Evidence map›Paper›PMID 33031633›Full record

ArticleAnnals of clinical and translational neurology2020

HLA-B27 association of autoimmune encephalitis induced by PD-L1 inhibitor.

Hyeyeon Chang, Yong-Won Shin, Bhumsuk Keam, Miso Kim, Seock-Ah Im, Soon-Tae Lee

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 41 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Hyeyeon ChangDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0001-6939-7913
Yong-Won ShinDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-6781-7782
Bhumsuk KeamDepartment of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-8196-4247
Miso KimDepartment of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-4064-4199
Seock-Ah ImDepartment of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-5396-6533
Soon-Tae LeeDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-4767-7564
Seoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhile immune checkpoint inhibitors are increasingly used for various cancers, unpredictable immune-related adverse events (irAEs) such as autoimmune encephalitis is life-threatening. Here, we report an association between human leukocyte antigen (HLA) and atezolizumab-induced encephalitis.

methodsFrom an institutional prospective cohort for encephalitis, we identified patients with autoimmune encephalitis after the use of atezolizumab, a PD-L1 (programmed death-ligand 1) inhibitor, from August 2016 to September 2019 and analyzed their HLA genotypes.

resultsA total of 290 patients received atezolizumab, and seven patients developed autoimmune encephalitis, and five of whom were enrolled for the analysis. The patients presented altered mentality, seizures, or myelitis. Three patients had the HLA-B*27:05 genotype in common (60%), which is significantly frequent given its low frequency in the general population (2.5%). After Bonferroni correction, HLA-B*27:05 was significantly associated with autoimmune encephalitis by atezolizumab (corrected P < 0.001, odds ratio 59, 95% CI = 9.0 ~ 386.9).

interpretationHere we found that three in five patients with autoimmune encephalitis associated with atezolizumab had the rare HLA-B*27:05 genotype. Further systematic analyses in larger cohorts are necessary to investigate the value of HLA screening to prevent the life-threatening adverse events.

Indexed as

AdultAntibodies, Monoclonal, HumanizedAutoimmune Diseases of the Nervous SystemEncephalitisFemaleHLA-B27 AntigenHumansImmune Checkpoint InhibitorsMaleNeoplasmsProspective StudiesAntibodies, Monoclonal, HumanizedatezolizumabHLA-B27 AntigenImmune Checkpoint Inhibitors

Identifiers

PMID33031633
PMCPMC7664281
OpenAlexW3092611212

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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.