Evidence map›Paper›PMID 34997443›Full record

ReviewNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2022

Neonatal Fc Receptor-Targeted Therapies in Neurology.

Christopher Nelke, Marianna Spatola, Christina B Schroeter, Heinz Wiendl, Jan D Lünemann

Open access · hybridAbstract readReview
In one paragraph

Review in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2022. 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
4.9field-weighted citation impact, top 4% 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, 42 citations in OpenAlex.

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  17. Myasthenia gravis: the future is here.The Journal of clinical investigation · 2024
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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

5 authors at 3 institutions in 2 countries.

Christopher NelkeDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Dusseldorf, Germany.
Marianna SpatolaMIT and Harvard Medical School, Ragon Institute of MGH, Cambridge, MA, USA.
Christina B SchroeterDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Dusseldorf, Germany.
Heinz WiendlDepartment of Neurology With Institute of Translational Neurology, University Hospital Münster, Munster, Germany.
Jan D LünemannDepartment of Neurology With Institute of Translational Neurology, University Hospital Münster, Munster, Germany. jan.luenemann@ukmuenster.de.
Heinrich Heine University Düsseldorf · DEUniversity Hospital Münster · DEHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoantibodies are increasingly recognized for their pathogenic potential in a growing number of neurological diseases. While myasthenia gravis represents the prototypic antibody (Ab)-mediated neurological disease, many more disorders characterized by Abs targeting neuronal or glial antigens have been identified over the past two decades. Depletion of humoral immune components including immunoglobulin G (IgG) through plasma exchange or immunoadsorption is a successful therapeutic strategy in most of these disease conditions. The neonatal Fc receptor (FcRn), primarily expressed by endothelial and myeloid cells, facilitates IgG recycling and extends the half-life of IgG molecules. FcRn blockade prevents binding of endogenous IgG to FcRn, which forces these antibodies into lysosomal degradation, leading to IgG depletion. Enhancing the degradation of endogenous IgG by FcRn-targeted therapies proved to be a powerful therapeutic approach in patients with generalized MG and is currently being tested in clinical trials for several other neurological diseases including autoimmune encephalopathies, neuromyelitis optica spectrum disorders, and inflammatory neuropathies. This review illustrates mechanisms of FcRn-targeted therapies and appraises their potential to treat neurological diseases.

Indexed as

Nervous System DiseasesReceptors, FcHistocompatibility Antigens Class IHumansImmunoglobulin GNeurologyFc receptor, neonatalHistocompatibility Antigens Class IImmunoglobulin GReceptors, FcAntibodyFcIgGNeurologyTherapy

Identifiers

PMID34997443
PMCPMC9294083
OpenAlexW4206278071

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.