Evidence map›Paper›PMID 32084151›Full record

ArticlePloS one2020

Oligoclonal IgG antibodies in multiple sclerosis target patient-specific peptides.

Michael Graner, Tiffany Pointon, Sean Manton, Miyoko Green, Kathryn Dennison, Mollie Davis, Gino Braiotta, Julia Craft, Taylor Edwards, Bailey Polonsky and 3 more

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Effects of natalizumab on oligoclonal bands in the cerebrospinal fluid of patients with multiple sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  6. Immunoproteomics: The Evolution from Classical Methods to Emerging Techniques.Methods in molecular biology (Clifton, N.J.) · 2026
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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

13 authors.

Michael GranerDepartment of Neurosurgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Tiffany PointonDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Sean MantonDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Miyoko GreenDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Kathryn DennisonDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Mollie DavisDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Gino BraiottaDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Julia CraftDepartment of Neurosurgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Taylor EdwardsDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Bailey PolonskyDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Anthony FringuelloDepartment of Neurosurgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Timothy VollmerDepartment of Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.
Xiaoli YuDepartment of Neurosurgery, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States of America.ORCID 0000-0003-4850-8586

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IgG oligoclonal bands (OCBs) are present in the cerebrospinal fluid (CSF) of more than 95% of patients with multiple sclerosis (MS), and are considered to be the immunological hallmark of disease. However, the target specificities of the IgG in MS OCBs have remained undiscovered. Nevertheless, evidence that OCBs are associated with increased levels of disease activity and disability support their probable pathological role in MS. We investigated the antigen specificity of individual MS CSF IgG from 20 OCB-positive patients and identified 40 unique peptides by panning phage-displayed random peptide libraries. Utilizing our unique techniques of phage-mediated real-time Immuno-PCR and phage-probed isoelectric focusing immunoblots, we demonstrated that these peptides were targeted by intrathecal oligoclonal IgG antibodies of IgG1 and IgG3 subclasses. In addition, we showed that these peptides represent epitopes sharing sequence homologies with proteins of viral origin, and proteins involved in cell stress, apoptosis, and inflammatory processes. Although homologous peptides were found within individual patients, no shared peptide sequences were found among any of the 42 MS and 13 inflammatory CSF control specimens. The distinct sets of oligoclonal IgG-reactive peptides identified by individual MS CSF suggest that the elevated intrathecal antibodies may target patient-specific antigens.

Indexed as

Amino Acid SequenceAntibody SpecificityAutoantibodiesAutoantigensCase-Control StudiesEpitopesFemaleHumansImmunoglobulin GMaleMultiple SclerosisOligoclonal BandsPeptide LibraryPeptidesAutoantibodiesAutoantigensEpitopesImmunoglobulin GOligoclonal BandsPeptide LibraryPeptides

Identifiers

PMID32084151
PMCPMC7034880

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.