Evidence map›Paper›PMID 34719386›Full record

Observational studyJournal of neuroinflammation2021

Autoantibody screening in Guillain-Barré syndrome.

Cinta Lleixà, Lorena Martín-Aguilar, Elba Pascual-Goñi, Teresa Franco, Marta Caballero, Noemí de Luna, Eduard Gallardo, Xavier Suárez-Calvet, Laura Martínez-Martínez, Jordi Diaz-Manera and 20 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 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

30 authors at 11 institutions in 1 country.

Cinta Lleixà *Neuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Lorena Martín-Aguilar *Neuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Elba Pascual-GoñiNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Teresa FrancoImmunology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Marta CaballeroNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Noemí de LunaNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Eduard GallardoNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Xavier Suárez-CalvetNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Laura Martínez-MartínezImmunology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Jordi Diaz-ManeraNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Ricard Rojas-GarcíaNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Elena Cortés-VicenteNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Joana TurónNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Carlos CasasnovasCentro para la Investigación Biomédica en Red en Enfermedades Raras (CIBERER), Madrid, Spain.
Christian HomedesNeuromuscular Unit, Department of Neurology, Bellvitge University Hospital, Barcelona, Spain.
Gerardo Gutiérrez-GutiérrezDepartment of Neurology, Hospital Universitario Infanta Sofía, Madrid, Spain.
María Concepción Jimeno-MonteroDepartment of Neurology, Hospital Universitario Infanta Sofía, Madrid, Spain.
José BercianoCentro de Investigación Biomédica en Red en Enfermedades Neurodegenerativas, CIBERNED, Madrid, Spain.
Maria José Sedano-TousDepartment of Neurology, Hospital Universitario Marqués de Valdecilla (IDIVAL), University of Cantabria, Santander, Spain.
Tania García-SobrinoDepartment of Neurology, Hospital Clínico Universitario de Santiago, Santiago, Spain.
Julio Pardo-FernándezDepartment of Neurology, Hospital Clínico Universitario de Santiago, Santiago, Spain.
Celedonio Márquez-InfanteDepartment of Neurology, Hospital Universitario Virgen del Rocío, Seville, Spain.
Iñigo Rojas-MarcosDepartment of Neurology, Hospital Universitario Reina Sofia, Córdoba, Spain.
Ivonne Jericó-PascualDepartment of Neurology, Complejo Hospitalario de Navarra, Pamplona, Spain.
Eugenia Martínez-HernándezCentro para la Investigación Biomédica en Red en Enfermedades Raras (CIBERER), Madrid, Spain.
Germán Morís de la TassaDepartment of Neurology, Hospital Universitario Central de Asturias, Oviedo, Spain.
Cristina Domínguez-GonzálezCentro para la Investigación Biomédica en Red en Enfermedades Raras (CIBERER), Madrid, Spain.
Cándido JuárezImmunology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Isabel IllaNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Luis QuerolNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain. lquerol@santpau.cat.ORCID http://orcid.org/0000-0002-4289-8264
Universitat Autònoma de Barcelona · ESBellvitge University Hospital · ESComplejo Hospitalario Universitario de Santiago · ESHospital Universitario Infanta Sofía · ESUniversidad de Cantabria · ESCentre for Biomedical Network Research on Rare Diseases · ESComplejo Hospitalario de Navarra · ESHospital Universitario 12 De Octubre · ESHospital Universitario Central de Asturias · ESHospital Universitario Reina Sofía · ESHospital Universitario Virgen del Rocío · ES

Funding

gofundme campaign 86547262instituto de salud carlos iii CD18/00195instituto de salud carlos iii CM19/00042instituto de salud carlos iii FIS19/01407instituto de salud carlos iii INT20/00080
6 · The paper itself

Abstract

backgroundGuillain-Barré syndrome (GBS) is an acute inflammatory neuropathy with a heterogeneous presentation. Although some evidences support the role of autoantibodies in its pathogenesis, the target antigens remain unknown in a substantial proportion of GBS patients. The objective of this study is to screen for autoantibodies targeting peripheral nerve components in Guillain-Barré syndrome.

methodsAutoantibody screening was performed in serum samples from all GBS patients included in the International GBS Outcome study by 11 different Spanish centres. The screening included testing for anti-ganglioside antibodies, anti-nodo/paranodal antibodies, immunocytochemistry on neuroblastoma-derived human motor neurons and murine dorsal root ganglia (DRG) neurons, and immunohistochemistry on monkey peripheral nerve sections. We analysed the staining patterns of patients and controls. The prognostic value of anti-ganglioside antibodies was also analysed.

resultsNone of the GBS patients (n = 100) reacted against the nodo/paranodal proteins tested, and 61 (61%) were positive for, at least, one anti-ganglioside antibody. GBS sera reacted strongly against DRG neurons more frequently than controls both with IgG (6% vs 0%; p = 0.03) and IgM (11% vs 2.2%; p = 0.02) immunodetection. No differences were observed in the proportion of patients reacting against neuroblastoma-derived human motor neurons. Reactivity against monkey nerve tissue was frequently detected both in patients and controls, but specific patterns were only detected in GBS patients: IgG from 13 (13%) patients reacted strongly against Schwann cells. Finally, we confirmed that IgG anti-GM1 antibodies are associated with poorer outcomes independently of other known prognostic factors.

conclusionOur study confirms that (1) GBS patients display a heterogeneous repertoire of autoantibodies targeting nerve cells and structures; (2) gangliosides are the most frequent antigens in GBS patients and have a prognostic value; (3) further antigen-discovery experiments may elucidate other potential antigens in GBS.

Indexed as

AgedAnimalsAutoantibodiesCell Line, TumorCohort StudiesFemaleGanglia, SpinalGuillain-Barre SyndromeHumansMacacaMaleMass ScreeningMiddle AgedProspective StudiesRatsSpainAutoantibodiesAnti-gangliosideAutoantibodiesGuillain–Barré syndrome (GBS)NeuronsPrognosis

Identifiers

PMID34719386
PMCPMC8559393
OpenAlexW3210420944

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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.