Evidence map›Paper›PMID 41142797›Full record

ArticleFrontiers in immunology2025

Binding of established antinuclear antibodies to neurons depends on tissue fixation and underlying autoantigens.

Lucie Y Li, Markus Höltje, Helle Foverskov Rasmussen, Lennard Halle, Marie Mayrhofer, Martin Blüthner, Harald Prüss

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. Review
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

7 authors.

Lucie Y LiDepartment of Neurology and Experimental Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Markus HöltjeInstitute of Integrative Neuroanatomy Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Helle Foverskov RasmussenDepartment of Neurology and Experimental Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Lennard HalleDepartment of Computational Health, Institute of Computational Biology, Helmholtz Center Munich, Munich, Germany.
Marie MayrhoferDepartment of Computational Health, Institute of Computational Biology, Helmholtz Center Munich, Munich, Germany.
Martin BlüthnerDepartment of Autoimmune Diagnostics, Medizinisches Versorgungszentrum (MVZ) Laboratory PD Dr. Volkmann & Colleagues SE & Co. eGbR, Karlsruhe, Germany.
Harald PrüssDepartment of Neurology and Experimental Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antinuclear antibodies (ANAs) are central biomarkers in rheumatological conditions and can drive disease pathology. Much less is known about the role of ANAs in neurological symptoms, although a number of experimental studies have demonstrated direct effects on neuronal function, for example in neuropsychiatric lupus erythematosus. Moreover, it is unclear whether the ANAs detected in HEp-2 cell-based assays, the gold standard for ANA diagnostics, can also be recognized in modern screening assays for anti-neuronal autoimmunity, such as staining on rodent brain sections or neuronal cultures. In this study, we therefore conducted a comparative mapping of ANA-positive sera with well-characterized HEp-2 patterns to central nervous system (CNS) tissue, utilizing fixed and unfixed murine brain sections and primary murine neurons. We screened 74 ANA-positive sera classified into 14 individual patterns and combinations thereof. Majority of the samples reacted with fixed primary neurons (99%, 73/74 sera), followed by fixed brain sections (93%, 69/74), but much less to unfixed mouse brain (54%, 40/74). While the PM/SCL- and RPOI-positive sera showed no binding to unfixed brain sections, the U1RNP (U1 nuclear ribonucleoprotein particle) and FBLN (fibrillarin) ANAs reacted strongly across all assays, indicating differences in antigen accessibility. These findings suggest that the majority of ANAs can interact with neural components, which may obscure the detection of other anti-neuronal autoantibodies. The foundational mapping of ANA binding in CNS tissue provided here can also facilitate recognition of "CNS-specific ANAs," which bind to neuronal autoantigens but not to HEp-2 cells. Future studies should explore the association with certain neurological manifestations and the role of ANAs in neuronal pathology.

Indexed as

Antibodies, AntinuclearAutoantigensNeuronsAnimalsBrainFemaleHumansMaleMiceTissue FixationAntibodies, AntinuclearAutoantigensANAanti-neuronal antibodiesautoimmunityHEp-2immunofluorescence

Identifiers

PMID41142797
PMCPMC12549672

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