Evidence map›Paper›PMID 36924454›Full record

ArticleAnnals of clinical and translational neurology2023

Clinicoserological insights into patients with immune checkpoint inhibitor-induced myasthenia gravis.

Gianvito Masi, Minh C Pham, Tabitha Karatz, Sangwook Oh, Aimee S Payne, Richard J Nowak, James F Howard, Jeffrey T Guptill, Vern C Juel, Kevin C O'Connor

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.1field-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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Neuromuscular complications associated with cancer immunotherapy.Journal of the National Cancer Center · 2025
    Review
  6. Article
  7. Immune checkpoint inhibitor-related myasthenia gravis, myocarditis and myositis: further insights.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Eculizumab as rescue therapy for relapse of myasthenia gravis after immune-checkpoint inhibitors: a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. 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

10 authors at 4 institutions in 1 country.

Gianvito MasiDepartment of Immunobiology, Yale School of Medicine, New Haven, Connecticut, 06511, USA.ORCID 0000-0003-4754-2141
Minh C PhamDepartment of Immunobiology, Yale School of Medicine, New Haven, Connecticut, 06511, USA.ORCID 0000-0003-0234-4790
Tabitha KaratzNeuromuscular Division, Department of Neurology, Duke University Medical Center, Durham, North Carolina, 27710, USA.
Sangwook OhDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.ORCID 0000-0003-0092-9031
Aimee S PayneDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.ORCID 0000-0001-9389-7918
Richard J NowakDepartment of Neurology, Yale School of Medicine, New Haven, Connecticut, 06511, USA.ORCID 0000-0001-8438-482X
James F HowardDepartment of Neurology, The University of North Carolina at Chapel Hill, CB#7025, Houpt Building, 170 Manning Drive, Chapel Hill, North Carolina, 27599-7025, USA.ORCID 0000-0002-7136-8617
Jeffrey T GuptillNeuromuscular Division, Department of Neurology, Duke University Medical Center, Durham, North Carolina, 27710, USA.
Vern C JuelNeuromuscular Division, Department of Neurology, Duke University Medical Center, Durham, North Carolina, 27710, USA.
Kevin C O'ConnorDepartment of Immunobiology, Yale School of Medicine, New Haven, Connecticut, 06511, USA.ORCID 0000-0002-7056-419X
Yale University · USDuke University · USUniversity of Pennsylvania · USUniversity of North Carolina at Chapel Hill · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
The Impact of COVID-19 on People Living with Rare Diseases and Their FamiliesU2CTR002818 · NCATS · CINCINNATI CHILDRENS HOSP MED CTR · PI Maurizio Macaluso, Michael Wagner · 2019 to 2026
$51.2M
Rare Disease Network for Myasthenia GravisU54NS115054 · NINDS · GEORGE WASHINGTON UNIVERSITY · PI HENRY J KAMINSKI · 2019 to 2026
$11.9M
Mechanisms of autoimmunity in myasthenia gravisR01AI114780 · NIAID · YALE UNIVERSITY · PI Kevin C O'Connor · 2016 to 2026
$4.7M
Molecular determinants driving diverse mechanisms of antibody-mediated pathologyR21AI164590 · NIAID · YALE UNIVERSITY · PI O'CONNOR, KEVIN C · 2021 to 2022
$461k
Mechanisms of autoantibody production in myasthenia gravisR56AI114780 · NIAID · YALE UNIVERSITY · PI O'CONNOR, KEVIN C · 2015 to 2015
$416k
NCATS NIH HHS U2C TR002818NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI114780NIAID NIH HHS R21 AI164590NIAID NIH HHS R56 AI114780NINDS NIH HHS U54 NS115054
6 · The paper itself

Abstract

To compare the immunopathology of immune checkpoint inhibitor-induced myasthenia gravis (ICI-MG) and idiopathic MG, we profiled the respective AChR autoantibody pathogenic properties. Of three ICI-MG patients with AChR autoantibodies, only one showed complement activation and modulation/blocking potency, resembling idiopathic MG. In contrast, AChR autoantibody-mediated effector functions were not detected in the other two patients, questioning the role of their AChR autoantibodies as key mediators of pathology. The contrasting properties of AChR autoantibodies in these cases challenge the accuracy of serological testing in establishing definite ICI-MG diagnoses and underscore the importance of a thorough clinical assessment when evaluating ICI-related adverse events.

Indexed as

Immune Checkpoint InhibitorsMyasthenia GravisAutoantibodiesComplement ActivationHumansReceptors, CholinergicAutoantibodiesImmune Checkpoint InhibitorsReceptors, Cholinergic

Identifiers

PMID36924454
PMCPMC10187728
OpenAlexW4327595071

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.