Evidence map›Paper›PMID 38092513›Full record

ReviewBrain : a journal of neurology2024

The immunobiology of herpes simplex virus encephalitis and post-viral autoimmunity.

Jonathan Cleaver, Katie Jeffery, Paul Klenerman, Ming Lim, Lahiru Handunnetthi, Sarosh R Irani, Adam Handel

Open access · hybridAbstract readReview
In one paragraph

Review in Brain : a journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Herpes Simplex Virus Type 1 Encephalitis: A Prospective Population-Based Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  11. Article
  12. Article
  13. Carbon Quantum Dots Assisted Virus Tracking: From Skin to Brain.Advanced materials (Deerfield Beach, Fla.) · 2026
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Unraveling the complexities of neurotropic virus infection and immune evasion.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  19. Article
  20. 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

7 authors at 4 institutions in 1 country.

Jonathan CleaverOxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.ORCID 0000-0002-9657-5815
Katie JefferyDepartment of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 9DU, UK.
Paul KlenermanPeter Medawar Building for Pathogen Research, University of Oxford, Oxford, OX1 3SY, UK.ORCID 0000-0003-4307-9161
Ming LimChildren's Neurosciences, Evelina London Children's Hospital at Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, UK.
Lahiru HandunnetthiOxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.
Sarosh R IraniOxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.ORCID 0000-0002-7667-9748
Adam HandelOxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.ORCID 0000-0001-8385-6346
John Radcliffe Hospital · GBUniversity of Oxford · GBCentre for Human Genetics · GBKing's College London · GB

Funding

Medical Research Council MR/V007173/1Medical Research Council MR/X022013/1Wellcome TrustWellcome Trust 222426/Z/21/Z
6 · The paper itself

Abstract

Herpes simplex virus encephalitis (HSE) is the leading cause of non-epidemic encephalitis in the developed world and, despite antiviral therapy, mortality and morbidity is high. The emergence of post-HSE autoimmune encephalitis reveals a new immunological paradigm in autoantibody-mediated disease. A reductionist evaluation of the immunobiological mechanisms in HSE is crucial to dissect the origins of post-viral autoimmunity and supply rational approaches to the selection of immunotherapeutics. Herein, we review the latest evidence behind the phenotypic progression and underlying immunobiology of HSE including the cytokine/chemokine environment, the role of pathogen-recognition receptors, T- and B-cell immunity and relevant inborn errors of immunity. Second, we provide a contemporary review of published patients with post-HSE autoimmune encephalitis from a combined cohort of 110 patients. Third, we integrate novel mechanisms of autoimmunization in deep cervical lymph nodes to explore hypotheses around post-HSE autoimmune encephalitis and challenge these against mechanisms of molecular mimicry and others. Finally, we explore translational concepts where neuroglial surface autoantibodies have been observed with other neuroinfectious diseases and those that generate brain damage including traumatic brain injury, ischaemic stroke and neurodegenerative disease. Overall, the clinical and immunological landscape of HSE is an important and evolving field, from which precision immunotherapeutics could soon emerge.

Indexed as

Autoimmune Diseases of the Nervous SystemBrain IschemiaEncephalitis, Herpes SimplexNeurodegenerative DiseasesStrokeAutoantibodiesAutoimmunityHumansSimplexvirusAutoantibodiesautoimmune encephalitisherpes simplex virus encephalitisimmunologyimmunotherapeuticsviral encephalitis

Identifiers

PMID38092513
PMCPMC10994539
OpenAlexW4389800281

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.