Evidence map›Paper›PMID 35741658›Full record

ArticleBrain sciences2022

Immune Checkpoint Inhibitor Associated Autoimmune Encephalitis, Rare and Novel Topic of Neuroimmunology: A Case Report and Review of the Literature.

Yining Gao, Jie Pan, Dingding Shen, Lisheng Peng, Zhifeng Mao, Chunxia Wang, Huanyu Meng, Qinming Zhou, Sheng Chen

Open access · goldAbstract readCase Reports
In one paragraph

Article in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 20 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

9 authors at 5 institutions in 1 country.

Yining GaoDepartment of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201801, China.ORCID 0000-0003-0845-5280
Jie PanDepartment of Neurology, The First Hospital of Jiaxing & The Affiliated Hospital of Jiaxing University, Jiaxing 314001, China.
Dingding ShenDepartment of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201801, China.
Lisheng PengDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Zhifeng MaoNeuroimmunology Group, KingMed Diagnostic Laboratory, Guangzhou 510310, China.
Chunxia WangThe State Key Laboratory of Translational Medicine and Innovative Drug Development, Ministry of Science and Technology, Jiangsu Simcere Diagnostics Co., Ltd., No. 699-18 Xuanwu Ave, Nanjing 210002, China.
Huanyu MengDepartment of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201801, China.
Qinming ZhouInstitute of Neurology, Shanghai Jiao Tong University, Shanghai 200240, China.ORCID 0000-0001-6211-0588
Sheng ChenDepartment of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201801, China.ORCID 0000-0001-7428-7153
Shanghai Jiao Tong University · CNJiaxing University · CNKingmed Diagnostics · CNSimcere Pharmaceutical (China) · CNSun Yat-sen University · CN

Funding

Clinical Research Plan of SHDC SHDC 2020CR2027BShanghai outstanding young scholars Project, Shanghai talent development project 2019044Shanghai Shuguang Plan Project 18SG15
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) are being used in patients with various advanced malignancies, and patient outcomes have improved considerably. Although ICIs can effectively treat tumors, 30-60% of patients experience immune-related adverse events (irAEs). Autoimmune encephalitis (AE) is a rare irAE that has become a novel topic in neuroimmunology and has received increasing attention in recent years. Herein, we report a rare case of GAD65-antibody-associated AE after metastatic small cell lung cancer treatment with pembrolizumab. The patient received IVIg therapy for AE and continuous pembrolizumab therapy without suspension of tumor treatment. At 1 year follow-up, both the patient's AE symptoms and tumors were stable. We consider that the treatment of ICI-associated AE should be more individualized with prudent decision-making and should balance the tumor progression and AE treatment. In addition, we have also comprehensively reviewed the literature of ICI-associated AE, and summarized the clinical features, treatment, and prognosis of AE caused by ICI, thus broadening our understanding of the neurological complications caused by ICI.

Indexed as

autoimmune encephalitisimmune checkpoint inhibitorsimmune-related adverse eventpembrolizumab

Identifiers

PMID35741658
PMCPMC9221042
OpenAlexW4282555842

What OpenQuestion holds

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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.