Evidence map›Paper›PMID 37789648›Full record

Observational studyEuropean journal of neurology2024

Immunomodulatory effects of intravenous and subcutaneous immunoglobulin in chronic inflammatory demyelinating polyneuropathy: An observational study.

Martin K R Svačina, Anika Meißner, Finja Schweitzer, Anne Ladwig, Kalliopi Pitarokoili, David M Kofler, Alina Sprenger-Svačina, Christian Schneider, Felix Kohle, Ines Klein and 2 more

Abstract readObservational Study
In one paragraph

Observational study in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Subcutaneous immunoglobulins (SCIG) for chronic inflammatory demyelinating polyneuropathy (CIDP): A comprehensive systematic review of clinical studies and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
  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

12 authors.

Martin K R SvačinaDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.ORCID 0000-0001-8166-5132
Anika MeißnerDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.
Finja SchweitzerDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.
Anne LadwigDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.
Kalliopi PitarokoiliDepartment of Neurology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany.
David M KoflerMedical Clinic I, Department of Immunology and Rheumatology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.ORCID 0000-0001-6164-3980
Alina Sprenger-SvačinaDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.ORCID 0000-0002-8883-0492
Christian SchneiderDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.
Felix KohleDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.ORCID 0000-0002-4429-0367
Ines KleinDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.
Hauke WüstenbergDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.
Helmar C LehmannDepartment of Neurology, Faculty of Medicine, University Hospital of Cologne, Cologne, Germany.ORCID 0000-0001-6205-2293

Funding

Grifols
6 · The paper itself

Abstract

background and purposeIt is not known whether the route of administration affects the mechanisms of action of therapeutic immunoglobulin in chronic inflammatory demyelinating polyneuropathy (CIDP). The aim of this study, therefore, was to compare the immunomodulatory effects of intravenous (IVIg) and subcutaneous immunoglobulin (SCIg) in patients with CIDP and in IVIg-treated common variable immunodeficiency (CVID) patients.

methodsSerum and peripheral blood mononuclear cell samples were obtained from 30 CIDP patients receiving IVIg, 10 CIDP patients receiving SCIg, and 15 patients with CVID receiving IVIg. Samples and clinical data were obtained prior to IVIg/SCIg and at 3 days, 7 days, and, in CIDP patients receiving IVIg, 21 days post-administration. Serum cytokines were assessed by Luminex-based multiplex assay and enzyme-linked immunosorbent assay. Immune cells were characterized by flow cytometry.

resultsImmune cell profiles of CIDP and CVID patients differed in frequencies of myeloid dendritic cells and cytotoxic natural killer cells. During treatment with IVIg or SCIg in CIDP patients, cellular immunomarkers were largely similar. CIDP patients receiving IVIg had higher macrophage inflammatory protein (MIP)-1α (p = 0.01), interleukin (IL)-4 (p = 0.04), and IL-33 (p = 0.04) levels than SCIg recipients. IVIg treatment more broadly modulated cytokines in CIDP than SCIg treatment.

conclusionsOur study demonstrates that the modulation of cellular immunomarkers in CIDP is independent of the application route of therapeutic immunoglobulin. Minor differences were observed between CIDP and CVID patients. In contrast, cytokines were differentially modulated by IVIg and SCIg in CIDP.

Indexed as

Polyradiculoneuropathy, Chronic Inflammatory DemyelinatingAdministration, IntravenousCytokinesHumansImmunoglobulins, IntravenousLeukocytes, MononuclearCytokinesImmunoglobulins, Intravenouschronic inflammatory demyelinating polyneuropathycytokinesFcγRIIb/CD32bimmune cellsIVIg/SCIg

Identifiers

PMID37789648
PMCPMC11235934

What OpenQuestion holds

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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.