Evidence map›Paper›PMID 23723305›Full record

ArticleStroke2013

Stroke patients develop antibodies that react with components of N-methyl-D-aspartate receptor subunit 1 in proportion to lesion size.

Maggie L Kalev-Zylinska, Wymond Symes, Kevin C E Little, Peng Sun, Daying Wen, Linzi Qiao, Deborah Young, Matthew J During, P Alan Barber

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Stroke, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Inflammatory Responses After Ischemic Stroke.Seminars in immunopathology · 2022
    Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. The Local and Peripheral Immune Responses to Stroke: Implications for Therapeutic Development.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. High-Throughput Profiling of Circulating Antibody Signatures for Stroke Diagnosis Using Small Volumes of Whole Blood.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019
    Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article
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

9 authors at 1 institution in 1 country.

Maggie L Kalev-ZylinskaDepartment of Molecular Medicine and Pathology, The University of Auckland, Auckland, New Zealand. m.kalev@auckland.ac.nz
Wymond Symes
Kevin C E Little
Peng Sun
Daying Wen
Linzi Qiao
Deborah Young
Matthew J During
P Alan Barber
Auckland District Health Board · NZ

Funding

Somatic Cell Gene Transfer/Neurological & Clinical ApplicationsR01NS044576 · NINDS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI LIN, EN-JU · 2004 to 2013
$3.3M
An Immunologic Approach Alter Function of Neuronal GenesR01NS040482 · NINDS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI DURING, MATTHEW J · 2001 to 2006
$1.3M
DEVELOPMENT OF A VACCINE FOR STROKER01NS040513 · NINDS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI DURING, MATTHEW J · 2001 to 2005
$792k
NINDS NIH HHS R01 NS040482NINDS NIH HHS R01 NS040513NINDS NIH HHS R01 NS044576
6 · The paper itself

Abstract

background and purposeAntibodies against neuronal antigens develop in patients after stroke and some may serve as biomarkers of neuronal injury. We aimed to determine whether antibodies against subunit 1 (GluN1) of the N-methyl-D-aspartate receptor also develop after stroke and if so, whether they correlate with stroke characteristics.

methodsForty-eight patients with ischemic stroke and 96 healthy controls were tested for the presence of serum antibodies targeting GluN1. Testing was conducted using 20-kDa recombinant GluN1-S2 peptide (by ELISA and Western blotting) and on rat brain tissue (by Western blotting and immunohistochemistry). Clinical examinations and computed tomographic brain scans were performed to assess clinical state and infarct size and location.

resultsOf the 48 patients with ischemic stroke, 21 (44%) had antibodies that reacted with the recombinant GluN1-S2. There was no evidence of antibody binding to intact GluN1 in brain tissue. Western blot appearances suggested reactivity with GluN1 degradation products. Patients with anti-GluN1-S2 antibodies were more likely to have higher National Institutes of Health Stroke Scale scores, larger infarcts, and more frequent cortical involvement. Of the 96 controls, only 3 (3%), all aged>50 years, had antibodies that reacted with GluN1-S2 at low levels.

conclusionsAntibodies that bind recombinant GluN1-S2 peptides (but not the intact GluN1 protein) develop transiently in patients after stroke in proportion to infarct size, suggesting that these antibodies are raised secondarily to neuronal damage. The anti-GluN1-S2 antibodies may provide useful information about the presence and severity of cerebral infarction. This will require confirmation in larger studies.

Indexed as

NeuronsAdultAgedAged, 80 and overAnimalsAutoantibodiesBiomarkersBrain IschemiaFemaleHumansInfarction, Middle Cerebral ArteryMaleMiceMiddle AgedNerve Tissue ProteinsRatsAutoantibodiesBiomarkersGRIN1 protein, humanNerve Tissue ProteinsReceptors, N-Methyl-D-AspartateantibodyGluN1imagingischemicNMDARNR1

Identifiers

PMID23723305
PMCPMC3825260
OpenAlexW2114693955

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.