Evidence map›Paper›PMID 32817492›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Autoantibodies against central nervous system antigens in a subset of B cell-dominant multiple sclerosis patients.

Stefanie Kuerten, Tobias V Lanz, Nithya Lingampalli, Lauren J Lahey, Christoph Kleinschnitz, Mathias Mäurer, Michael Schroeter, Stefan Braune, Tjalf Ziemssen, Peggy P Ho and 2 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Neuromyelitis Optica Spectrum Disorders in Africa: A Systematic Review.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Pooled it
  2. Trial
  3. Article
  4. Targeting neuroinflammation in neurodegenerative disorders: the emerging potential of semaglutide.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Modulator of VRAC Current 1 Is a Potential Target Antigen in Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Renegade T cell clones and autoimmune disease.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  20. Impact of Siglecs on autoimmune diseases.Molecular aspects of medicine · 2023
    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

12 authors at 7 institutions in 2 countries.

Stefanie KuertenInstitute of Anatomy and Cell Biology, Friedrich Alexander Universität Erlangen-Nürnberg, D-91054 Erlangen, Germany; stefanie.kuerten@fau.de tlanz@stanford.edu steinman@stanford.edu.ORCID 0000-0001-6119-605X
Tobias V LanzDivision of Immunology and Rheumatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305; stefanie.kuerten@fau.de tlanz@stanford.edu steinman@stanford.edu.ORCID 0000-0001-7106-8801
Nithya LingampalliDivision of Immunology and Rheumatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305.
Lauren J LaheyDivision of Immunology and Rheumatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany.
Mathias MäurerKlinikum Würzburg Mitte, Standort Juliusspital, D-97070 Würzburg, Germany.
Michael SchroeterDepartment of Neurology, University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.
Stefan BrauneNeuroTransData, 86633 Neuburg an der Donau, Germany.ORCID 0000-0002-9343-8938
Tjalf ZiemssenCenter of Clinical Neuroscience, Department of Neurology, University Clinic Carl Gustav Carus, TU Dresden, 01307 Dresden Germany.ORCID 0000-0001-8799-8202
Peggy P HoDepartment of Neurology and Neurological Sciences, Beckman Center for Molecular Medicine, Stanford University, Stanford, CA 94305.
William H RobinsonDivision of Immunology and Rheumatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305.
Lawrence SteinmanDepartment of Neurology and Neurological Sciences, Beckman Center for Molecular Medicine, Stanford University, Stanford, CA 94305 stefanie.kuerten@fau.de tlanz@stanford.edu steinman@stanford.edu.
VA Palo Alto Health Care System · USStanford University · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum Würzburg Mitte · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Cologne · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system (CNS), with characteristic inflammatory lesions and demyelination. The clinical benefit of cell-depleting therapies targeting CD20 has emphasized the role of B cells and autoantibodies in MS pathogenesis. We previously introduced an enzyme-linked immunospot spot (ELISpot)-based assay to measure CNS antigen-specific B cells in the blood of MS patients and demonstrated its usefulness as a predictive biomarker for disease activity in measuring the successful outcome of disease-modifying therapies (DMTs). Here we used a planar protein array to investigate CNS-reactive antibodies in the serum of MS patients as well as in B cell culture supernatants after polyclonal stimulation. Anti-CNS antibody reactivity was evident in the sera of the MS cohort, and the antibodies bound a heterogeneous set of molecules, including myelin, axonal cytoskeleton, and ion channel antigens, in individual patients. Immunoglobulin reactivity in supernatants of stimulated B cells was directed against a broad range of CNS antigens. A group of MS patients with a highly active B cell component was identified by the ELISpot assay. Those antibody reactivities remained stable over time. These assays with protein arrays identify MS patients with a highly active B cell population with antibodies directed against a swathe of CNS proteins.

Indexed as

AdultAntigensAutoantibodiesAutoimmune DiseasesB-LymphocytesCentral Nervous SystemCohort StudiesFemaleHumansMaleMiddle AgedMultiple SclerosisMyelin SheathAntigensAutoantibodiesantibodyB cellsELISpotmultiple sclerosismyelin

Identifiers

PMID32817492
PMCPMC7474673
OpenAlexW3055941351

What OpenQuestion holds

Textmetadata
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.