Evidence map›Paper›PMID 41890766›Full record

ArticleFrontiers in immunology2026

Neurological graft-versus-host disease with MOG antibody positivity after allogeneic stem cell transplantation: a case report.

Xin Zhou, Ningxia Song, Zhaohong Xie, Ai Li, Juandong Wang, Ningning Shan

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xin Zhou *Department of Hematology, The Second Qilu Hospital of Shandong University, Jinan, Shandong, China.
Ningxia Song *Department of Hematology, The Second Qilu Hospital of Shandong University, Jinan, Shandong, China.
Zhaohong XieDepartment of Neurology, The Second Qilu Hospital of Shandong University, Jinan, Shandong, China.
Ai LiDepartment of Hematology, The Second Qilu Hospital of Shandong University, Jinan, Shandong, China.
Juandong WangDepartment of Hematology, The Second Qilu Hospital of Shandong University, Jinan, Shandong, China.
Ningning ShanDepartment of Hematology, The Second Qilu Hospital of Shandong University, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Central nervous system (CNS) involvement is recognized as a distinct manifestation of chronic GVHD (cGVHD). Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an autoimmune disorder targeting the CNS. Therefore, the occasional detection of MOG antibodies in patients with CNS-cGVHD may represent a manifestation within the spectrum of CNS-GVHD. Case presentation: A 22-year-old female with severe aplastic anemia (AA) underwent maternal haploidentical hematopoietic stem cell transplantation (HSCT) in May 2021. During conditioning, she developed acute neurotoxicity. Subsequent complications included acute and chronic GVHD as well as posterior reversible encephalopathy syndrome (PRES). Three months after transplantation, she developed sensory deficits and ataxia, and cervical magnetic resonance imaging revealed inflammatory lesions consistent with cervical myelitis. Comprehensive neuroimmunological evaluation excluded alternative infectious, metabolic, or neoplastic etiologies. Anti-myelin oligodendrocyte glycoprotein (MOG) antibodies were negative by cell-based assay (CBA) and tissue-based assay (TBA), but demonstrated weak, low-titer positivity on live-cell immunofluorescence. Neurological function recovered following treatment with intravenous immunoglobulin (IVIG) and methylprednisolone. Conclusions: This case illustrates low-titer post-HSCT MOG seropositivity detected only by a live cell-based assay in a patient who fulfilled diagnostic criteria for CNS-GVHD. Live cell-based MOG testing may be considered in selected HSCT recipients with unexplained or atypical neuroinflammatory syndromes despite negative conventional assays, with results interpreted cautiously as hypothesis-generating for individualized immunosuppressive management.

Indexed as

AutoantibodiesGraft vs Host DiseaseHematopoietic Stem Cell TransplantationMyelin-Oligodendrocyte GlycoproteinMyelin Oligodendrocyte Glycoprotein Antibody-Associated DiseaseFemaleHumansTransplantation, HomologousYoung AdultAutoantibodiesMOG protein, humanMyelin-Oligodendrocyte GlycoproteinantibodyCNS demyelinationhaploidentical stem cell transplantationlive-cell immunofluorescenceMOGAD

Identifiers

PMID41890766
PMCPMC13016198

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