Evidence map›Paper›PMID 24053997›Full record

ArticleOphthalmology2013

Diagnosis of occult melanoma using transient receptor potential melastatin 1 (TRPM1) autoantibody testing: a novel approach.

Monica D Dalal, Catherine W Morgans, Robert M Duvoisin, Elizabeth A Gamboa, Brett G Jeffrey, Sunir J Garg, Chi-Chao Chan, H Nida Sen

Open access · greenAbstract readCase Reports
In one paragraph

Article in Ophthalmology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  3. American journal of ophthalmology case reports · 2024
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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

8 authors at 4 institutions in 1 country.

Monica D DalalLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Catherine W MorgansDepartment of Physiology and Pharmacology, Oregon Health and Sciences University, Portland, Oregon.
Robert M DuvoisinDepartment of Physiology and Pharmacology, Oregon Health and Sciences University, Portland, Oregon.
Elizabeth A GamboaDepartment of Physiology and Pharmacology, Oregon Health and Sciences University, Portland, Oregon.
Brett G JeffreyLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Sunir J GargMid Atlantic Retina, The Retina Service of Wills Eye Institute, Philadelphia, Pennsylvania.
Chi-Chao ChanLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
H Nida SenLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland. Electronic address: senh@nei.nih.gov.
Oregon Health & Science University · USNational Eye Institute · USNational Institutes of Health · USWills Eye Hospital · US

Funding

Effects of autoantibodies on synaptic transmission in the retinaR01EY022369 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MORGANS, CATHERINE W · 2013 to 2016
$1.9M
Signaling mechanisms of retinal bipolar cellsR01EY018625 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MORGANS, CATHERINE W · 2009 to 2012
$1.5M
Intramural NIH HHS Z99 EY999999NEI NIH HHS R01 EY018625NEI NIH HHS R01 EY022369
6 · The paper itself

Abstract

purposeTo report the first case of melanoma-associated retinopathy (MAR) and underlying occult melanoma diagnosed based on the presence of serum transient receptor potential melastatin 1 (TRPM1) autoantibodies.

designInterventional case report with basic science correlation.

participantsOne patient with MAR.

interventionTesting for the presence of serum TRPM1 autoantibodies.

main outcome measuresDiagnosis of an occult melanoma involving the axillary lymph nodes (unknown primary site) and MAR based on the presence of TRPM1 autoantibodies in the patient's serum.

resultsThe patient's clinical exam was remarkable for mild intraocular inflammation in both eyes and retinal hemorrhages with an apparent choroidal neovascularization in the left eye, which was confirmed by fluorescein angiography and indocyanine green angiography testing. Humphrey visual field 30-2 SITA-fast (Humphrey Visual Field Analyzer, Carl Zeiss Meditec, Inc, Dublin, CA) demonstrated diffuse depression in both eyes out of proportion to the clinical exams, prompting electroretinography testing that revealed an electronegative response. Dark-adapted thresholds were markedly elevated and mediated by cones. Due to concern for MAR, a systemic work-up for melanoma was performed by the primary care physician that was unrevealing. Given our continued clinical suspicion for MAR, the patient's serum was sent for evaluation for TRPM1 autoantibodies. The patient's serum applied to normal human retina exhibited positivity in the inner nuclear layer. Application of the patient's serum to wild-type and TRPM1 knockout mouse retina revealed strongly labeled bipolar cells in the wild-type retina, but not in the TRPM1 knockout retina, indicating TRPM1-dependent immunoreactivity. The antigen was confirmed as TRPM1 by labeling of TRPM1-transfected human embryonic kidney 293 cells. Additional systemic work-up prompted by this finding resulted in identification of an occult metastatic melanoma involving the axillary lymph nodes with an unknown primary site. The patient underwent surgical excision of the occult melanoma without evidence of other sites of metastases. He also received intravenous immunoglobulin therapy and his vision has stabilized.

conclusionsThis is the first reported case of a melanoma-associated retinopathy diagnosed utilizing the innovative approach of testing for serum TRPM1 autoantibodies.

Indexed as

AutoantibodiesAutoantigensAxillaBiomarkersElectroretinographyFluorescein AngiographyHumansLymphatic MetastasisLymph NodesMaleMelanomaMiddle AgedNeoplasms, Unknown PrimaryParaneoplastic Syndromes, OcularRetinal Bipolar CellsTRPM Cation ChannelsAutoantibodiesAutoantigensBiomarkersTRPM1 protein, humanTRPM Cation Channels

Identifiers

PMID24053997
PMCPMC4928578
OpenAlexW8847840

What OpenQuestion holds

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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.