Evidence map›Paper›PMID 27502473›Full record

ArticleMolecular psychiatry2017

All naturally occurring autoantibodies against the NMDA receptor subunit NR1 have pathogenic potential irrespective of epitope and immunoglobulin class.

E Castillo-Gómez, B Oliveira, D Tapken, S Bertrand, C Klein-Schmidt, H Pan, P Zafeiriou, J Steiner, B Jurek, R Trippe and 5 more

Registry-linked trialOpen access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Molecular psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06321588 (Autoimmune Dementia), which is not on this map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
11.4field-weighted citation impact, top 1% 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.

NCT06321588 recruitingnot on this mapstarted 2023, after this paper: background citation

Autoimmune Dementia: Predictors of Neuronal Synaptic Antibodies in Patients With New-ONset Cognitive Impairment and Their Relevance in Non-encephalitic formS: The ADONIS Study

TypeobservationalSponsorAzienda Usl di BolognaRan2023 to 2026Enrolled300ConditionsCognitive Impairment, Dementia
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
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  6. Pro-Cognitive Effects of IgM Isotype Anti-NMDAR1 Autoantibodies in Mice.bioRxiv : the preprint server for biology · 2026
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  12. Review
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  17. Review
  18. Autoimmune receptor encephalitis in ApoEMolecular medicine reports · 2023
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  20. Review

17 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 8 institutions in 2 countries.

E Castillo-GómezClinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.
B OliveiraClinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.
D TapkenDepartment of Biochemistry I - Receptor Biochemistry, Ruhr University, Bochum, Germany.
S BertrandHiQscreen, Geneva, Switzerland.
C Klein-SchmidtDepartment of Biochemistry I - Receptor Biochemistry, Ruhr University, Bochum, Germany.
H PanClinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.
P ZafeiriouInstitute of Pharmacology and Toxicology, University Medical Center, Göttingen, Germany.
J SteinerDepartment of Psychiatry, University of Magdeburg, Magdeburg, Germany.
B JurekDepartment of Neurology, Charité, University Medicine, Berlin, Germany.
R TrippeDepartment of Biochemistry I - Receptor Biochemistry, Ruhr University, Bochum, Germany.
H PrüssDepartment of Neurology, Charité, University Medicine, Berlin, Germany.
W-H ZimmermannInstitute of Pharmacology and Toxicology, University Medical Center, Göttingen, Germany.
D BertrandHiQscreen, Geneva, Switzerland.
H EhrenreichClinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.
M HollmannDepartment of Biochemistry I - Receptor Biochemistry, Ruhr University, Bochum, Germany.
Ruhr University Bochum · DEMax Planck Institute of Experimental Medicine · DEHiQScreen (Switzerland) · CHUniversity of Göttingen · DECharité - Universitätsmedizin Berlin · DEGerman Center for Neurodegenerative Diseases · DENanoscale Microscopy and Molecular Physiology of the Brain Cluster of Excellence 171 — DFG Research Center 103 · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoantibodies of the IgG class against N-methyl-d-aspartate-receptor subunit NR1 (NMDAR1) were first described in anti-NMDAR encephalitis and seen as disease indicators. Recent work on together over 5000 individuals challenged this exclusive view by showing age-dependently up to >20% NMDAR1-autoantibody seroprevalence with comparable immunoglobulin class and titer distribution across health and disease. The key question therefore is to understand the properties of these autoantibodies, also in healthy carriers, in order to assess secondary complications and possible contributions to neuropsychiatric disease. Here, we believe we provide for human NMDAR1-autoantibodies the first comprehensive analysis of their target epitopes and functionality. We selected sera of representative carriers, healthy or diagnosed with very diverse conditions, that is, schizophrenia, age-related disorders like hypertension and diabetes, or anti-NMDAR encephalitis. We show that all positive sera investigated, regardless of source (ill or healthy donor) and immunoglobulin class, provoked NMDAR1 internalization in human-induced pluripotent stem cell-derived neurons and reduction of glutamate-evoked currents in NR1-1b/NR2A-expressing Xenopus oocytes. They displayed frequently polyclonal/polyspecific epitope recognition in the extracellular or intracellular NMDAR1 domains and some additionally in NR2A. We conclude that all circulating NMDAR1-autoantibodies have pathogenic potential regarding the whole spectrum of neuronal NMDAR-mediated effects upon access to the brain in situations of increased blood-brain-barrier permeability.

Indexed as

AgedAnimalsAutoantibodiesEndocytosisEpitopesFemaleFibroblastsGlutamic AcidHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MInduced Pluripotent Stem CellsMaleMembrane PotentialsMental DisordersAutoantibodiesEpitopesGlutamic AcidImmunoglobulin AImmunoglobulin GImmunoglobulin MNR1 NMDA receptorReceptors, N-Methyl-D-Aspartate

Identifiers

PMID27502473
OpenAlexW2506661329

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.