Evidence map›Paper›PMID 34761434›Full record

ArticleAnnals of neurology2022

Novel Autoantibodies in Idiopathic Small Fiber Neuropathy.

Amanda C Y Chan, Hiu Yi Wong, Yao Feng Chong, Poh San Lai, Hock Luen Teoh, Alison Y Y Ng, Jennifer H M Hung, Yee Cheun Chan, Kay W P Ng, Joy Vijayan and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 34 citations in OpenAlex.

  1. Observational
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  6. Review
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  11. Review
  12. Advances in diagnosis and management of distal sensory polyneuropathies.Journal of neurology, neurosurgery, and psychiatry · 2023
    Review
  13. A role for pathogenic autoantibodies in small fiber neuropathy?Frontiers in molecular neuroscience · 2023
    Review
  14. Inappropriate sinus tachycardia in long-COVID and other updates on recent autonomic research.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 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

21 authors at 6 institutions in 4 countries.

Amanda C Y ChanDivision of Neurology, Department of Medicine, National University Health System, Singapore.ORCID 0000-0002-2950-3707
Hiu Yi WongDivision of Life Science, State Key Laboratory of Molecular Neuroscience, Hong Kong University of Science and Technology, Clear Water Bay, Hong Kong.
Yao Feng ChongDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Poh San LaiDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0003-3352-2000
Hock Luen TeohDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Alison Y Y NgDivision of Neurology, Department of Medicine, National University Health System, Singapore.ORCID 0000-0003-0735-8593
Jennifer H M HungDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Yee Cheun ChanDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Kay W P NgDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Joy VijayanDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Jonathan J Y OngDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Bharatendu ChandraDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Chi Hsien TanDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Nurul H RuttSengenics, Singapore.
Ti Myen TanSengenics, Singapore.
Nur Hafiza IsmailSengenics, Singapore.
Einar Wilder-SmithDepartment of Neurology, Inselspital Bern, University of Bern, Bern, Switzerland.
Herbert SchwarzDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Hyungwon ChoiDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Vijay K SharmaDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Anselm MakDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0002-4688-7829
National University of Singapore · SGSengkang General Hospital · SGHong Kong University of Science and Technology · HKNational University Health System · SGUniversity of Bern · CHUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSmall fiber neuropathy (SFN) is clinically and etiologically heterogeneous. Although autoimmunity has been postulated to be pathophysiologically important in SFN, few autoantibodies have been described. We aimed to identify autoantibodies associated with idiopathic SFN (iSFN) by a novel high-throughput protein microarray platform that captures autoantibodies expressed in the native conformational state.

methodsSera from 58 SFN patients and 20 age- and gender-matched healthy controls (HCs) were screened against >1,600 immune-related antigens. Fluorescent unit readout and postassay imaging were performed, followed by composite data normalization and protein fold change (pFC) analysis. Analysis of an independent validation cohort of 33 SFN patients against the same 20 HCs was conducted to identify reproducible proteins in both cohorts.

resultsNine autoantibodies were screened with statistical significance and pFC criteria in both cohorts, with at least 50% change in serum levels. Three proteins showed consistently high fold changes in main and validation cohorts: MX1 (FC = 2.99 and 3.07, respectively, p = 0.003, q = 0.076), DBNL (FC = 2.11 and 2.16, respectively, p = 0.009, q < 0.003), and KRT8 (FC = 1.65 and 1.70, respectively, p = 0.043, q < 0.003). Further subgroup analysis into iSFN and SFN by secondary causes (secondary SFN) in the main cohort showed that MX1 is higher in iSFN compared to secondary SFN (FC = 1.61 vs 0.106, p = 0.009).

interpretationNovel autoantibodies MX1, DBNL, and KRT8 are found in iSFN. MX1 may allow diagnostic subtyping of iSFN patients. ANN NEUROL 2022;91:66-77.

Indexed as

AdultAgedAutoantibodiesAutoantigensCohort StudiesFemaleHumansKeratin-8MaleMicrofilament ProteinsMiddle AgedMyxovirus Resistance ProteinsSmall Fiber Neuropathysrc Homology DomainsAutoantibodiesAutoantigensDBNL protein, humanKeratin-8KRT8 protein, humanMicrofilament ProteinsMX1 protein, humanMyxovirus Resistance Proteins

Identifiers

PMID34761434
PMCPMC9300200
OpenAlexW3212450038

What OpenQuestion holds

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LicenceCC BY-NC
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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.