Evidence map›Paper›PMID 30262654›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2018

NMDA-receptor antibodies alter cortical microcircuit dynamics.

Richard E Rosch, Sukhvir Wright, Gerald Cooray, Margarita Papadopoulou, Sushma Goyal, Ming Lim, Angela Vincent, A Louise Upton, Torsten Baldeweg, Karl J Friston

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 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
4.9field-weighted citation impact, top 5% 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, 54 citations in OpenAlex.

  1. Article
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  7. Review
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  9. CorticalProceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  10. Linking fast and slow: The case for generative models.Network neuroscience (Cambridge, Mass.) · 2024
    Review
  11. Review
  12. Controversies in immunotherapy for anti-NMDA receptor encephalitis: a scoping review with a proposal of operational definitions.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  13. Article
  14. Article
  15. Article
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  17. Cerebral Metabolic Network in Patients With Anti-Frontiers in neuroscience · 2022
    Article
  18. 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

10 authors at 8 institutions in 3 countries.

Richard E RoschWellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London WC1N 3AR, United Kingdom; richard.rosch@doctors.org.uk.ORCID 0000-0002-0316-5818
Sukhvir WrightSchool of Life and Health Sciences, Aston University, Birmingham B4 7ET, United Kingdom.
Gerald CoorayWellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London WC1N 3AR, United Kingdom.ORCID 0000-0001-8321-7085
Margarita PapadopoulouToNIC Toulouse Neuroimaging Center, INSERM/Université Toulouse III-Paul Sabatier (UPS), 31024 Toulouse, France.
Sushma GoyalDepartment of Clinical Neurophysiology, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London SE1 7EH, United Kingdom.
Ming LimChildren's Neurosciences, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London SE1 7EH, United Kingdom.
Angela VincentNuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, Oxford OX3 9DU, United Kingdom.
A Louise UptonDepartment of Physiology, Anatomy and Genetics, University of Oxford, Oxford OX1 3PT, United Kingdom.ORCID 0000-0001-6618-1199
Torsten BaldewegDevelopmental Neurosciences Programme, Great Ormond Street Institute of Child Health, University College London, London WC1N 3EH, United Kingdom.ORCID 0000-0002-5724-1679
Karl J FristonWellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London WC1N 3AR, United Kingdom.ORCID 0000-0001-7984-8909
Wellcome Centre for Human Neuroimaging · GBAston University · GBGreat Ormond Street Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBJohn Radcliffe Hospital · GBKing's College London · GBUniversité Toulouse III - Paul Sabatier · FRUniversity of Oxford · GB

Funding

Wellcome TrustWellcome Trust 088130/Z/09/ZWellcome Trust 106556/Z/14/Z
6 · The paper itself

Abstract

NMDA-receptor antibodies (NMDAR-Abs) cause an autoimmune encephalitis with a diverse range of EEG abnormalities. NMDAR-Abs are believed to disrupt receptor function, but how blocking this excitatory synaptic receptor can lead to paroxysmal EEG abnormalities-or even seizures-is poorly understood. Here we show that NMDAR-Abs change intrinsic cortical connections and neuronal population dynamics to alter the spectral composition of spontaneous EEG activity and predispose brain dynamics to paroxysmal abnormalities. Based on local field potential recordings in a mouse model, we first validate a dynamic causal model of NMDAR-Ab effects on cortical microcircuitry. Using this model, we then identify the key synaptic parameters that best explain EEG paroxysms in pediatric patients with NMDAR-Ab encephalitis. Finally, we use the mouse model to show that NMDAR-Ab-related changes render microcircuitry critically susceptible to overt EEG paroxysms when these key parameters are changed, even though the same parameter fluctuations are tolerated in the in silico model of the control condition. These findings offer mechanistic insights into circuit-level dysfunction induced by NMDAR-Ab.

Indexed as

AnimalsAntibodiesBrainCerebral CortexCortical SynchronizationEncephalitisExcitatory Postsynaptic PotentialsHumansMiceReceptors, N-Methyl-D-AspartateAntibodiesReceptors, N-Methyl-D-Aspartateautoimmune encephalitisdynamic causal modelingEEGneural mass modelNMDA-receptor antibodies

Identifiers

PMID30262654
PMCPMC6196513
OpenAlexW2730956042

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.