Evidence map›Paper›PMID 28115470›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2017

Intracellular and non-neuronal targets of voltage-gated potassium channel complex antibodies.

Bethan Lang, Mateusz Makuch, Teresa Moloney, Inga Dettmann, Swantje Mindorf, Christian Probst, Winfried Stoecker, Camilla Buckley, Charles R Newton, M Isabel Leite and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
12.3field-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.

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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. High Relapse Rate in Anti-CASPR2 Disease: Implications for Prolonged Immunotherapy.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Neuroimaging characteristics may aid in diagnosis, subtyping, and prognosis in autoimmune encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  18. Review
  19. Parallel roles of neuroinflammation in feline and human epilepsies.Veterinary journal (London, England : 1997) · 2022
    Review
  20. Article

1 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

16 authors at 4 institutions in 2 countries.

Bethan LangNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Mateusz MakuchNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Teresa MoloneyNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Inga DettmannInstitute for Experimental Immunology, Lubeck, Germany.
Swantje MindorfInstitute for Experimental Immunology, Lubeck, Germany.
Christian ProbstInstitute for Experimental Immunology, Lubeck, Germany.
Winfried StoeckerInstitute for Experimental Immunology, Lubeck, Germany.
Camilla BuckleyNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Charles R NewtonDepartment of Psychiatry, University of Oxford, Oxford, UK.
M Isabel LeiteNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Paul MaddisonDepartment of Neurology, Queen's Medical Centre, Nottingham, UK.
Lars KomorowskiInstitute for Experimental Immunology, Lubeck, Germany.
Jane AdcockNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Angela VincentNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Patrick WatersNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Sarosh R IraniNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
University of Oxford · GBInstitute for Integrative and Experimental Genomics · DEJohn Radcliffe Hospital · GBQueen's Medical Centre · GB

Funding

Medical Research Council G0401222Medical Research Council G0501898Wellcome TrustWellcome Trust 104079/Z/14/Z
6 · The paper itself

Abstract

objectivesAutoantibodies against the extracellular domains of the voltage-gated potassium channel (VGKC) complex proteins, leucine-rich glioma-inactivated 1 (LGI1) and contactin-associated protein-2 (CASPR2), are found in patients with limbic encephalitis, faciobrachial dystonic seizures, Morvan's syndrome and neuromyotonia. However, in routine testing, VGKC complex antibodies without LGI1 or CASPR2 reactivities (double-negative) are more common than LGI1 or CASPR2 specificities. Therefore, the target(s) and clinical associations of double-negative antibodies need to be determined.

methodsSera (n=1131) from several clinically defined cohorts were tested for IgG radioimmunoprecipitation of radioiodinated α-dendrotoxin (

resultsVGKC complex antibodies were found in 162 of 1131 (14%) sera. 90 of these (56%) had antibodies targeting the extracellular domains of LGI1 or CASPR2. Of the remaining 72 double-negative sera, 10 (14%) immunoprecipitated

conclusionsDouble-negative VGKC complex antibodies are often directed against cytosolic epitopes of Kv1 subunits and occasionally against non-mammalian αDTX. These antibodies should no longer be classified as neuronal-surface antibodies. They consequently lack pathogenic potential and do not in themselves support the use of immunotherapies.

Indexed as

AutoantibodiesAutoimmune Diseases of the Nervous SystemBrainBrain DiseasesCohort StudiesCytosolElapid VenomsEpitopesHEK293 CellsHippocampusHumansIntracellular Signaling Peptides and ProteinsIntracellular SpaceIodine RadioisotopesMembrane ProteinsNerve Tissue ProteinsAutoantibodiesCNTNAP2 protein, humandendrotoxinElapid VenomsEpitopesIntracellular Signaling Peptides and ProteinsIodine RadioisotopesLGI1 protein, humanMembrane ProteinsNerve Tissue ProteinsPotassium Channels, Voltage-GatedProteinsShaker Superfamily of Potassium Channels

Identifiers

PMID28115470
PMCPMC5644714
OpenAlexW2581091689

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.