Evidence map›Paper›PMID 29932785›Full record

ReviewExpert review of neurotherapeutics2018

Advances in autoimmune myasthenia gravis management.

Shuhui Wang, Iva Breskovska, Shreya Gandhy, Anna Rostedt Punga, Jeffery T Guptill, Henry J Kaminski

Open access · greenAbstract readReview
In one paragraph

Review in Expert review of neurotherapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 76 citations in OpenAlex.

  1. Trial
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  4. The role and mechanism of IL‑35 in myasthenia gravis (Review).International journal of molecular medicine · 2026
    Review
  5. Article
  6. Telitacicept as a New Therapeutic Avenue for Generalized Myasthenia Gravis and Thymoma-Associated Myasthenia Gravis.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Article
  7. Observational
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  10. Review
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  15. Review
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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

6 authors at 4 institutions in 3 countries.

Shuhui Wanga Department of Neurology , George Washington University , Washington , DC , USA.
Iva Breskovskaa Department of Neurology , George Washington University , Washington , DC , USA.
Shreya Gandhya Department of Neurology , George Washington University , Washington , DC , USA.
Anna Rostedt Pungac Department of Neuroscience, Clinical Neurophysiology , Uppsala University , Uppsala , Sweden.
Jeffery T Guptilld Department of Neurology , Duke University Medical Center , Durham , North Carolina , USA.
Henry J Kaminskia Department of Neurology , George Washington University , Washington , DC , USA.
George Washington University · USBeijing Friendship Hospital · CNDuke Medical Center · USUppsala University · SE

Funding

Targeted Therapies for Myasthenia GravisR24EY014837 · NEI · SAINT LOUIS UNIVERSITY · PI KAMINSKI, HENRY J · 2003 to 2007
$4.9M
Immunological biomarker studies in myasthenia gravisK23NS085049 · NINDS · DUKE UNIVERSITY · PI GUPTILL, JEFFREY T · 2014 to 2018
$924k
NEI NIH HHS R24 EY014837NINDS NIH HHS K23 NS085049
6 · The paper itself

Abstract

introductionMyasthenia gravis (MG) is an autoimmune neuromuscular disorder with no cure and conventional treatments limited by significant adverse effects and variable benefit. In the last decade, therapeutic development has expanded based on improved understanding of autoimmunity and financial incentives for drug development in rare disease. Clinical subtypes exist based on age, gender, thymic pathology, autoantibody profile, and other poorly defined factors, such as genetics, complicate development of specific therapies. Areas covered: Clinical presentation and pathology vary considerably among patients with some having weakness limited to the ocular muscles and others having profound generalized weakness leading to respiratory insufficiency. MG is an antibody-mediated disorder dependent on autoreactive B cells which require T-cell support. Treatments focus on elimination of circulating autoantibodies or inhibition of effector mechanisms by a broad spectrum of approaches from plasmapheresis to B-cell elimination to complement inhibition. Expert commentary: Standard therapies and those under development are disease modifying and not curative. As a rare disease, clinical trials are challenged in patient recruitment. The great interest in development of treatments specific for MG is welcome, but decisions will need to be made to focus on those that offer significant benefits to patients.

Indexed as

AutoantibodiesAutoimmunityHumansMuscle WeaknessMyasthenia GravisAutoantibodiesacetylcholine receptor antibodyclinical trialseculizumabinterleukinsmuscle-specific kinaseMyasthenia gravismycophenolateplasma cellsprednisonerituximabtacrolimus

Identifiers

PMID29932785
PMCPMC6289049
OpenAlexW2809279441

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.