Evidence map›Paper›PMID 40234551›Full record

ArticleScientific reports2025

Serum fibrinogen is not elevated in patients with myasthenia gravis.

Taylor A Bauman, Sean M Lee, Vern C Juel, Yingkai Li, Karli Gilbert, Jiaxin Chen, Henry J Kaminski, Linda L Kusner, MGNet Investigators

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

9 authors.

Taylor A BaumanLaboratory for Myasthenia Gravis Research, George Washington University, 2300 I St NW, 20052, Washington, DC, USA. taylor.bauman@email.gwu.edu.
Sean M LeeOffice of Clinical Research, George Washington University School of Medicine, Washington, DC, USA.
Vern C JuelNeuromuscular Division, Department of Neurology, Duke University Medical Center, Durham, NC, USA.
Yingkai LiNeuromuscular Division, Department of Neurology, Duke University Medical Center, Durham, NC, USA.
Karli GilbertLaboratory for Myasthenia Gravis Research, George Washington University, 2300 I St NW, 20052, Washington, DC, USA.
Jiaxin ChenLaboratory for Myasthenia Gravis Research, George Washington University, 2300 I St NW, 20052, Washington, DC, USA.
Henry J KaminskiLaboratory for Myasthenia Gravis Research, George Washington University, 2300 I St NW, 20052, Washington, DC, USA. hkaminski@mfa.gwu.edu.
Linda L KusnerLaboratory for Myasthenia Gravis Research, George Washington University, 2300 I St NW, 20052, Washington, DC, USA.
MGNet Investigators

Funding

Rare Disease Network for Myasthenia GravisU54NS115054 · NINDS · GEORGE WASHINGTON UNIVERSITY · PI HENRY J KAMINSKI · 2019 to 2026
$11.9M
NINDS NIH HHS U54 NS115054Rare Disease Clinical Research Network Consortium NIH U54 NS115054
6 · The paper itself

Abstract

Myasthenia gravis (MG) is an autoimmune, autoantibody-mediated disease characterized by fatigable weakness of skeletal muscles. MG is a heterogeneous disease that currently lacks a robust biomarker for diagnosing all subtypes. Residual serum fibrinogen was found to be elevated 1000-fold in patients with MG in one study and posited to represent a universal diagnostic biomarker for MG. We set out to confirm elevated serum fibrinogen in patients with all subtypes of MG. We employed multiple methodologies to compare fibrinogen levels between MG patients and controls, using samples from independent cohorts. With enzyme-linked immunosorbent assay (ELISA), fibrinogen levels in sera from MG patients were not significantly different from controls. And in plasma samples, MG patients had a significantly lower amount of fibrinogen compared to controls. Using liquid chromatography-mass spectrometry (LC-MS), the abundance of serum fibrinogen-α was not elevated in patients compared to controls, and patients had a significantly lower abundance of serum fibrinogen-ß and fibrinogen-γ compared to controls. Our results do not support serum fibrinogen to be a diagnostic biomarker for MG and underscore the need for replication of novel findings to ensure our common goal of identifying effective biomarkers for MG.

Indexed as

FibrinogenMyasthenia GravisAdultAgedBiomarkersCase-Control StudiesChromatography, LiquidEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedBiomarkersFibrinogenAcetylcholine receptor antibodyBiomarkerFibrinogenMuscle-specific kinase antibodyMyasthenia Gravis

Identifiers

PMID40234551
PMCPMC12000353

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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.