Evidence map›Paper›PMID 36088544›Full record

ArticleAnnals of neurology2023

MOG and AQP4 Antibodies among Children with Multiple Sclerosis and Controls.

Cristina M Gaudioso, Soe Mar, T Charles Casper, Rachel Codden, Adam Nguyen, Gregory Aaen, Leslie Benson, Tanuja Chitnis, Carla Francisco, Mark P Gorman and 19 more

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Application of the ADEM definition to cerebral attacks of MOG antibody-associated disease.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Pediatric Multiple Sclerosis: Changing the Trajectory of Progression.Current neurology and neuroscience reports · 2023
    Review
  13. Comparison of MRI T2-lesion evolution in pediatric MOGAD, NMOSD, and MS.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Article
  14. Multiple sclerosis: 2023 update.Free neuropathology · 2023
    Article
  15. Review
  16. 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

29 authors at 17 institutions in 1 country.

Cristina M GaudiosoDepartment of Neurology, Washington University Pediatric MS and Other Demyelinating Disease Center, St. Louis, MO, USA.ORCID 0000-0002-5639-2061
Soe MarDepartment of Neurology, Washington University Pediatric MS and Other Demyelinating Disease Center, St. Louis, MO, USA.ORCID 0000-0001-8449-2003
T Charles CasperDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Rachel CoddenDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Adam NguyenDepartment of Neurology and Laboratory Medicine and Pathology and the Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.
Gregory AaenDepartment of Pediatrics, Pediatric Multiple Sclerosis Center at Loma Linda University Children's Hospital, Loma Linda University, Loma Linda, CA, USA.
Leslie BensonDepartment of Neurology, Pediatric Multiple Sclerosis and Related Disorders Program at Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Tanuja ChitnisPartners Pediatric MS Center, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-9897-4422
Carla FranciscoDepartment of Neurology, UCSF Regional Pediatric MS Center, San Francisco, CA, USA.
Mark P GormanDepartment of Neurology, Pediatric Multiple Sclerosis and Related Disorders Program at Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Manu S GoyalDepartment of Neurology, Washington University Pediatric MS and Other Demyelinating Disease Center, St. Louis, MO, USA.
Jennifer GravesDepartment of Neurology, University of California San Diego Health, Rady Children's Hospital San Diego, San Diego, CA, USA.ORCID 0000-0003-1539-1940
Benjamin M GreenbergDepartment of Neurology, University of Texas Southwestern and Children's Health, Dallas, TX, USA.
Janace HartDepartment of Neurology, UCSF Regional Pediatric MS Center, San Francisco, CA, USA.
Lauren KruppDepartment of Neurology, New York University, Pediatric MS Center, Neurology, New York, NY, USA.
Timothy LotzeTexas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Sona NarulaDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sean J PittockDepartment of Neurology and Laboratory Medicine and Pathology and the Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-6140-5584
Mary RenselMellen Center for Multiple Sclerosis, Cleveland Clinic, Cleveland, OH, USA.
Moses RodriguezMayo Clinic Pediatric MS Center, Mayo Clinic, Rochester, MN, USA.
John RoseDepartment of Neurology, University of Utah, Salt Lake City, UT, USA.
Teri SchreinerRocky Mountain MS Center, Children's Hospital Colorado, University of Colorado, Aurora, CO, USA.
Jan-Mendelt TillemaMayo Clinic Pediatric MS Center, Mayo Clinic, Rochester, MN, USA.
Amy WaldmanDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Bianca Weinstock-GuttmanDepartment of Neurology, The Pediatric MS Center at the Jacobs Neurological Institute, State University of New York at Buffalo, Buffalo, NY, USA.
Yolanda WheelerCenter for Pediatric-Onset Demyelinating Disease at the Children's of Alabama, University of Alabama, Birmingham, AL, USA.
Emmanuelle WaubantDepartment of Neurology, UCSF Regional Pediatric MS Center, San Francisco, CA, USA.ORCID 0000-0001-5188-0157
Eoin P FlanaganDepartment of Neurology and Laboratory Medicine and Pathology and the Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, MN, USA.
United States Network of Pediatric Multiple Sclerosis Centers
Mayo Clinic · USUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of Utah · USWashington University in St. Louis · USBoston Children's Hospital · USChildren's Hospital of Philadelphia · USMayo Clinic in Arizona · USBaylor College of Medicine · USChildren's Hospital Colorado · USCleveland Clinic · USJacobs Institute · USLoma Linda University Children's Hospital · USMassachusetts General Hospital · USNew York University · USThe University of Texas Southwestern Medical Center · USUniversity of Alabama · USUniversity of California San Diego · US

