Evidence map›Paper›PMID 35580403›Full record

ArticleJournal of neuroimmunology2022

Neuronal intermediate filament paraneoplastic autoimmunity complicating avelumab therapy of Merkel cell carcinoma.

Alessandro Dinoto, Andrew McKeon, Gaetano Vattemi, Sara Carta, Sergio Ferrari, Sara Mariotto

Open access · greenAbstract read
In one paragraph

Article in Journal of neuroimmunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 19% 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, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Paraneoplastic Neurologic Syndromes Associated With Merkel Cell Carcinoma.Neurology(R) neuroimmunology & neuroinflammation · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Neuronal intermediate filament autoimmunity manifesting as ataxia and peripheral neuropathy: a case report and literature review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Review
  6. 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

6 authors at 2 institutions in 2 countries.

Alessandro DinotoNeurology Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Andrew McKeonDepartments of Laboratory Medicine and Pathology, Rochester, MN, USA; Neurology Mayo Clinic, Rochester, MN, USA.
Gaetano VattemiNeurology Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Sara CartaNeurology Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Sergio FerrariNeurology Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy.
Sara MariottoNeurology Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy. Electronic address: sara.mariotto@gmail.com.
University of Verona · ITUniversity of Minnesota Rochester · 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

A 67-years-old woman developed subacute oculomotor nerve palsy and cerebellar gait instability while receiving avelumab as immunotherapy for Merkel cell carcinoma. Brain MRI revealed oculomotor nerve T2/FLAIR hyperintensity and contrast enhancement, CSF cell number and protein concentration were slightly increased. Antibodies against intracellular and surface antigens were excluded through commercial assays, but home-made immunohistochemistry on rat brain sections showed a "neurofilament-like" pattern. Antibodies against neuronal intermediate filament (NIF-IgG) were thus tested and resulted positive in both serum and CSF, confirming the diagnosis of NIF-IgG autoimmunity. Avelumab was discontinued and treatment with steroids and intravenous immunoglobulins led to partial improvement.

Indexed as

Carcinoma, Merkel CellSkin NeoplasmsAntibodies, Monoclonal, HumanizedAutoantibodiesAutoimmunityHumansImmunoglobulin GIntermediate FilamentsAntibodies, Monoclonal, HumanizedAutoantibodiesavelumabImmunoglobulin GAvelumabImmune checkpoint inhibitorsImmune-related adverse eventsNeuronal intermediate filamentParaneoplastic neurological syndromes

Identifiers

PMID35580403
PMCPMC9637407
OpenAlexW4229053189

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.