Evidence map›Paper›PMID 31617317›Full record

ArticleAnnals of clinical and translational neurology2019

Hippocampal epileptogenesis in autoimmune encephalitis.

Michele Romoli, Paraskevi Krashia, Arjune Sen, Diego Franciotta, Matteo Gastaldi, Annalisa Nobili, Andrea Mancini, Elena Nardi Cesarini, Pasquale Nigro, Nicola Tambasco and 7 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
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  4. LGI1 Autoantibodies Enhance Synaptic Transmission by Presynaptic KNeurology(R) neuroimmunology & neuroinflammation · 2024
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  7. Review
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  11. Upregulation of CaMolecular neurodegeneration · 2022
    Article
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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

17 authors at 6 institutions in 2 countries.

Michele RomoliNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.ORCID 0000-0001-8009-8543
Paraskevi KrashiaDepartment of Experimental Neurosciences, IRCCS Santa Lucia Foundation, Rome, Italy.
Arjune SenOxford Epilepsy Research Group, NIHR Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK.
Diego FranciottaNeuroimmunology Laboratory, IRCCS Mondino Foundation, Pavia, Italy.
Matteo GastaldiNeuroimmunology Laboratory, IRCCS Mondino Foundation, Pavia, Italy.
Annalisa NobiliDepartment of Experimental Neurosciences, IRCCS Santa Lucia Foundation, Rome, Italy.
Andrea ManciniNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.
Elena Nardi CesariniNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.
Pasquale NigroNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.
Nicola TambascoNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.ORCID 0000-0003-1497-4482
Nicola B MercuriDepartment of Experimental Neurosciences, IRCCS Santa Lucia Foundation, Rome, Italy.ORCID 0000-0001-6700-7491
Lucilla ParnettiNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.
Massimiliano Di FilippoNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.ORCID 0000-0002-2645-7477
Marcello D'AmelioDepartment of Experimental Neurosciences, IRCCS Santa Lucia Foundation, Rome, Italy.
Sarosh R IraniOxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0002-7667-9748
Cinzia CostaNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.
Paolo CalabresiNeurology Clinic, Department of Medicine, University of Perugia, Perugia, Italy.
University of Perugia · ITUniversità Campus Bio-Medico · ITFondazione Istituto Neurologico Nazionale Casimiro Mondino · ITJohn Radcliffe Hospital · GBUniversity of Oxford · GBUniversity of Rome Tor Vergata · IT

Funding

Alzheimer's Association AARG-18-566270Epilepsy Research UK P1201Margaret TempleNIHR Oxford Biomedical Research CentreVera DownWellcome TrustWellcome Trust 104079/Z/14/Z
6 · The paper itself

Abstract

objectiveAutoantibody-mediated forms of encephalitis (AE) include neurological disorders characterized by subacute memory loss, movement disorders, and, often, frequent, focal epileptic seizures. Yet, the electrophysiological effects of these autoantibodies on neuronal function have received little attention. In this study, we assessed the effects of CSF containing autoantibodies on intrinsic and extrinsic properties of hippocampal neurons, to define their epileptogenic potential.

methodsWe compared the effects of CSF containing leucine-rich glioma inactivated 1 (LGI1), contactin-associated protein-like 2 (CASPR2), and γ-aminobutyric acid receptor B (GABA

resultsBy comparison to control CSF, AE CSFs increased the probability of glutamate release from CA3 neurons. In addition, LGI1- and CASPR2 antibodies containing CSFs induced epileptiform activity at a population level following Schaffer collateral stimulation. CASPR2 antibody containing CSF was also associated with higher spontaneous firing of CA1 pyramidal neurons. On the contrary, GABA

interpretationUsing patient CSF, we have demonstrated that the AE-associated antibodies against LGI1 and CASPR2 are able to increase hippocampal CA1 neuron excitability, facilitating epileptiform activity. These findings provide in vivo pathogenic insights into neuronal dysfunction in these conditions.

Indexed as

AutoantibodiesAutoimmune Diseases of the Nervous SystemEncephalitisEpilepsyHippocampusAnimalsAutoantigensHumansIntracellular Signaling Peptides and ProteinsMaleMembrane ProteinsMiceMice, Inbred C57BLNerve Tissue ProteinsNeuronsReceptors, GABA-BAutoantibodiesAutoantigensCNTNAP2 protein, humanIntracellular Signaling Peptides and ProteinsLGI1 protein, humanMembrane ProteinsNerve Tissue ProteinsReceptors, GABA-B

Identifiers

PMID31617317
PMCPMC6856617
OpenAlexW2980716965

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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.