Evidence map›Paper›PMID 26907324›Full record

ArticleViruses2016

Infectious Mononucleosis Triggers Generation of IgG Auto-Antibodies against Native Myelin Oligodendrocyte Glycoprotein.

Kristina Kakalacheva, Stephan Regenass, Silke Wiesmayr, Tarik Azzi, Christoph Berger, Russell C Dale, Fabienne Brilot, Christian Münz, Kevin Rostasy, David Nadal and 1 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

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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

11 authors at 7 institutions in 4 countries.

Kristina KakalachevaInstitute of Experimental Immunology, Laboratory of Neuroinflammation, University of Zürich, 8057 Zürich, Switzerland. k.kakalacheva@gmail.com.
Stephan RegenassDepartment of Clinical Immunology, University Hospital Zürich, 8091 Zürich, Switzerland. s.regenass@balcab.ch.
Silke WiesmayrDepartment of Pediatrics, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria. s.wiesmayr@salk.at.
Tarik AzziExperimental Infectious Diseases and Cancer Research, University Children's Hospital of Zürich, University of Zürich, Zürich, Switzerland. azzi.tarik@gmail.com.
Christoph BergerExperimental Infectious Diseases and Cancer Research, University Children's Hospital of Zürich, University of Zürich, Zürich, Switzerland. Christoph.Berger@kispi.uzh.ch.
Russell C DaleNeuroimmunology Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Westmead NSW 2145, Australia. dr.russell.dale@gmail.com.
Fabienne BrilotNeuroimmunology Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Westmead NSW 2145, Australia. fabienne.brilot@sydney.edu.au.
Christian MünzInstitute of Experimental Immunology, Laboratory of Viral Immunobiology, University of Zürich, 8057 Zürich, Switzerland. muenzc@immunology.uzh.ch.
Kevin RostasyDivision of Pediatric Neurology, Children's Hospital Datteln, University Witten/Herdecke, 45711 Datteln, Germany. K.Rostasy@kinderklinik-datteln.de.
David NadalExperimental Infectious Diseases and Cancer Research, University Children's Hospital of Zürich, University of Zürich, Zürich, Switzerland. David.Nadal@kispi.uzh.ch.
Jan D LünemannInstitute of Experimental Immunology, Laboratory of Neuroinflammation, University of Zürich, 8057 Zürich, Switzerland. jan.luenemann@uzh.ch.
University of Zurich · CHChildren's Hospital at Westmead · AUUniversity Children's Hospital Zurich · CHParacelsus Medical University · ATUniversity Hospital of Basel · CHUniversity Hospital of Zurich · CHWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A history of infectious mononucleosis (IM), symptomatic primary infection with the Epstein Barr virus, is associated with the development of autoimmune diseases and increases the risk to develop multiple sclerosis. Here, we hypothesized that immune activation during IM triggers autoreactive immune responses. Antibody responses towards cellular antigens using a HEp-2 based indirect immunofluorescence assay and native myelin oligodendrocyte glycoprotein (MOG) using a flow cytometry-based assay were determined in 35 patients with IM and in 23 control subjects. We detected frequent immunoglobulin M (IgM) reactivity to vimentin, a major constituent of the intermediate filament family of proteins, in IM patients (27/35; 77%) but rarely in control subjects (2/23; 9%). IgG autoantibodies binding to HEp-2 cells were absent in both groups. In contrast, IgG responses to native MOG, present in up to 40% of children with inflammatory demyelinating diseases of the central nervous system (CNS), were detectable in 7/35 (20%) patients with IM but not in control subjects. Normalization of anti-vimentin IgM levels to increased total IgM concentrations during IM resulted in loss of significant differences for anti-vimentin IgM titers. Anti-MOG specific IgG responses were still detectable in a subset of three out of 35 patients with IM (9%), even after normalization to increased total IgG levels. Vimentin-specific IgM and MOG-specific IgG responses decreased following clinical resolution of acute IM symptoms. We conclude from our data that MOG-specific memory B cells are activated in subset of patients with IM.

Indexed as

AdolescentAutoantibodiesAutoimmune DiseasesChildChild, PreschoolFemaleHumansImmunoglobulin GImmunoglobulin MInfectious MononucleosisMaleMyelin-Oligodendrocyte GlycoproteinAutoantibodiesImmunoglobulin GImmunoglobulin MMyelin-Oligodendrocyte GlycoproteinautoantibodyautoimmunityEpstein Barr virusinfectious mononucleosismultiple sclerosis

Identifiers

PMID26907324
PMCPMC4776206
OpenAlexW2257983073

What OpenQuestion holds

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LicenceCC BY
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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.