Evidence map›Paper›PMID 27040081›Full record

ArticleNature communications2016

CD8(+) T-cell pathogenicity in Rasmussen encephalitis elucidated by large-scale T-cell receptor sequencing.

Tilman Schneider-Hohendorf, Hema Mohan, Christian G Bien, Johanna Breuer, Albert Becker, Dennis Görlich, Tanja Kuhlmann, Guido Widman, Sebastian Herich, Christiane Elpers and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

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  5. The role of early immunotherapy in rasmussen's encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  6. Neuron-reactive KIRNature communications · 2025
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2 more citing papers are in PubMed but not listed here.

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

15 authors at 6 institutions in 1 country.

Tilman Schneider-HohendorfDepartment of Neurology, University of Münster, 48149 Münster, Germany.
Hema MohanDepartment of Neurology, University of Münster, 48149 Münster, Germany.
Christian G BienEpilepsy Center Bethel, Krankenhaus Mara, 33617 Bielefeld, Germany.
Johanna BreuerDepartment of Neurology, University of Münster, 48149 Münster, Germany.
Albert BeckerInstitute of Neuropathology, University Hospital Bonn, 53105 Bonn, Germany.
Dennis GörlichInstitute of Biostatistics and Clinical Research, University of Münster, 48149 Münster, Germany.
Tanja KuhlmannDepartment of Neuropathology, University of Münster, 48149 Münster, Germany.
Guido WidmanDepartment of Epileptology, University of Bonn, 53127 Bonn, Germany.
Sebastian HerichDepartment of Neurology, University of Münster, 48149 Münster, Germany.
Christiane ElpersChildren's Hospital of the University Medical Center, University of Münster, 48149 Münster, Germany.
Nico MelzerDepartment of Neurology, University of Münster, 48149 Münster, Germany.
Klaus DornmairInstitute for Clinical Neuroimmunology, Ludwig-Maximilians-University Munich, 80539 Munich, Germany.
Gerhard KurlemannChildren's Hospital of the University Medical Center, University of Münster, 48149 Münster, Germany.
Heinz WiendlDepartment of Neurology, University of Münster, 48149 Münster, Germany.
Nicholas SchwabDepartment of Neurology, University of Münster, 48149 Münster, Germany.
University of Münster · DEEvangelisches Krankenhaus Bielefeld · DELudwig-Maximilians-Universität München · DEUniversity Hospital Bonn · DEUniversity Hospital Münster · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rasmussen encephalitis (RE) is a rare paediatric epilepsy with uni-hemispheric inflammation and progressive neurological deficits. To elucidate RE immunopathology, we applied T-cell receptor (TCR) sequencing to blood (n=23), cerebrospinal fluid (n=2) and brain biopsies (n=5) of RE patients, and paediatric controls. RE patients present with peripheral CD8(+) T-cell expansion and its strength correlates with disease severity. In addition, RE is the only paediatric epilepsy with prominent T-cell expansions in the CNS. Consistently, common clones are shared between RE patients, who also share MHC-I alleles. Public RE clones share Vβ genes and length of the CDR3. Rituximab/natalizumab/basiliximab treatment does not change TCR diversity, stem cell transplantation replaces the TCR repertoire with minimal overlap between donor and recipient, as observed in individual cases. Our study supports the hypothesis of an antigen-specific attack of peripherally expanded CD8(+) lymphocytes against CNS structures in RE, which might be ameliorated by restricting access to the CNS.

Indexed as

Antibodies, MonoclonalBasiliximabCD8-Positive T-LymphocytesCentral Nervous SystemEncephalitisHumansMolecular Sequence DataNatalizumabReceptors, Antigen, T-CellRecombinant Fusion ProteinsRituximabSequence Analysis, ProteinAntibodies, MonoclonalBasiliximabNatalizumabReceptors, Antigen, T-CellRecombinant Fusion ProteinsRituximab

Identifiers

PMID27040081
PMCPMC4822013
OpenAlexW2327924953

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.