Evidence map›Paper›PMID 35095860›Full record

ArticleFrontiers in immunology2021

Anti-Neuronal IgG4 Autoimmune Diseases and IgG4-Related Diseases May Not Be Part of the Same Spectrum: A Comparative Study.

Verena Endmayr, Cansu Tunc, Lara Ergin, Anna De Rosa, Rosa Weng, Lukas Wagner, Thin-Yau Yu, Andreas Fichtenbaum, Thomas Perkmann, Helmuth Haslacher and 24 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Respiratory failure as first presentation of myasthenia gravis: a case report.The Journal of international medical research · 2024
    Article
  4. Article
  5. Review
  6. LGI1 Encephalitis and IgG4-Related Disease: Rare Conditions Collide.Neurology(R) neuroimmunology & neuroinflammation · 2023
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Observational
  12. 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

34 authors at 8 institutions in 3 countries.

Verena EndmayrDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Cansu TuncDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Lara ErginDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Anna De RosaDepartment of Clinical and Experimental Medicine, Neurology Unit, University of Pisa, Pisa, Italy.
Rosa WengDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Lukas WagnerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Thin-Yau YuDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Andreas FichtenbaumDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Thomas PerkmannDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Helmuth HaslacherDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Nicolas KozakowskiDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Carmen SchwaigerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Gerda RickenDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Simon HametnerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Sigrid KlotzDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Lívia Almeida DutraDepartment of Neurology and Neurosurgery, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Christian LechnerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Désirée de SimoniDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Kai-Nicolas PoppertDepartment of Neurology, Christian Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria.
Georg Johannes MüllerDepartment of Neurology and Karl Landsteiner Institute for Neuroimmunological and Neurodegenerative Disorders, Klinik Donaustadt, Vienna, Austria.
Susanne PirkerDepartment of Neurology, Klinik Hietzing, Vienna, Austria.
Walter PirkerDepartment of Neurology, Klinik Ottakring, Vienna, Austria.
Aleksandra AngelovskiDepartment of Neurology, Klinik Ottakring, Vienna, Austria.
Matus ValachDepartment of Pathology, Klinik Landstrasse, Vienna, Austria.
Michelangelo MaestriDepartment of Clinical and Experimental Medicine, Neurology Unit, University of Pisa, Pisa, Italy.
Melania GuidaDepartment of Clinical and Experimental Medicine, Neurology Unit, University of Pisa, Pisa, Italy.
Roberta RicciardiDepartment of Clinical and Experimental Medicine, Neurology Unit, University of Pisa, Pisa, Italy.
Florian FrommletCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Medical Statistics, Medical University of Vienna, Vienna, Austria.
Daniela SieghartDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Miklos PinterWiener Privatklinik - Health Center, Vienna, Austria.
Karl KircherDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Gottfried ArtackerDepartment of Pediatrics and Adolescent Medicine, Klinik Donaustadt, Vienna, Austria.
Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Inga KonecznyDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATUniversity of Pisa · ITDonauspital · ATAustrian Competence Centre of Food Safety · ATHospital Israelita Albert Einstein · BRInnsbruck Medical University · ATKlinik Hietzing · ATParacelsus Medical University · AT

Funding

Austrian Science Fund FWF DOC 33Austrian Science Fund FWF I 4685Austrian Science Fund FWF T 996
6 · The paper itself

Abstract

Background: IgG4 is associated with two emerging groups of rare diseases: 1) IgG4 autoimmune diseases (IgG4-AID) and 2) IgG4-related diseases (IgG4-RLD). Anti-neuronal IgG4-AID include MuSK myasthenia gravis, LGI1- and Caspr2-encephalitis and autoimmune nodo-/paranodopathies (CNTN1/Caspr1 or NF155 antibodies). IgG4-RLD is a multiorgan disease hallmarked by tissue-destructive fibrotic lesions with lymphocyte and IgG4 plasma cell infiltrates and increased serum IgG4 concentrations. It is unclear whether IgG4-AID and IgG4-RLD share relevant clinical and immunopathological features. Methods: We collected and analyzed clinical, serological, and histopathological data in 50 patients with anti-neuronal IgG4-AID and 19 patients with IgG4-RLD. Results: A significantly higher proportion of IgG4-RLD patients had serum IgG4 elevation when compared to IgG4-AID patients (52.63% vs. 16%, Conclusion: Our observations suggest that anti-neuronal IgG4-AID and IgG4-RLD are most likely distinct disease entities.

Indexed as

AutoantibodiesAutoantigensFemaleHumansImmunoglobulin G4-Related DiseaseMaleNeuronsAutoantibodiesAutoantigensCaspr2CIDPIgG4 autoimmune diseasesIgG4-related diseasesLGI1MuSK myasthenia gravis

Identifiers

PMID35095860
PMCPMC8795769
OpenAlexW4226034497

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Registered trials

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