Evidence map›Paper›PMID 36569937›Full record

ArticleFrontiers in immunology2022

Circulating plasmablasts and follicular helper T-cell subsets are associated with antibody-positive autoimmune epilepsy.

Atsushi Hara, Norio Chihara, Ritsu Akatani, Ryusei Nishigori, Asato Tsuji, Hajime Yoshimura, Michi Kawamoto, Yoshihisa Otsuka, Yasufumi Kageyama, Takayuki Kondo and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Observational
  2. Review
  3. Autoimmune encephalitis.Nature reviews. Disease primers · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. 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

13 authors at 6 institutions in 2 countries.

Atsushi HaraDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Norio ChiharaDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Ritsu AkataniDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Ryusei NishigoriDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Asato TsujiDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Hajime YoshimuraDepartment of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan.
Michi KawamotoDepartment of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan.
Yoshihisa OtsukaDepartment of Neurology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Yasufumi KageyamaDepartment of Neurology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Takayuki KondoDepartment of Neurology, Kansai Medical University Medical Center, Moriguchi, Japan.
Frank LeypoldtNeuroimmunology, Institute of Clinical Chemistry, University Hospital Schleswig-Holstein, Kiel, Germany.
Klaus-Peter WandingerNeuroimmunology, Institute of Clinical Chemistry, University Hospital Schleswig-Holstein, Kiel, Germany.
Riki MatsumotoDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Kobe University · JPHyogo Prefectural Amagasaki General Medical Center · JPKobe City Medical Center General Hospital · JPUniversity of Lübeck · DEKansai Medical University · JPKyoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune epilepsy (AE) is an inflammatory disease of the central nervous system with symptoms that have seizures that are refractory to antiepileptic drugs. Since the diagnosis of AE tends to rely on a limited number of anti-neuronal antibody tests, a more comprehensive analysis of the immune background could achieve better diagnostic accuracy. This study aimed to compare the characteristics of anti-neuronal antibody-positive autoimmune epilepsy (AE/Ab(+)) and antibody-negative suspected autoimmune epilepsy (AE/Ab(-)) groups. A total of 23 patients who met the diagnostic criteria for autoimmune encephalitis with seizures and 11 healthy controls (HC) were enrolled. All patients were comprehensively analyzed for anti-neuronal antibodies; 13 patients were identified in the AE/Ab(+) group and 10 in the AE/Ab(-) group. Differences in clinical characteristics, including laboratory and imaging findings, were evaluated between the groups. In addition, the immunophenotype of peripheral blood mononuclear cells (PBMCs) and CSF mononuclear cells, particularly B cells and circulating Tfh (cTfh) subsets, and multiplex assays of serum and CSF were analyzed using flow cytometry. Patients with AE/Ab(+) did not show any differences in clinical parameters compared to patients with AE/Ab(-). However, the frequency of plasmablasts within PBMCs and CSF in patients with AE/Ab(+) was higher than that in patients with AE/Ab(-) and HC, and the frequency of cTfh17 cells and inducible T-cell co-stimulator (ICOS) expressing cTfh17 cells within cTfh subsets was higher than that in patients with AE/Ab(-). Furthermore, the frequency of ICOS

Indexed as

EpilepsyT-Lymphocytes, Helper-InducerHumansInterleukin-17Interleukin-6Leukocytes, MononuclearSeizuresInterleukin-17Interleukin-6autoimmune encephalitisautoimmune epilepsyICOSplasmablastsT follicular helper cells

Identifiers

PMID36569937
PMCPMC9773883
OpenAlexW4311870404

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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.