Evidence map›Paper›PMID 30002861›Full record

ArticleOxford medical case reports2018

Onconeural antigen spreading in paraneoplastic neurological disease due to small cell lung cancer.

Andre Dik, Christine Strippel, Constanze Mönig, Kristin S Golombeck, Andreas Schulte-Mecklenbeck, Heinz Wiendl, Sven G Meuth, Andreas Johnen, Catharina C Gross, Nico Melzer

Open access · goldAbstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Anti-SOX1 Antibodies in Paraneoplastic Neurological Syndrome.Journal of clinical neurology (Seoul, Korea) · 2020
    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

10 authors at 2 institutions in 1 country.

Andre DikDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Christine StrippelDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Constanze MönigDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Kristin S GolombeckDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Andreas Schulte-MecklenbeckDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Heinz WiendlDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Sven G MeuthDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Andreas JohnenDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Catharina C GrossDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Nico MelzerDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
University of Münster · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cellular and humoral immunity towards distinct onconeural antigens is the hallmark of paraneoplastic neurological diseases (PNDs). Stable formation of immunoglobulin (Ig) G antibodies to particular onconeural antigens occurs in the majority of cases, whereas persistent coexistence of antibodies specific for multiple onconeural antigens is a relatively rare phenomenon of certain malignant tumors like small cell lung cancer (SCLC). We here describe onconeural antigen spreading in a 70-year-old Caucasian male with PND due to SCLC. Onconeural antigen spreading may be promoted by two mutually non-exclusive mechanisms: (i) a switch of antigen expression pattern of the underlying tumor tissue as a result of a mutagenic process caused by the cancer itself and (ii) a self-propagated paraneoplastic immune response with persistent neuronal destruction, liberation, processing and presentation of intracellular neural antigens. This illustrates a potential dissociation between peripheral anti-tumoral immunity and central anti-neural immunity during the course of PND.

Identifiers

PMID30002861
PMCPMC6037119
OpenAlexW2855923786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.