Evidence map›Paper›PMID 36074148›Full record

ArticleActa neuropathologica2022

Receptor clustering and pathogenic complement activation in myasthenia gravis depend on synergy between antibodies with multiple subunit specificities.

Natalie Rose, Sebastian Holdermann, Ilaria Callegari, Hyein Kim, Isabelle Fruh, Ludwig Kappos, Jens Kuhle, Matthias Müller, Nicholas S R Sanderson, Tobias Derfuss

Open access · hybridAbstract read
In one paragraph

Article in Acta neuropathologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 45 citations in OpenAlex.

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  5. Longitudinal dynamics and clinical significance of acetylcholine receptor blocking antibodies in myasthenia gravis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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 2 institutions in 1 country.

Natalie Rose *Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Sebastian Holdermann *Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Ilaria CallegariDepartment of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Hyein KimDepartment of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Isabelle FruhChemical Biology and Therapeutics, Novartis Institutes for BioMedical Research, 4002, Basel, Switzerland.
Ludwig KapposDepartment of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Jens KuhleNeurologic Clinic and Policlinic and MS Center, University Hospital Basel, University of Basel, Basel, Switzerland.
Matthias MüllerChemical Biology and Therapeutics, Novartis Institutes for BioMedical Research, 4002, Basel, Switzerland.
Nicholas S R Sanderson *Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland. nicholas.sanderson@unibas.ch.ORCID 0000-0003-1711-7275
Tobias Derfuss *Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
University of Basel · CHNovartis (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myasthenia gravis is an autoimmune disorder defined by muscle weakness and fatigability associated with antibodies against proteins of the neuromuscular junction (NMJ). The most common autoantibody target is the acetylcholine receptor (AChR). Three mechanisms have been postulated by which autoantibodies might interfere with neurotransmission: direct antagonism of the receptor, complement-mediated destruction of the postsynaptic membrane, and enhanced internalization of the receptor. It is very likely that more than one of these mechanisms act in parallel. Dissecting the mechanisms of autoantibody-mediated pathology requires patient-derived, monoclonal antibodies. Using membrane antigen capture activated cell sorting (MACACS), we isolated AChR-specific B cells from patients with myasthenia gravis, and produced six recombinant antibodies. All AChR-specific antibodies were hypermutated, including isotypes IgG

Indexed as

Myasthenia GravisAnimalsAntibodies, MonoclonalAutoantibodiesCluster AnalysisComplement ActivationComplement System ProteinsEpitopesImmunoglobulin GRatsReceptors, CholinergicReceptors, ComplementAntibodies, MonoclonalAutoantibodiesComplement System ProteinsEpitopesImmunoglobulin GReceptors, CholinergicReceptors, ComplementClusteringComplementHuman induced pluripotent stem cellsIgG4Live cell imagingMyasthenia gravis

Identifiers

PMID36074148
PMCPMC9547806
OpenAlexW4294992089

What OpenQuestion holds

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LicenceCC BY
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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.