Evidence map›Paper›PMID 30253786›Full record

ArticleJournal of neuroinflammation2018

LGI1 expression and human brain asymmetry: insights from patients with LGI1-antibody encephalitis.

Yoonhyuk Jang, Soon-Tae Lee, Ji-Yeon Bae, Tae-Joon Kim, Jin-Sun Jun, Jangsup Moon, Keun-Hwa Jung, Kyung-Il Park, Sarosh R Irani, Kon Chu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
2.2field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. [European journal of nuclear medicine and molecular imaging · 2023
    Pooled it
  3. [18F]FDG brain PET and clinical symptoms in different autoantibodies of autoimmune encephalitis: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  4. BrainEuropean journal of nuclear medicine and molecular imaging · 2021
    Pooled it
  5. Pooled it
  6. Observational
  7. Plasma proteome in LGI-1 autoimmune encephalitis.Journal of neuroinflammation · 2026
    Article
  8. Article
  9. Article
  10. Hippocampal texture asymmetry features onFrontiers in immunology · 2026
    Article
  11. Imaging biomarkers in antibody-mediated autoimmune encephalitis.Quantitative imaging in medicine and surgery · 2025
    Article
  12. Article
  13. Article
  14. Neuropsychological and Structural Neuroimaging Outcomes in LGI1-Limbic Encephalitis: A Case Study.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2023
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Clinical Approach to Autoimmune Epilepsy.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

11 authors at 3 institutions in 2 countries.

Yoonhyuk JangDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Soon-Tae LeeDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Ji-Yeon BaeDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Tae-Joon KimDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Jin-Sun JunDepartment of Neurology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, South Korea.
Jangsup MoonDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Keun-Hwa JungDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Kyung-Il ParkDepartment of Neurology, Seoul National University Healthcare System Gangnam Center, Seoul, South Korea.
Sarosh R IraniOxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Kon ChuDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. stemcell.snu@gmail.com.
Sang Kun LeeDepartment of Neurology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. sangkun2923@gmail.com.
Seoul National University Hospital · KRKyungpook National University Hospital · KRUniversity of Oxford · GB

Funding

BMA Research Grants- Vera Down grant 2013Epilepsy Research UK P1201Margaret Temple 2017Ministry of Science, ICT & Future Planning, and the Republic of Korea 2016R1C1B2011815 and 2016 M3C7A191the Lee Sueng Moon Research Fund of Seoul National University Hospital 3020170130the Wellcome Trust 104079/Z/14/ZWellcome Trust
6 · The paper itself

Abstract

backgroundWhile brain asymmetry has been a fascinating issue in neuroscience, the critical mechanism remains to be elucidated. Based on some index cases with asymmetric 18F-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) uptake in leucine-rich glioma-inactivated 1 (LGI1)-antibody encephalitis, we hypothesized LGI1 expression could be asymmetrically distributed in the human brain.

methodsWe enrolled 13 patients who were diagnosed with LGI1-antibody encephalitis between June 2012 and January 2018 at Seoul National University Hospital. Their pretreatment 18F-FDG-PET images were analyzed to find asymmetry between the left and right hemispheres. Guided by these observations, expression of LGI1 in the human hippocampus and the globus pallidus of both cerebral hemispheres was studied in nine post-mortem human brains.

resultsEleven of the 13 LGI1-antibody encephalitis patients (84.6%) showed asymmetrical FDG high uptake in the hippocampus: nine (81.8%) on the left hippocampus and two (18.2%) on the right. In the basal ganglia, seven patients (53.8%) showed asymmetry: four (57.1%) on the left and three (42.9%) on the right. The asymmetry was not evident in the laterality of faciobrachial dystonic seizures, brain MRI, and EEG. When the expression of LGI1 protein was analyzed in nine post-mortem human brains by western blotting, LGI1 expression was higher on eight left globus pallidus samples (88.89%, P = 0.019) and on four left hippocampal samples (44.44%, P = 0.652), compared to their right hemisphere samples.

conclusionsImaging parameters from patients with LGI1-antibody encephalitis and studies of LGI1 protein expression suggest that LGI1 is asymmetrically distributed in the human brain. These observations have implications for our understanding of human brain development.

Indexed as

AgedAutoantibodiesBrainElectroencephalographyEncephalitisFemaleFluorodeoxyglucose F18HumansIntracellular Signaling Peptides and ProteinsMagnetic Resonance ImagingMaleMiddle AgedNerve Tissue ProteinsPositron-Emission TomographyProteinsRetrospective StudiesAutoantibodiesFluorodeoxyglucose F18Intracellular Signaling Peptides and ProteinsLGI1 protein, humanNerve Tissue ProteinsProteinsAutoantibodyBrain lateralizationHuman brain asymmetryLGI1LGI1 encephalitis

Identifiers

PMID30253786
PMCPMC6156957
OpenAlexW2893037557

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.