Evidence map›Paper›PMID 34903638›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2022

Allosteric Modulation of NMDARs Reverses Patients' Autoantibody Effects in Mice.

Marija Radosevic, Jesús Planagumà, Francesco Mannara, Araceli Mellado, Esther Aguilar, Lidia Sabater, Jon Landa, Anna García-Serra, Estibaliz Maudes, Xavier Gasull and 2 more

Open access · goldAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Antibody-Mediated Mechanisms in Autoimmune Neurological Disorders.The European journal of neuroscience · 2026
    Review
  3. Article
  4. Ten Years ofNeurology(R) neuroimmunology & neuroinflammation · 2025
    Article
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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

12 authors at 1 institution in 2 countries.

Marija RadosevicFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0002-8323-6160
Jesús PlanagumàFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0002-0840-9949
Francesco MannaraFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.
Araceli MelladoFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.
Esther AguilarFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.
Lidia SabaterFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0001-8556-6166
Jon LandaFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0002-7644-7517
Anna García-SerraFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0002-9609-2290
Estibaliz MaudesFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0003-1723-042X
Xavier GasullFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.ORCID 0000-0002-6154-8323
Mike LewisFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain.
Josep DalmauFrom the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) (M.R., J.P., F.M., A.M., E.A., L.S., J.L., A.G.-S., E.M., X.G., J.D.), Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Laboratori de Neurofisiologia (X.G.), Departament de Biomedicina, Facultat de Medicina i Ciències de la Salut, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain; Sage Therapeutics (M.L.), Department of Research and Nonclinical Development, Cambridge, MA; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia, PA; Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER) (J.D.), Madrid, Spain; and Institució Catalana de Recerca i Estudis Avançats (ICREA) (J.D.), Barcelona, Spain. jdalmau@clinic.cat.ORCID 0000-0001-5856-2813
Universitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesTo demonstrate that an analog (SGE-301) of a brain-derived cholesterol metabolite, 24(S)-hydroxycholesterol, which is a selective positive allosteric modulator (PAM) of NMDA receptors (NMDARs), is able to reverse the memory and synaptic alterations caused by CSF from patients with anti-NMDAR encephalitis in an animal model of passive transfer of antibodies.

methodsFour groups of mice received (days 1-14) patients' or controls' CSF via osmotic pumps connected to the cerebroventricular system and from day 11 were treated with daily subcutaneous injections of SGE-301 or vehicle (no drug). Visuospatial memory, locomotor activity (LA), synaptic NMDAR cluster density, hippocampal long-term potentiation (LTP), and paired-pulse facilitation (PPF) were assessed on days 10, 13, 18, and 26 using reported techniques.

resultsOn day 10, mice infused with patients' CSF, but not controls' CSF, presented a significant visuospatial memory deficit, reduction of NMDAR clusters, and impairment of LTP, whereas LA and PPF were unaffected. These alterations persisted until day 18, the time of maximal deficits in this model. In contrast, mice that received patients' CSF but from day 11 were treated with SGE-301 showed memory recovery (day 13), and on day 18, all paradigms (memory, NMDAR clusters, and LTP) had reversed to values similar to those of controls. On day 26, no differences were observed among experimental groups. DISCUSSION: An oxysterol biology-based PAM of NMDARs is able to reverse the synaptic and memory deficits caused by CSF from patients with anti-NMDAR encephalitis. These findings suggest a novel adjuvant treatment approach that deserves future clinical evaluation.

Indexed as

Cerebrospinal FluidAnimalsAnti-N-Methyl-D-Aspartate Receptor EncephalitisAutoantibodiesBehavior, AnimalDisease Models, AnimalHumansHydroxycholesterolsMaleMemory DisordersMiceMice, Inbred C57BL24-hydroxycholesterolAutoantibodiesHydroxycholesterols

Identifiers

PMID34903638
PMCPMC8669659
OpenAlexW4200177219

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