Evidence map›Paper›PMID 38556758›Full record

ArticleEuropean journal of neurology2024

Antiganglioside antibody frequency in routine clinical care settings.

Niklas Giesche, Samuel Tobias Böhm-Gonzalez, Benedict Kleiser, Markus C Kowarik, Evelyn Dubois, Elke Stransky, Marcel Armbruster, Alexander Grimm, Justus Marquetand

Open access · goldAbstract read
In one paragraph

Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 4 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

9 authors at 1 institution in 1 country.

Niklas GiescheDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Samuel Tobias Böhm-GonzalezDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Benedict KleiserDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.ORCID 0000-0002-7575-0020
Markus C KowarikDepartment of Neurology and Stroke, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Evelyn DuboisDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Elke StranskyDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Marcel ArmbrusterDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Alexander GrimmDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.ORCID 0000-0002-8615-5040
Justus MarquetandDepartment of Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.ORCID 0000-0002-2039-5498
Hertie Institute for Clinical Brain Research · DE

Funding

University of Tuebingen 45800
6 · The paper itself

Abstract

background and purposeAntiganglioside antibodies (AGAs) might be involved in the etiopathogenesis of many neurological diseases, such as Miller-Fisher syndrome (MFS) and Guillain-Barré syndrome (GBS). Available comprehensive reference data regarding AGA positivity rates and cross-responsiveness among AGAs (where one line immunoblot is positive for ≥1 AGA) during routine clinical care are scant.

methodsIn this 10-year monocentric retrospective study, 3560 immunoglobulin (Ig) G and IgM line blots (GA Generic Assays' Anti-Ganglioside Dot kit) obtained using cerebrospinal fluid (CSF) and serum samples from 1342 patients were analyzed for AGA positivity in terms of 14 diagnosis categories and AGA cross-responsiveness.

resultsOf all 3560 line blots 158 (4.4%) and of all CSF samples 0.4% (4/924) CSF line blots were AGA positive. For serum IgG, blots with positivity rates higher than the standard deviation of 15.6% were associated with MFS (GD3, GD1a, GT1a and GQ1b) and acute motor axonal neuropathy (AMAN) (GM1, GD1a and GT1a). For serum IgM, blots with positivity rates higher than the standard deviation of 8.1% were associated with AMAN (GM2, GT1a and GQ1b), MFS (GM1, GT1a and GQ1b), multifocal motor neuropathy (MMN) (GM1, GM2 and GQ1b) and chronic inflammatory demyelinating polyneuropathy (CIDP) (GM1). Cross-responsiveness was observed in 39.6% of all positive serum AGA.

conclusionsTesting for AGAs during routine clinical care rarely led to positive findings, both in serum and even less in CSF, except for the diagnoses AMAN, MFS, MMN and CIDP. Nonspecific findings found as cross-responsiveness between different AGA samples occur frequently, impacting the positivity of most AGA subtypes.

Indexed as

AutoantibodiesGangliosidesAdultAgedFemaleGuillain-Barre SyndromeHumansImmunoglobulin GImmunoglobulin MMaleMiddle AgedMiller Fisher SyndromeRetrospective StudiesAutoantibodiesGangliosidesImmunoglobulin GImmunoglobulin MgangliosideGuillain–Barré syndromenervous systemneurologypolyneuropathy

Identifiers

PMID38556758
PMCPMC11236029
OpenAlexW4393363813

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.