Evidence map›Paper›PMID 38179632›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2024

Therapeutic Outcomes and Electrophysiological Biomarkers in Anti-Myelin-Associated Glycoprotein Neuropathy: A Multicenter Cohort Study in South Korea.

Young Gi Min, Hee-Jo Han, Ha Young Shin, Jong-Gyu Baek, Jun-Soon Kim, Kyung-Seok Park, Seol-Hee Baek, Ilhan Yoo, So-Young Huh, Young Nam Kwon and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

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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

14 authors at 6 institutions in 1 country.

Young Gi MinDepartment of Translational Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8091-7585
Hee-Jo HanDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-9482-9244
Ha Young ShinDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4408-8265
Jong-Gyu BaekDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0002-3752-548X
Jun-Soon KimDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0001-7685-2793
Kyung-Seok ParkDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0003-1553-5932
Seol-Hee BaekDepartment of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3656-1833
Ilhan YooDepartment of Neurology, Nowon Eulji Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-2793-1617
So-Young HuhDepartment of Neurology, Kosin Medical University Hospital, Busan, Korea.ORCID https://orcid.org/0000-0002-3309-6155
Young Nam KwonDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-3588-274X
Seok-Jin ChoiDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6444-977X
Sung-Min KimDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2425-6388
Yoon-Ho HongDepartment of Translational Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3325-6358
Jung-Joon SungDepartment of Translational Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7525-5313
Seoul National University · KRSeoul National University Bundang Hospital · KRYonsei University · KRSeoul National University Hospital · KRKorea University Medical Center · KRKosin University · KR

Funding

National Research Foundation of Korea 2018R1A5A2025964National Research Foundation of Korea 2019M3C7A1031867
6 · The paper itself

Abstract

background and purposeUnlike other immune-mediated neuropathies, anti-myelin-associated glycoprotein (MAG) neuropathy is often refractory to immunotherapy. It is necessary to compare the relative efficacies of various immunotherapies and develop objective biomarkers in order to optimize its clinical management.

methodsThis study recruited 91 patients with high anti-MAG antibody titers from 7 tertiary hospitals in South Korea. We analyzed the baseline characteristics, therapeutic outcomes, and nerve conduction study (NCS) findings of 68 patients and excluded 23 false positive cases.

resultsThe rate of positive responses to treatment was highest using zanubrutinib (50%) and rituximab (36.4%), followed by corticosteroids (16.7%), immunosuppressants (9.5%), intravenous immunoglobulin (5%), and plasma exchange (0%). Disability and weakness were significantly associated with multiple NCS parameters at the time of diagnosis, especially distal compound muscle action potential (CMAP) amplitudes. Moreover, the longitudinal trajectory of the average CMAP amplitudes paralleled the clinical courses, with a 16.2 percentile decrease as an optimal cutoff for predicting a clinical exacerbation (area under the receiver operating characteristic curve=0.792).

conclusionsOur study supports the use of NCS as an objective marker for estimating disease burden and tracking clinical changes in patients with anti-MAG neuropathy. We have described the beneficial effects of rituximab and a new drug, zanubrutinib, compared with conventional immunotherapies.

Indexed as

anti-MAG neuropathybiomarkerefficacyimmunotherapynerve conduction study

Identifiers

PMID38179632
PMCPMC10782088
OpenAlexW4390505401

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.