Evidence map›Paper›PMID 27421731›Full record

ArticleJournal of neurovirology2017

JC virus granule cell neuronopathy in the setting of chronic lymphopenia treated with recombinant interleukin-7.

David N Soleimani-Meigooni, Katherine E Schwetye, Maria Reyes Angeles, Caroline F Ryschkewitsch, Eugene O Major, Xin Dang, Igor J Koralnik, Robert E Schmidt, David B Clifford, F Matthew Kuhlmann and 1 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of neurovirology, 2017. 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
0.6field-weighted citation impact, top 27% 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, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Treatment of Progressive Multifocal Leukoencephalopathy Using Immune Restoration.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  8. Review
  9. Review
  10. Therapeutic advances in neuroinfectious diseases.Therapeutic advances in infectious disease
    Review
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 3 institutions in 1 country.

David N Soleimani-MeigooniDepartment of Neurology, Washington University School of Medicine, Campus Box 8111. 660 South Euclid Ave., St. Louis, MO, 63110, USA.
Katherine E SchwetyeDepartment of Pathology and Immunology, Washington University, St. Louis, MO, USA.
Maria Reyes AngelesDepartment of Infectious Diseases, Washington University, St. Louis, MO, USA.
Caroline F RyschkewitschLaboratory of Molecular Medicine and Neuroscience, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Eugene O MajorLaboratory of Molecular Medicine and Neuroscience, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Xin DangDepartment of Neurology, Division of Neuro-Immunology and Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Igor J KoralnikDepartment of Neurology, Division of Neuro-Immunology and Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Robert E SchmidtDepartment of Pathology and Immunology, Washington University, St. Louis, MO, USA.
David B CliffordDepartment of Neurology, Washington University School of Medicine, Campus Box 8111. 660 South Euclid Ave., St. Louis, MO, 63110, USA.
F Matthew KuhlmannDepartment of Infectious Diseases, Washington University, St. Louis, MO, USA.
Robert C BucelliDepartment of Neurology, Washington University School of Medicine, Campus Box 8111. 660 South Euclid Ave., St. Louis, MO, 63110, USA. bucellir@neuro.wustl.edu.
Washington University in St. Louis · USBeth Israel Deaconess Medical Center · USNational Institute of Neurological Disorders and Stroke · US

Funding

Evaluation of clinical samples for virus detection for mechanism of CNS disease ZIANS003049 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2009 to 2017
$11.2M
Role of Inflammation in Progressive Multifocal LeukoencephalopathyR01NS047029 · NINDS · RUSH UNIVERSITY MEDICAL CENTER · PI KORALNIK, IGOR J. · 2004 to 2018
$6.4M
NINDS NIH HHS R01 NS047029
6 · The paper itself

Abstract

JC virus (JCV) is a human polyomavirus that infects the central nervous system (CNS) of immunocompromised patients. JCV granule cell neuronopathy (JCV-GCN) is caused by infection of cerebellar granule cells, causing ataxia. A 77-year-old man with iatrogenic lymphopenia presented with severe ataxia and was diagnosed with JCV-GCN. His ataxia and cerebrospinal fluid (CSF) improved with intravenous immunoglobulin, high-dose intravenous methylprednisolone, mirtazapine, and mefloquine. Interleukin-7 (IL-7) therapy reconstituted his lymphocytes and reduced his CSF JCV load. One month after IL-7 therapy, he developed worsening ataxia and CSF inflammation, which raised suspicion for immune reconstitution inflammatory syndrome. Steroids were restarted and his ataxia stabilized.

Indexed as

Immunocompromised HostAgedAtaxiaChronic DiseaseHamartoma Syndrome, MultipleHumansImmunoglobulins, IntravenousInterleukin-7JC VirusLeukoencephalopathy, Progressive MultifocalLymphopeniaMaleMalformations of Cortical Development, Group IMefloquineMethylprednisoloneMianserinIL7 protein, humanImmunoglobulins, IntravenousInterleukin-7MefloquineMethylprednisoloneMianserinMirtazapineRecombinant ProteinsCerebellar ataxiaGranule cell neuronopathyIl-7JC virusLymphopenia

Identifiers

PMID27421731
PMCPMC5588866
OpenAlexW2464689281

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.