Evidence map›Paper›PMID 36893151›Full record

Observational studyPloS one2023

Contactin-1 links autoimmune neuropathy and membranous glomerulonephritis.

Janev Fehmi, Alexander J Davies, Marilina Antonelou, Stephen Keddie, Sonja Pikkupeura, Luis Querol, Emilien Delmont, Andrea Cortese, Diego Franciotta, Staffan Persson and 20 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
9.7field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 40 citations in OpenAlex.

  1. Kidney international reports · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Intrathecal Antibody Synthesis in Autoimmune Nodopathy.Journal of the peripheral nervous system : JPNS · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
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

30 authors at 15 institutions in 7 countries.

Janev FehmiNuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.ORCID 0000-0002-2329-5708
Alexander J DaviesNuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
Marilina AntonelouUniversity College London Department of Renal Medicine, Royal Free Hospital, London, United Kingdom.
Stephen KeddieCentre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery and Department of Neuromuscular Diseases, UCL Institute of Neurology, Queen Square, London, United Kingdom.
Sonja PikkupeuraNuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
Luis QuerolNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Emilien DelmontReferral Centre for ALS and Neuromuscular Diseases, Hospital La Timone, Marseille, France.
Andrea CorteseCentre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery and Department of Neuromuscular Diseases, UCL Institute of Neurology, Queen Square, London, United Kingdom.
Diego FranciottaIRCCS, Mondino Foundation, Pavia, Italy.
Staffan PerssonFaculty of Medicine, Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden.
Jonathan BarrattDepartment of Cardiovascular Sciences, University of Leicester, Leicester, United Kingdom.
Ruth PepperUniversity College London Department of Renal Medicine, Royal Free Hospital, London, United Kingdom.
Filipa FarinhaCentre for Rheumatology and Bloomsbury Rheumatology Unit, Division of Medicine, University College London, London, United Kingdom.ORCID 0000-0002-1517-4383
Anisur RahmanCentre for Rheumatology and Bloomsbury Rheumatology Unit, Division of Medicine, University College London, London, United Kingdom.
Diana CanettiWolfson Drug Discovery Unit and National Amyloidosis Centre, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London, United Kingdom.
Janet A GilbertsonWolfson Drug Discovery Unit and National Amyloidosis Centre, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London, United Kingdom.
Nigel B RendellWolfson Drug Discovery Unit and National Amyloidosis Centre, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London, United Kingdom.
Aleksandar RadunovicBarts Neuromuscular Diseases Centre, Royal London Hospital, London, United Kingdom.
Thomas MintonInstitute of Clinical Neurosciences, University of Bristol, Bristol, United Kingdom.
Geraint FullerDepartment of Neurology, Gloucestershire Royal Hospital, Gloucester, United Kingdom.
Sinead M MurphyDepartment of Neurology, Tallaght University Hospital & Academic Unit of Neurology, Trinity College, Dublin, Ireland.
Aisling S CarrCentre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery and Department of Neuromuscular Diseases, UCL Institute of Neurology, Queen Square, London, United Kingdom.
Mary R ReillyCentre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery and Department of Neuromuscular Diseases, UCL Institute of Neurology, Queen Square, London, United Kingdom.
Filip EftimovDepartment of Neurology and Neurophysiology, Amsterdam Neuroscience, Amsterdam UMC, Location AMC, Amsterdam, The Netherlands.
Luuk WieskeDepartment of Neurology and Neurophysiology, Amsterdam Neuroscience, Amsterdam UMC, Location AMC, Amsterdam, The Netherlands.
Charlotte E TeunissenDepartment of Neurology and Neurophysiology, Amsterdam Neuroscience, Amsterdam UMC, Location AMC, Amsterdam, The Netherlands.
Ian S D RobertsDepartment of Cellular Pathology, John Radcliffe Hospital, Oxford, United Kingdom.
Neil AshmanBarts Renal Unit, The Royal London Hospital, London, United Kingdom.
Alan D SalamaUniversity College London Department of Renal Medicine, Royal Free Hospital, London, United Kingdom.
Simon RinaldiNuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
John Radcliffe Hospital · GBAmsterdam Neuroscience · NLNational Hospital for Neurology and Neurosurgery · GBThe Royal Free Hospital · GBUniversity College London · GBBritish Society for Rheumatology · GBRoyal London Hospital · GBGloucestershire Royal Hospital · GBHôpital de la Timone · FRLund University · SETrinity College Dublin · IEUniversitat Autònoma de Barcelona · ESUniversity of Bristol · GBUniversity of Leicester · GBUniversity of Pavia · IT

Funding

Department of HealthMedical Research Council MR/P001777/1Medical Research Council MR/P008399/1Medical Research Council MR/T001712/1Medical Research Council MR/V02552X/1
6 · The paper itself

Abstract

Membranous glomerulonephritis (MGN) is a common cause of nephrotic syndrome in adults, mediated by glomerular antibody deposition to an increasing number of newly recognised antigens. Previous case reports have suggested an association between patients with anti-contactin-1 (CNTN1)-mediated neuropathies and MGN. In an observational study we investigated the pathobiology and extent of this potential cause of MGN by examining the association of antibodies against CNTN1 with the clinical features of a cohort of 468 patients with suspected immune-mediated neuropathies, 295 with idiopathic MGN, and 256 controls. Neuronal and glomerular binding of patient IgG, serum CNTN1 antibody and protein levels, as well as immune-complex deposition were determined. We identified 15 patients with immune-mediated neuropathy and concurrent nephrotic syndrome (biopsy proven MGN in 12/12), and 4 patients with isolated MGN from an idiopathic MGN cohort, all seropositive for IgG4 CNTN1 antibodies. CNTN1-containing immune complexes were found in the renal glomeruli of patients with CNTN1 antibodies, but not in control kidneys. CNTN1 peptides were identified in glomeruli by mass spectroscopy. CNTN1 seropositive patients were largely resistant to first-line neuropathy treatments but achieved a good outcome with escalation therapies. Neurological and renal function improved in parallel with suppressed antibody titres. The reason for isolated MGN without clinical neuropathy is unclear. We show that CNTN1, found in peripheral nerves and kidney glomeruli, is a common target for autoantibody-mediated pathology and may account for between 1 and 2% of idiopathic MGN cases. Greater awareness of this cross-system syndrome should facilitate earlier diagnosis and more timely use of effective treatment.

Indexed as

GlomerulonephritisGlomerulonephritis, MembranousKidney DiseasesNephrotic SyndromePeripheral Nervous System DiseasesAdultContactin 1HumansKidneyKidney GlomerulusContactin 1

Identifiers

PMID36893151
PMCPMC9997925
OpenAlexW4323653749

What OpenQuestion holds

Textmetadata
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.