Evidence map›Paper›PMID 40787458›Full record

ArticleFrontiers in immunology2025

A pilot study of the immunological profile and efficacy of rituximab in muscle-specific kinase antibody-positive myasthenia gravis.

Fengzhan Li, Zhouao Zhang, Tianyu Ma, Yuting Li, Luyao Su, Zhouyi Wang, Tiancheng Luo, Deyou Peng, Xinyan Guo, Mingjin Yang and 3 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Italian recommendations for the diagnosis and treatment of myasthenia gravis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    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

13 authors.

Fengzhan Li *People's Hospital of Jiawang of Xuzhou, Jiawang Branch of Xuzhou Medical University Affiliated Hospital, Xuzhou, Jiangsu, China.
Zhouao Zhang *Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Tianyu Ma *Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Yuting LiDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Luyao SuDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zhouyi WangDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Tiancheng LuoDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Deyou PengDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xinyan GuoDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Mingjin YangDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xue DuDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xiaoyu HuangDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Yong ZhangDepartment of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study summarized the clinical and immunological characteristics of patients with muscle-specific kinase (MuSK) antibody-positive myasthenia gravis (MG), compared their difference with acetylcholine receptor (AChR) antibody-positive MG, and evaluated the therapeutic efficacy of rituximab (RTX) in MuSK-MG. Methods: This study included 10 MuSK-MG patients and 10 new-onset AChR-MG patients. Clinical and immunological data were collected from medical records before RTX treatment. The efficacy of RTX in MuSK-MG was evaluated by MG-specific activities of daily living (MG-ADL) and quantitative MG (QMG) scores. Results: All 10 MuSK-MG patients were female with a mean onset age of 44.3 ± 12.0 years, predominantly presenting with bulbar muscle weakness (90%) and limb weakness (80%). Compared to AChR-MG, MuSK-MG showed higher MG-ADL and QMG scores (P < 0.05), along with more frequent bulbar involvement at disease onset (P = 0.036). Immunological analyses revealed elevated CD19 Conclusion: MuSK-MG showed distinct clinical and immunological features, including predominant bulbar/limb onset, elevated CD19

Indexed as

AutoantibodiesImmunologic FactorsMyasthenia GravisReceptor Protein-Tyrosine KinasesReceptors, CholinergicRituximabAdultB-LymphocytesFemaleHumansMaleMiddle AgedPilot ProjectsTreatment OutcomeAutoantibodiesImmunologic FactorsMUSK protein, humanReceptor Protein-Tyrosine KinasesReceptors, CholinergicRituximabB lymphocytemuscle-specific kinasemyasthenia gravisnatural killer cellrituximabT lymphocyte

Identifiers

PMID40787458
PMCPMC12331607

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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.