Evidence map›Paper›PMID 32152690›Full record

ArticleJournal of neurology2020

Primary DQ effect in the association between HLA and neurological syndromes with anti-GAD65 antibodies.

Sergio Muñiz-Castrillo, Aditya Ambati, Valérie Dubois, Alberto Vogrig, Bastien Joubert, Véronique Rogemond, Geraldine Picard, Ling Lin, Nicole Fabien, Emmanuel Mignot and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
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  4. Recent advances in autoimmune encephalitis.Arquivos de neuro-psiquiatria · 2024
    Review
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  14. Article
  15. Article
  16. Neuropsychiatric Disorders Due to Limbic Encephalitis: Immunologic Aspect.International journal of molecular sciences · 2020
    Review
  17. Article
  18. Neurological Syndromes Associated with Anti-GAD Antibodies.International journal of molecular sciences · 2020
    Review
  19. 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

11 authors at 3 institutions in 2 countries.

Sergio Muñiz-CastrilloFrench Reference Center on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 59 Boulevard Pinel, 69677, Bron Cedex, France.ORCID http://orcid.org/0000-0001-5958-3288
Aditya AmbatiCenter for Sleep Sciences and Medicine, Stanford University, Palo Alto, CA, USA.
Valérie DuboisHLA Laboratory, French Blood Service, EFS Auvergne-Rhône-Alpes, Lyon, France.
Alberto VogrigFrench Reference Center on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 59 Boulevard Pinel, 69677, Bron Cedex, France.
Bastien JoubertFrench Reference Center on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 59 Boulevard Pinel, 69677, Bron Cedex, France.
Véronique RogemondFrench Reference Center on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 59 Boulevard Pinel, 69677, Bron Cedex, France.
Geraldine PicardFrench Reference Center on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 59 Boulevard Pinel, 69677, Bron Cedex, France.
Ling LinCenter for Sleep Sciences and Medicine, Stanford University, Palo Alto, CA, USA.
Nicole FabienDepartment of Immunology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Lyon, France.
Emmanuel MignotCenter for Sleep Sciences and Medicine, Stanford University, Palo Alto, CA, USA.
Jérôme HonnoratFrench Reference Center on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, 59 Boulevard Pinel, 69677, Bron Cedex, France. jerome.honnorat@chu-lyon.fr.
Université Claude Bernard Lyon 1 · FRStanford University · USHospices Civils de Lyon · FR

Funding

ANR France ANR-14-CE15-0001-MECANOANR France ANR-18-RHUS-0012-BETPSYFondation pour la Recherche Médicale DQ20170336751
6 · The paper itself

Abstract

The primary cause of neurological syndromes with antibodies against glutamic acid decarboxylase 65 (GAD65-Ab) is unknown, but genetic predisposition may exist as it is suggested by the co-occurrence in patients and their relatives of other organ-specific autoimmune diseases, notably type 1 diabetes mellitus (T1DM), and by the reports of a few familial cases. We analyzed the human leukocyte antigen (HLA) in 32 unrelated patients and compared them to an ethnically matched sample of 137 healthy controls. Four-digit resolution HLA alleles were imputed from available Genome Wide Association data, and full HLA next-generation sequencing-based typing was also performed. HLA DQA1*05:01-DQB1*02:01-DRB1*03:01 was the most frequent class II haplotype in patients (13/32, 41%). DQB1*02:01 was the only allele found to be significantly more common in patients than in controls (20/137, 15%, corrected p = 0.03, OR 3.96, 95% CI [1.54-10.09]). There was also a trend towards more frequent DQA1*05:01 among patients compared to controls (22/137, 16%; corrected p = 0.05, OR 3.54, 95% CI [1.40-8.91]) and towards a protective effect of DQB1*03:01 (2/32, 6% in patients vs. 42/137, 31% in control group; corrected p = 0.05, OR 0.15, 95% CI [0.02-0.65]). There was no significant demographic or clinical difference between DQ2 and non-DQ2 carriers (p > 0.05). Taken together, these findings suggest a primary DQ effect on GAD65-Ab neurological diseases, partially shared with other systemic organ-specific autoimmune diseases such as T1DM. However, it is likely that other non-HLA loci are involved in the genetic predisposition of GAD65-Ab neurological syndromes.

Indexed as

AutoantibodiesCerebellar AtaxiaDiabetes Mellitus, Type 1Limbic EncephalitisStiff-Person SyndromeAdultAgedAged, 80 and overComorbidityFemaleGenetic Predisposition to DiseaseGlutamate DecarboxylaseHaplotypesHLA-DQ alpha-ChainsHLA-DQ AntigensHLA-DQ beta-ChainsAutoantibodiesGlutamate Decarboxylaseglutamate decarboxylase 2HLA-DQA1 antigenHLA-DQ alpha-ChainsHLA-DQ AntigensHLA-DQB1 antigenHLA-DQ beta-ChainsHLA-DRB1 ChainsCerebellar ataxiaGlutamic acid decarboxylaseHLALimbic encephalitisStiff person syndrome

Identifiers

PMID32152690
OpenAlexW3012312568

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.