Evidence map›Paper›PMID 35002356›Full record

ArticleDegenerative neurological and neuromuscular disease2021

The Assessment of Major Histocompatibility Complex (MHC) Class-I Expression in Different Neuromuscular Diseases.

Maher Kurdi, Aysha Alshareef, Ahmed K Bamaga, Zahir T Fadel, Moafaq S Alrawaili, Sahar Hakamy, Fawaz Mohamed, Ahmad R Abuzinadah, Bassam M J Addas, Nadeem Shafique Butt

Open access · diamondAbstract read
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Article in Degenerative neurological and neuromuscular disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 10 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

10 authors at 1 institution in 1 country.

Maher KurdiDepartment of Pathology, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.ORCID 0000-0002-8979-3849
Aysha AlshareefDepartment of Internal Medicine, King Abdulaziz University Hospital and Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Ahmed K BamagaNeurology Division, Department of Pediatrics, Faculty of Medicine, King Abdulaziz University and Hospital, Jeddah, Saudi Arabia.
Zahir T FadelDepartment of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Moafaq S AlrawailiDepartment of Internal Medicine, King Abdulaziz University Hospital and Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Sahar HakamyNeuromuscular Unit, Roya Medical Specialized Laboratories, King Abdulaziz University, Jeddah, Saudi Arabia.
Fawaz MohamedDepartment of Pathology, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.ORCID 0000-0002-4905-4558
Ahmad R AbuzinadahDepartment of Internal Medicine, King Abdulaziz University Hospital and Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID 0000-0001-5442-6734
Bassam M J AddasDepartment of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Nadeem Shafique ButtDepartment of Family Medicine and Community, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.ORCID 0000-0002-0473-4920
King Abdulaziz University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor histocompatibility complex (MHC) class-1 antigen is a glycoprotein expressed in all nucleated cells. The aim of this study was to assess MHC class-I expression in different neuromuscular diseases.

methodsThe authors reviewed the data of 54 patients with neuromuscular diseases. Anti MHC class-I antibody was performed on the frozen muscle tissues using immunohistochemistry. MHC class-I was scored based on its expression on muscle fibers (0: normal, 1: expression <5 fibers, 2: expression in 5-10 fibers, 3: expression in >10 fibers). The pattern was only assessed in cases with MHC class-I scored 3 as: (1: Sarcocapillary, 2: Sarcocapillary and necrotic fibers, 3: Perifascicular). The relationship between MHC class-I expression and neuromuscular diseases was statistically analyzed.

resultsThe mean age of the patients was 39.1 ± 18.5 years. Around 50% of patients showed normal CK levels and 5% of the cases showed elevated CK levels. There was a significance difference in MHC class-I expression between cases with normal and elevated CK levels when MHC class-I score was 3 (p= 0.020). There was a significant difference in MHC class-I expression among different neuromuscular diseases (p<0.001). All cases with idiopathic inflammatory myopathies (IIMs) have expressed MHC class-I in more than 10 fibers. MHC class-I was expressed in 15 cases of non-IIMs.

conclusionMHC class-I cannot be solely used as a biomarker to distinguish IIMs from non-IIMs. The presence of MHC class-I molecules in non-IIMs might be related to immunoproteasomes mechanism. Further studies, with different muscle proteins expression and genomic sequencing, must be conducted to understand the role of MHC Class-I in neuromuscular diseases.

Indexed as

inflammatory myopathyMHC class-Imuscle biopsyneuromuscular diseases

Identifiers

PMID35002356
PMCPMC8727622
OpenAlexW4200537437

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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.