Evidence map›Paper›PMID 31838097›Full record

ArticleExperimental neurology2020

Inhibition of the transcription factor ROR-γ reduces pathogenic Th17 cells in acetylcholine receptor antibody positive myasthenia gravis.

John S Yi, Melissa A Russo, Shruti Raja, Janice M Massey, Vern C Juel, Jay Shin, Lisa D Hobson-Webb, Karissa Gable, Jeffrey T Guptill

Open access · greenAbstract read
In one paragraph

Article in Experimental neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. An angel or a devil? Current view on the role of CD8Journal of translational medicine · 2024
    Review
  6. Inflammation and autoimmune myasthenia gravis.Frontiers in immunology · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. 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

9 authors at 1 institution in 1 country.

John S YiDivision of Surgical Sciences, Department of Surgery, Duke University Medical Center, 915 S., LaSalle Street, Box 2926, Durham, NC 27710, USA. Electronic address: john.yi@duke.edu.
Melissa A RussoNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Shruti RajaNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Janice M MasseyNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Vern C JuelNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Jay ShinDuke University, Durham, NC 27710, USA.
Lisa D Hobson-WebbNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Karissa GableNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Jeffrey T GuptillNeuromuscular Section, Department of Neurology, Duke University Medical Center, Box 3403, Durham, NC 27710, USA.
Duke University · US

Funding

Immunological biomarker studies in myasthenia gravisK23NS085049 · NINDS · DUKE UNIVERSITY · PI GUPTILL, JEFFREY T · 2014 to 2018
$924k
NINDS NIH HHS K23 NS085049
6 · The paper itself

Abstract

IL-17 producing CD4 T cells (Th17) cells increase significantly with disease severity in myasthenia gravis (MG) patients. To suppress the generation of Th17 cells, we examined the effect of inhibiting retinoic acid receptor-related-orphan-receptor-C (RORγ), a Th17-specific transcription factor critical for differentiation. RORγ inhibition profoundly reduced Th17 cell frequencies, including IFN-γ and IL-17 co-producing pathogenic Th17 cells. Other T helper subsets were not affected. In parallel, CD8 T cell subsets producing IL-17 and IL-17/IFN-γ were increased in MG patients and inhibited by the RORγ inhibitor. These findings provide rationale for exploration of targeted Th17 therapies, including ROR-γ inhibitors, to treat MG patients.

Indexed as

AdultAgedAged, 80 and overAutoantibodiesAutoantigensCell DifferentiationFemaleHumansImmunologic FactorsInterleukin-17MaleMiddle AgedMyasthenia GravisNuclear Receptor Subfamily 1, Group F, Member 3Receptors, CholinergicTh17 CellsAutoantibodiesAutoantigensIL17A protein, humanImmunologic FactorsInterleukin-17Nuclear Receptor Subfamily 1, Group F, Member 3Receptors, CholinergicAChRIL-17Interferon-gammaMyasthenia gravisReceptor-related orphan receptor gammaTh17 cell

Identifiers

PMID31838097
PMCPMC7357824
OpenAlexW2994939569

What OpenQuestion holds

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LicenceTDM
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.