Evidence map›Paper›PMID 30792710›Full record

ArticleFrontiers in immunology2019

Cell-Free Mitochondrial DNA in the CSF: A Potential Prognostic Biomarker of Anti-NMDAR Encephalitis.

Yu Peng, Dong Zheng, Xiaomei Zhang, Suyue Pan, Teng Ji, Jun Zhang, Hai-Ying Shen, Hong-Hao Wang

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Amyloid and Tau as cerebrospinal fluid biomarkers in anti-N-Methyl-D-aspartate receptor encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Involvement of Mitochondria in Parkinson's Disease.International journal of molecular sciences · 2023
    Review
  14. Review
  15. [Recent research on cytokines associated with anti-N-methyl-D-aspartate receptor encephalitis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Review
  16. Review
  17. Article
  18. Aging: All roads lead to mitochondria.Seminars in cell & developmental biology · 2021
    Article
  19. Review
  20. Article
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

8 authors at 6 institutions in 2 countries.

Yu PengDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Dong ZhengDepartment of Neurology, the Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.
Xiaomei ZhangDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Suyue PanDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Teng JiDepartment of Neurology, Randall Children's Hospital, Legacy Health, Portland, OR, United States.
Jun ZhangDepartment of Surgical Oncology, MD Anderson Cancer Center, University of Texas, Houston, TX, United States.
Hai-Ying ShenRobert Stone Dow Neurobiology Laboratories, Legacy Research Institute, Legacy Health, Portland, OR, United States.
Hong-Hao WangDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Southern Medical University · CNGuangzhou Medical University · CNLegacy Health · USNanfang Hospital · CNRandall Children's Hospital at Legacy Emanuel · USThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an autoimmune inflammatory brain disease that can develop a variety of neuropsychiatric presentations. However, the underlying nature of its inflammatory neuronal injury remains unclear. Mitochondrial DNA (mtDNA) is recently regarded as a damage-associated molecular pattern molecule (DAMP) that can initiate an inflammatory response. In the presenting study, we aimed to evaluate the levels of cell-free mtDNA in cerebrospinal fluid (CSF) of patients with anti-NMDAR encephalitis and to determine a potential role of cell-free mtDNA in the prognosis of anti-NMDAR encephalitis. A total of 33 patients with NMDAR encephalitis and 17 patients with other non-inflammatory disorders as controls were included in this study. The CSF levels of cell-free mtDNA were measured by quantitative polymerase chain reaction (qPCR). Cytokines including interleukin (IL)-6, IL-10, and tumor necrosis factor alpha (TNF-α) were measured by ELISA. The modified Rankin scale (mRS) score was evaluated for neurologic disabilities. Our data showed that the CSF levels of cell-free mtDNA and inflammation-associated cytokines were significantly higher in the patients with anti-NMDAR encephalitis compared with those in controls. Positive correlations were detected between the CSF levels of cell-free mtDNA and mRS scores of patients with anti-NMDAR encephalitis at both their admission and 6-month follow up. These findings suggest that the CSF level of cell-free mtDNA reflects the underlying neuroinflammatory process in patients with anti-NMDAR encephalitis and correlates with their clinical mRS scores. Therefore, cell-free mtDNA may be a potential prognostic biomarker for anti-NMDAR encephalitis.

Indexed as

AdultAnti-N-Methyl-D-Aspartate Receptor EncephalitisBiomarkersCell-Free Nucleic AcidsDNADNA, MitochondrialFemaleHumansInterleukin-10Interleukin-6MaleMiddle AgedMitochondriaPolymerase Chain ReactionPrognosisTumor Necrosis Factor-alphaBiomarkersCell-Free Nucleic AcidsDNADNA, MitochondrialInterleukin-10Interleukin-6Tumor Necrosis Factor-alphaanti-NMDAR encephalitiscell-free mitochondrial DNAcerebrospinal fluidcytokinesIL-10IL-6modified rankin scaleTNF-α

Identifiers

PMID30792710
PMCPMC6375341
OpenAlexW2914547220

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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.