Evidence map›Paper›PMID 37223099›Full record

ArticleFrontiers in immunology2023

Case Report: ICIs-induced Guillain-Barré syndrome recovered from mycophenolate mofetil.

Mengge Ding, Chao Deng, Xianling Liu, Shun Jiang, Yuan Gao, Dan Fan, Yiguang Zhou, Jiangbo He, Chaoyuan Liu

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Polyradiculoneuropathies associated with immune checkpoint inhibitors: are we facing a new nosological entity?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

9 authors.

Mengge DingDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Chao DengDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Xianling LiuDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Shun JiangDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Yuan GaoDepartment of Biomedical Education and Data Sciences, Temple University School of Medicine, Philadelphia, PA, United States.
Dan FanDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Yiguang ZhouDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Jiangbo HeDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Chaoyuan LiuDepartment of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of immune checkpoint inhibitors (ICIs) has significantly prolonged the survival time of cancer patients. However, it may also lead to various immune-related adverse events (irAEs), including Guillain-Barré syndrome (GBS), a rare type of irAE. Most GBS patients can recover spontaneously due to the self-limited nature of the disease, but severe cases can result in respiratory failure or even death. Here we report a rare case of GBS occurring in a 58-year-old male patient with non-small cell lung cancer (NSCLC) who developed muscle weakness and numbness of the extremities during chemotherapy combined with KN046, a PD-L1/CTLA-4 bispecific antibody. Despite receiving methylprednisolone and γ-globulin, the patient's symptoms did not improve. However, there was significant improvement after treatment with mycophenolate mofetil (MM) capsules, which is not a routine regimen for GBS. To the best of our knowledge, this is the first reported case of ICIs-induced GBS that responded well to mycophenolate mofetil instead of methylprednisolone or γ-globulin. Thus, it provides a new treatment option for patients with ICIs-induced GBS.

Indexed as

Antibodies, BispecificCarcinoma, Non-Small-Cell LungGuillain-Barre SyndromeLung NeoplasmsHumansMaleMethylprednisoloneMiddle AgedMycophenolic AcidAntibodies, BispecificMethylprednisoloneMycophenolic AcidGuillain–Barré syndromeimmune checkpoint inhibitorsimmune-related adverse eventsKN046mycophenolate mofetil

Identifiers

PMID37223099
PMCPMC10200921

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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.