMontreal Neurological Institute and Hospital · CAUniversity of Ottawa · CAUniversity of Sydney · AUVA Palo Alto Health Care System · US

Funding

Role of Negative Costimulation in Regulation of AutoimmunityP01AI039671 · NIAID · YALE UNIVERSITY · PI David A. Hafler · 1996 to 2026
$51.7M
The function of T Bet in EAEP01NS038037 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI WEINER, HOWARD L · 2000 to 2010
$12.8M
Regulatory T Cells in Autoimmune DiseaseU19AI070352 · NIAID · YALE UNIVERSITY · PI HAFLER, DAVID A. · 2006 to 2011
$5.9M
Autoantibody Arrays Guide Tolergenic Therapy for Multiple SclerosisR01NS055997 · NINDS · STANFORD UNIVERSITY · PI STEINMAN, LAWRENCE · 2008 to 2012
$1.6M
T CELLS IN THE CSF OF MULTIPLE SCLEROSIS PATIENTSR01NS024247 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI HAFLER, DAVID A. · 1987 to 2003
$1.2M
Stanford Neurology Resident Research TrackR25NS070698 · NINDS · STANFORD UNIVERSITY · PI LONGO, FRANK M · 2010 to 2014
$287k
NHLBI PROTEOMICS INITIATIVE-N01HV28183N01HV028183 · HV · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2002 to 2006
–
PLATELET INTERACTIONS WITH FIBRINOGEN AND CALCIUMR01HL028183 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI PEERSCHKE, ELLINOR I · 1985 to 1992
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NHLBI NIH HHS N01 HV028183NIAID NIH HHS P01 AI039671NIAID NIH HHS P01-AI039671NIAID NIH HHS U19 AI070352NIAID NIH HHS U19-AI070352NINDS NIH HHS NS55997NINDS NIH HHS P01 NS038037NINDS NIH HHS P01-NS038037NINDS NIH HHS R01 NS024247NINDS NIH HHS R01-NS024247NINDS NIH HHS R01 NS055997NINDS NIH HHS R25 NS070698NINDS NIH HHS R25-NS070698
6 · The paper itself

Abstract

BACKGROUND AND

objectiveAcute disseminated encephalomyelitis (ADEM) and relapsing-remitting multiple sclerosis (RRMS) share overlapping clinical, radiologic and laboratory features at onset. Because autoantibodies may contribute to the pathogenesis of both diseases, we sought to identify autoantibody biomarkers that are capable of distinguishing them.

methodsWe used custom antigen arrays to profile anti-myelin-peptide autoantibodies in sera derived from individuals with pediatric ADEM (n = 15), pediatric multiple sclerosis (Ped MS; n = 11) and adult MS (n = 15). Using isotype-specific secondary antibodies, we profiled both IgG and IgM reactivities. We used Statistical Analysis of Microarrays software to confirm the differences in autoantibody reactivity profiles between ADEM and MS samples. We used Prediction Analysis of Microarrays software to generate and validate prediction algorithms, based on the autoantibody reactivity profiles.

resultsADEM was characterized by IgG autoantibodies targeting epitopes derived from myelin basic protein, proteolipid protein, myelin-associated oligodendrocyte basic glycoprotein, and alpha-B-crystallin. In contrast, MS was characterized by IgM autoantibodies targeting myelin basic protein, proteolipid protein, myelin-associated oligodendrocyte basic glycoprotein and oligodendrocyte-specific protein. We generated and validated prediction algorithms that distinguish ADEM serum (sensitivity 62-86%; specificity 56-79%) from MS serum (sensitivity 40-87%; specificity 62-86%) on the basis of combined IgG and IgM anti-myelin autoantibody reactivity to a small number of myelin peptides.

conclusionsCombined profiles of serum IgG and IgM autoantibodies identified myelin antigens that may be useful for distinguishing MS from ADEM. Further studies are required to establish clinical utility. Further biological assays are required to delineate the pathogenic potential of these antibodies.

Indexed as

AdolescentAdultAlgorithmsAntigensAutoantibodiesChildCohort StudiesDiagnosis, DifferentialEncephalomyelitis, Acute DisseminatedFemaleHumansImmunoglobulin GImmunoglobulin MMaleMicroarray AnalysisMiddle AgedAntigensAutoantibodiesImmunoglobulin GImmunoglobulin MMyelin Proteinsacute disseminated encephalomyelitisautoantibodyautoimmune diseasebiomarkerdifferential diagnosisimmunoassayimmunoglobulinmultiple sclerosismyelinPediatric disease

Identifiers

PMID23612879
PMCPMC4411183
OpenAlexW2130686328

What OpenQuestion holds

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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.