Evidence map›Paper›PMID 38386048›Full record

ArticleJournal of neurology2024

Different pain phenotypes are associated with anti-Caspr2 autoantibodies.

Patrik Greguletz, Maria Plötz, Carolin Baade-Büttner, Christian G Bien, Katharina Eisenhut, Christian Geis, Robert Handreka, Jaqueline Klausewitz, Peter Körtvelyessy, Stjepana Kovac and 23 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.4field-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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Recent advances in autoantibody-mediated pain.Current opinion in supportive and palliative care · 2026
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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

33 authors at 20 institutions in 2 countries.

Patrik Greguletz *Department of Neurology, University Hospital Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany.
Maria Plötz *Department of Neurology, University Hospital Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany.
Carolin Baade-BüttnerSection Translational Neuroimmunology, Department for Neurology, Jena University Hospital, Jena, Germany.
Christian G BienDepartment of Epileptology (Krankenhaus Mara), Medical School, Bielefeld University, Campus Bielefeld-Bethel, Bielefeld, Germany.
Katharina EisenhutInstitute of Clinical Neuroimmunology, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.
Christian GeisSection Translational Neuroimmunology, Department for Neurology, Jena University Hospital, Jena, Germany.
Robert HandrekaCarl-Thiem-Klinikum, Cottbus, Germany.
Jaqueline KlausewitzDepartment of Neurology, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Peter KörtvelyessyDepartment of Neurology, University Hospital Magdeburg, Magdeburg, Germany.
Stjepana KovacDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Andrea KraftDepartment of Neurology, Martha-Maria Hospital Halle, Halle, Germany.
Jan LewerenzDepartment of Neurology, University of Ulm, Ulm, Germany.
Michael MalterDepartment of Neurology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Michael NagelDepartment of Neurology, Klinikum Osnabrück, Osnabrück, Germany.
Felix von PodewilsDepartment of Neurology, University Hospital Greifswald, Greifswald, Germany.
Harald PrüßDepartment of Neurology and Experimental Neurology, Charité Berlin, and German Center for Neurodegenerative Diseases (DZNE),, Berlin, Germany.
Anna RadaDepartment of Epileptology (Krankenhaus Mara), Medical School, Bielefeld University, Campus Bielefeld-Bethel, Bielefeld, Germany.
Johanna RauDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, Münster, Germany.
Sebastian RauerDepartment of Neurology, University of Freiburg, Freiburg im Breisgau, Germany.
Rosa RößlingDepartment of Neurology and Experimental Neurology, Charité Berlin, and German Center for Neurodegenerative Diseases (DZNE),, Berlin, Germany.
Thomas Seifert-HeldDepartment of Neurology, Medical University of Graz, Graz, Austria.
Kai SiebenbrodtDepartment of Neurology, University Hospital Frankfurt, Frankfurt, Germany.
Kurt-Wolfram SühsDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Simone C TauberDepartment of Neurology, RWTH University Hospital Aachen, Aachen, Germany.
Franziska ThalerInstitute of Clinical Neuroimmunology, University Hospital, Ludwig-Maximilians-Universität Munich, Munich, Germany.
Judith WagnerDepartment of Neurology, Kepler University Hospital Linz, Linz, Austria.
Jonathan WickelSection Translational Neuroimmunology, Department for Neurology, Jena University Hospital, Jena, Germany.
Frank LeypoldtDepartment of Neurology, Christian-Albrechts-University Kiel, Kiel, Germany.
Heike L RittnerDepartment of Anesthesiology, Intensive Care, Emergency Medicine and Pain Medicine, Centre for Interdisciplinary Pain Medicine, University Hospital Würzburg, Würzburg, Germany.
Claudia SommerDepartment of Neurology, University Hospital Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany.
Carmen VillmannInstitute of Clinical Neurobiology, University Hospital Würzburg, Würzburg, Germany.
Kathrin DopplerDepartment of Neurology, University Hospital Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany. Doppler_K@ukw.de.ORCID http://orcid.org/0000-0003-2883-0009
GENERATE study group
German Center for Neurodegenerative Diseases · DEUniversitätsklinikum Würzburg · DEMunich Cluster for Systems Neurology · DEBielefeld University · DECarl-Thiem-Klinikum Cottbus · DEUniversitätsklinikum Aachen · DEUniversity Hospital Münster · DEUniversity of Freiburg · DEJena University Hospital · DEKlinikum Osnabrück · DELaboratory Krone · DEUniversitätsmedizin Greifswald · DEChristian-Albrechts-Universität zu Kiel · DEKepler Universitätsklinikum · ATMartha-Maria Hospital · DEUniversität Ulm · DEEvangelische Kliniken Gelsenkirchen · DEGoethe University Frankfurt · DEMedical University of Graz · ATMedizinische Hochschule Hannover · DE

Funding

Deutsche Forschungsgemeinschaft KFO5001
6 · The paper itself

Abstract

Autoantibodies against contactin-associated protein 2 (Caspr2) not only induce limbic autoimmune encephalitis but are also associated with pain conditions. Here, we analyzed clinical data on pain in a large cohort of patients included into the German Network for Research in Autoimmune Encephalitis. Out of 102 patients in our cohort, pain was a frequent symptom (36% of all patients), often severe (63.6% of the patients with pain) and/or even the major symptom (55.6% of the patients with pain). Pain phenotypes differed between patients. Cluster analysis revealed two major phenotypes including mostly distal-symmetric burning pain and widespread pain with myalgia and cramps. Almost all patients had IgG4 autoantibodies and some additional IgG1, 2, and/or 3 autoantibodies, but IgG subclasses, titers, and presence or absence of intrathecal synthesis were not associated with the occurrence of pain. However, certain pre-existing risk factors for chronic pain like diabetes mellitus, peripheral neuropathy, or preexisting chronic back pain tended to occur more frequently in patients with anti-Caspr2 autoantibodies and pain. Our data show that pain is a relevant symptom in patients with anti-Caspr2 autoantibodies and support the idea of decreased algesic thresholds leading to pain. Testing for anti-Caspr2 autoantibodies needs to be considered in patients with various pain phenotypes.

Indexed as

AutoantibodiesMembrane ProteinsNerve Tissue ProteinsPhenotypeAgedCohort StudiesFemaleHumansImmunoglobulin GMaleMiddle AgedPainAutoantibodiesCNTNAP2 protein, humanImmunoglobulin GMembrane ProteinsNerve Tissue ProteinsAutoantibodyCaspr2IgG4IgG subclassPain

Identifiers

PMID38386048
PMCPMC11055745
OpenAlexW4392047307

What OpenQuestion holds

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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.