Evidence map›Paper›PMID 34921120›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2022

Characterisation of TRIM46 autoantibody-associated paraneoplastic neurological syndrome.

Cristina Valencia-Sanchez, Andrew M Knight, M Bakri Hammami, Yong Guo, John R Mills, Thomas J Kryzer, Amanda L Piquet, Anik Amin, Morgan Heinzelmann, Claudia F Lucchinetti and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. PhIP-Seq: methods, applications and challenges.Frontiers in bioinformatics · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Paraneoplastic Neurologic Disorders.Current neurology and neuroscience reports · 2023
    Review
  17. Article
  18. Paraneoplastic neurological syndrome: growing spectrum and relevance.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  19. 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

14 authors at 3 institutions in 1 country.

Cristina Valencia-SanchezDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-0116-8035
Andrew M KnightDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
M Bakri HammamiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-3422-5163
Yong GuoDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
John R MillsDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Thomas J KryzerDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Amanda L PiquetDepartment of Neurology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Anik AminDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-6646-3679
Morgan HeinzelmannDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Claudia F LucchinettiDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Vanda A LennonDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Andrew McKeonDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-6856-8143
Sean J PittockDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-6140-5584
Divyanshu DubeyDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA Dubey.Divyanshu@mayo.edu.
Mayo Clinic · USThe University of Texas Southwestern Medical Center · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Seronegative Autoimmune Encephalopathies: Biomarker Discovery, Validation & Deep PhenotypingR01NS126227 · NINDS · MAYO CLINIC ROCHESTER · PI Andrew McKeon · 2022 to 2026
$1.9M
NINDS NIH HHS R01 NS126227
6 · The paper itself

Abstract

objectivesTo report the expanded neurological presentations and oncological associations of tripartite motif-containing protein 46 (TRIM46)-IgG seropositive patients.

methodsArchived sera/cerebrospinal fluid (CSF) were evaluated by tissue-based immunofluorescence assay to identify patients with identical axon initial segment (AIS)-specific staining pattern. Phage immunoprecipitation sequencing (PhIP-Seq) was used to identify the putative autoantigen.

resultsIgG in serum (17) and/or CSF (16) from 25 patients yielded unique AIS-specific staining on murine central nervous system (CNS) tissue. An autoantibody specific for TRIM46 was identified by PhIP-Seq, and autoantigen specificity was confirmed by transfected COS7 cell-based assay. Clinical information was available for 22 TRIM46-IgG seropositive patients. Fifteen were female (68%). Median age was 67 years (range 25-87). Fifteen (68%) patients presented with subacute cerebellar syndrome (six isolated; nine with CNS accompaniments: encephalopathy (three), brainstem signs (two), myelopathy (two), parkinsonism (one)). Other phenotypes included limbic encephalitis (three), encephalopathy with/without seizures (two), myelopathy (two). Eighteen (82%) had cancer: neuroendocrine carcinomas (9; pancreatic (3), small-cell lung (4), oesophagus (1), endometrium (1)), adenocarcinomas (6; lung (2), ovarian (2), endometrial (1), breast (1)), sarcoma (2) and gastrointestinal tumour (1). Neurological symptoms in three followed immune checkpoint inhibitor (ICI) administration.

conclusionsThis study supports TRIM46-IgG being a biomarker of paraneoplastic CNS disorders and expands the neurological phenotypes, oncological and ICI-related adverse event associations.

Indexed as

AdultAgedAged, 80 and overAutoantibodiesBiomarkersFemaleHumansLimbic EncephalitisMaleMiddle AgedNerve Tissue ProteinsParaneoplastic Syndromes, Nervous SystemRetrospective StudiesAutoantibodiesBiomarkersNerve Tissue Proteinsneuroimmunologyparaneoplastic syndrome

Identifiers

PMID34921120
PMCPMC9597704
OpenAlexW4200044480

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.