Funding

Environmental and genetic risk factors for pediatric MSR01NS071463 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WAUBANT, EMMANUELLE LAURENCE · 2010 to 2015
$2.8M
Utilizing epidemiology, imaging and fluid biomarkers in MOG antibody-associated disease to inform prognosis, pathogenesis and therapeuticsR01NS113828 · NINDS · MAYO CLINIC ROCHESTER · PI Eoin P Flanagan · 2020 to 2026
$2.4M
NINDS NIH HHS R01 NS071463NINDS NIH HHS R01 NS113828
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine the frequency of myelin oligodendrocyte glycoprotein (MOG)-IgG and aquaporin-4 (AQP4)-IgG among patients with pediatric-onset multiple sclerosis (POMS) and healthy controls, to determine whether seropositive cases fulfilled their respective diagnostic criteria, to compare characteristics and outcomes in children with POMS versus MOG-IgG-associated disease (MOGAD), and identify clinical features associated with final diagnosis.

methodsPatients with POMS and healthy controls were enrolled at 14 US sites through a prospective case-control study on POMS risk factors. Serum AQP4-IgG and MOG-IgG were assessed using live cell-based assays.

resultsAQP4-IgG was negative among all 1,196 participants, 493 with POMS and 703 healthy controls. MOG-IgG was positive in 30 of 493 cases (6%) and zero controls. Twenty-five of 30 patients positive with MOG-IgG (83%) had MOGAD, whereas 5 of 30 (17%) maintained a diagnosis of multiple sclerosis (MS) on re-review of records. MOGAD cases were more commonly in female patients (21/25 [84%] vs 301/468 [64%]; p = 0.044), younger age (mean = 8.2 ± 4.2 vs 14.7 ± 2.6 years; p < 0.001), more commonly had initial optic nerve symptoms (16/25 [64%] vs 129/391 [33%]; p = 0.002), or acute disseminated encephalomyelitis (ADEM; 8/25 [32%] vs 9/468 [2%]; p < 0.001), and less commonly had initial spinal cord symptoms (3/20 [15%] vs 194/381 [51%]; p = 0.002), serum Epstein-Barr virus (EBV) positivity (11/25 [44%] vs 445/468 [95%]; p < 0.001), or cerebrospinal fluid oligoclonal bands (5/25 [20%] vs 243/352 [69%]; p < 0.001).

interpretationMOG-IgG and AQP4-IgG were not identified among healthy controls confirming their high specificity for pediatric central nervous system (CNS) demyelinating disease. Five percent of those with prior POMS diagnoses ultimately had MOGAD; and none had AQP4-IgG positivity. Clinical features associated with a final diagnosis of MOGAD in those with suspected MS included initial ADEM phenotype, younger age at disease onset, and lack of EBV exposure. ANN NEUROL 2023;93:271-284.

Indexed as

Epstein-Barr Virus InfectionsMultiple SclerosisNeuromyelitis OpticaAquaporin 4AutoantibodiesCase-Control StudiesFemaleHerpesvirus 4, HumanHumansImmunoglobulin GMyelin-Oligodendrocyte GlycoproteinAquaporin 4AutoantibodiesImmunoglobulin GMyelin-Oligodendrocyte Glycoprotein

Identifiers

PMID36088544
PMCPMC10576841
OpenAlexW4296394009

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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.