Evidence map›Paper›PMID 32907470›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2021

MOG-IgG1 and co-existence of neuronal autoantibodies.

Amy Kunchok, Eoin P Flanagan, Karl N Krecke, John J Chen, J Alfredo Caceres, Justin Dominick, Ian Ferguson, Revere Kinkel, John C Probasco, Miguel Ruvalcaba and 6 more

Open access · greenAbstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  10. Clinical features of adult patients with positive NMDAR-IgG coexisting with MOG-IgG.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
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  16. Observational
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  20. Coexistence of NMDAR, GAD65, and SOX1 antibody-associated autoimmune encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    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

16 authors at 10 institutions in 1 country.

Amy KunchokDepartment of Neurology, Mayo Clinic, Rochester, MN, USA/Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA/Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.
Eoin P FlanaganDepartment of Neurology, Mayo Clinic, Rochester, MN, USA/Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA/Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-6661-2910
Karl N KreckeDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
John J ChenLaboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA/Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA/Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA.
J Alfredo CaceresDepartment of Neurology, John Hopkins University School of Medicine, Baltimore, MD, USA.
Justin DominickDivision of Neurology, Sharp Rees-Stealy Medical Group, San Diego, CA, USA.
Ian FergusonDepartment of Rheumatology, Yale University School of Medicine, New Haven, CT, USA.
Revere KinkelDepartment of Neurology, University of San Diego, San Diego, CA, USA.
John C ProbascoDepartment of Neurology, John Hopkins University School of Medicine, Baltimore, MD, USA.
Miguel RuvalcabaDepartment of Neurology, UC Davis Medical Center (UCDMC), Sacramento, CA, USA.
Jonathan D SantoroDivision of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA/Department of Neurology, Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-8350-8234
Kurt SieloffDepartment of Neurology, University of Michigan, Ann Arbor, MI, USA.
Jeremy TimothyDepartment of Neurology, Wellspan Pediatric Neurology, Manchester, PA, USA.
Brian G WeinshenkerDepartment of Neurology, Mayo Clinic, Rochester, MN, USA/Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.
Andrew McKeonDepartment of Neurology, Mayo Clinic, Rochester, MN, USA/Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA/Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.
Sean J PittockDepartment of Neurology, Mayo Clinic, Rochester, MN, USA/Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA/Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-8387-6491
Mayo Clinic in Arizona · USJohns Hopkins University · USMayo Clinic · USSharp Rees-Stealy Medical Group · USUniversity of California Davis Medical Center · USUniversity of Michigan · USUniversity of San Diego · USUniversity of Southern California · USWellSpan Health · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Utilizing epidemiology, imaging and fluid biomarkers in MOG antibody-associated disease to inform prognosis, pathogenesis and therapeuticsR01NS113828 · NINDS · MAYO CLINIC ROCHESTER · PI Eoin P Flanagan · 2020 to 2026
$2.4M
NCATS NIH HHS UL1 TR001863NINDS NIH HHS R01 NS113828
6 · The paper itself

Abstract

backgroundThe presence of co-existent neuronal antibodies (neuronal-IgG) in patients with myelin oligodendrocyte glycoprotein immunoglobulin G (MOG-IgG1) is not yet well understood.

objectivesThe aim of this study was to investigate the co-existence of a broad range of neuronal-IgG in MOG-IgG1+ patients.

methodsMOG-IgG1+ patients were tested for 17 neuronal-IgGs in cerebrospinal fluid (CSF) and serum including NMDA-R-IgG, AMPA-R-IgG, GABAB-R-IgG, LGI1-IgG, CASPR2-IgG, GABAA-R-IgG, GAD65-IgG, mGLUR1-IgG, DPPX-IgG, CRMP5-IgG, amphiphysin-IgG, PCA1,2,Tr, and ANNA1,2,3. Clinical and radiological features of MOG-IgG1+ with NMDA-R-IgG in CSF were compared to a control cohort of MOG-IgG1+ patients without NMDA-R-IgG.

resultsA total of 376 MOG-IgG1+ patients underwent testing for neuronal-IgGs. Serum testing for neuronal-IgGs (113 adults, 142 children) identified one child with NMDA-R-IgG (0.7%), one child with CASPR2-IgG (0.7%), one adult with LGI1-IgG (0.9%) and one adult with GABAA-R-IgG (0.9%). CSF testing for neuronal-IgGs (97 adults, 169 children) identified seven children (4%) and seven adults (7%) with NMDA-R-IgG, and one adult with GABAA-R-IgG (1%). The MOG-IgG1+/NMDA-R-IgG+ patients had a median age of 17 (range: 2-39) years. Features associated with MOG-IgG1+/NMDA-R-IgG+ included encephalopathy (

conclusionNMDA-R-IgG was the most frequently detected neuronal-IgG to co-exist with MOG-IgG1. MOG-IgG1+/NMDA-R-IgG+ patients most often presented with encephalopathy and seizures. Testing for MOG-IgG1 and NMDA-R-IgG may be warranted in patients with encephalopathy and inflammatory demyelinating syndromes.

Indexed as

AutoantibodiesImmunoglobulin GAdolescentAdultChildChild, PreschoolHumansMyelin-Oligodendrocyte GlycoproteinSyndromeYoung AdultAutoantibodiesImmunoglobulin GMyelin-Oligodendrocyte Glycoproteinautoimmune encephalitisbiomarkersdemyelinationMOG-IgG1neuronal antibodiesNMDA-R-IgG

Identifiers

PMID32907470
PMCPMC8454216
OpenAlexW3085233982

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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.