Evidence map›Paper›PMID 30843274›Full record

ArticleAnnals of neurology2019

N-methyl-D-aspartate receptor dysfunction by unmutated human antibodies against the NR1 subunit.

Nina Kerstin Wenke, Jakob Kreye, Ewa Andrzejak, Adriana van Casteren, Jonas Leubner, Manuela S Murgueitio, S Momsen Reincke, Christopher Secker, Lars Schmidl, Christian Geis and 6 more

Abstract read
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Dissecting autoimmune encephalitis through the lens of intrathecal B cells.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  19. Article
  20. Autoantibodies in neurological disease.Nature reviews. Immunology · 2021
    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

16 authors.

Nina Kerstin WenkeGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Jakob KreyeGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Ewa AndrzejakGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Adriana van CasterenGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Jonas LeubnerGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Manuela S MurgueitioFreie Universität Berlin, Institute of Pharmacy, Berlin, Germany.
S Momsen ReinckeGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Christopher SeckerGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Lars SchmidlHans-Berger Department of Neurology, University Hospital Jena, Jena, Germany.
Christian GeisHans-Berger Department of Neurology, University Hospital Jena, Jena, Germany.
Frauke AckermannGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Marc NikolausDepartment of Pediatric Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Craig C GarnerGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.
Hedda WardemannGerman Cancer Research Center, B Cell Immunology, Heidelberg, Germany.
Gerhard WolberFreie Universität Berlin, Institute of Pharmacy, Berlin, Germany.
Harald PrüssGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Germany.ORCID 0000-0002-8283-7976

Funding

Charité-Universitätsmedizin BerlinFreie Universität BerlinGerman Research Foundation CRC/TRR166German Research Foundation PR 1274; 2-1German Research Foundation TP B02
6 · The paper itself

Abstract

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is the most common autoimmune encephalitis related to autoantibody-mediated synaptic dysfunction. Cerebrospinal fluid-derived human monoclonal NR1 autoantibodies showed low numbers of somatic hypermutations or were unmutated. These unexpected germline-configured antibodies showed weaker binding to the NMDAR than matured antibodies from the same patient. In primary hippocampal neurons, germline NR1 autoantibodies strongly and specifically reduced total and synaptic NMDAR currents in a dose- and time-dependent manner. The findings suggest that functional NMDAR antibodies are part of the human naïve B cell repertoire. Given their effects on synaptic function, they might contribute to a broad spectrum of neuropsychiatric symptoms. Ann Neurol 2019;85:771-776.

Indexed as

AnimalsAnti-N-Methyl-D-Aspartate Receptor EncephalitisAutoantibodiesHEK293 CellsHippocampusHumansMiceNeuronsProtein BindingProtein Structure, SecondaryReceptors, N-Methyl-D-AspartateAutoantibodiesNR1 NMDA receptorReceptors, N-Methyl-D-Aspartate

Identifiers

PMID30843274
PMCPMC6593665

What OpenQuestion holds

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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.