Evidence map›Paper›PMID 42008666›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Failure of early B cell tolerance and possible BCR signaling dysregulation underlie NF155-mediated autoimmune nodopathies.

Bhaskar Roy, Abeer H Obaid, Zhenjian Wang, Kristof G Kovacs, Sarah Ohashi, F Naz Cemre Kalayci, Daniel Joo, Gianvito Masi, Carmina Coppola, Sameeran Das and 6 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. 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. Failure of early B cell tolerance and possible BCR signaling dysregulation underlie NF155-mediated autoimmune nodopathies.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Review
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Bhaskar RoyDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.ORCID 0000-0003-3604-6310
Abeer H ObaidDepartment of Immunobiology, Yale School of Medicine, New Haven, CT 06510.ORCID 0000-0002-9846-1045
Zhenjian WangDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.
Kristof G KovacsDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.ORCID 0000-0001-9576-641X
Sarah OhashiDepartment of Immunobiology, Yale School of Medicine, New Haven, CT 06510.
F Naz Cemre KalayciHacettepe School of Medicine, Hacettepe University, Ankara 06100, Türkiye.
Daniel JooDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.
Gianvito MasiDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.ORCID 0000-0003-4754-2141
Carmina CoppolaDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.
Sameeran DasDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.
Amanda L HernandezDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.
Lorena Martin-AguilarNeuromuscular Diseases Unit, Hospital de la Santa Creu i Sant Pau, IR Sant Pau, Barcelona 08041, Spain.
Cinta LleixàNeuromuscular Diseases Unit, Hospital de la Santa Creu i Sant Pau, IR Sant Pau, Barcelona 08041, Spain.
Richard J NowakDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.
Luis QuerolNeuromuscular Diseases Unit, Hospital de la Santa Creu i Sant Pau, IR Sant Pau, Barcelona 08041, Spain.ORCID 0000-0002-4289-8264
Kevin C O'ConnorDepartment of Neurology, Yale School of Medicine, New Haven, CT 06510.

Funding

Rare Disease Network for Myasthenia GravisU54NS115054 · NINDS · GEORGE WASHINGTON UNIVERSITY · PI Linda Louise Kusner · 2019 to 2026
$11.9M
Mechanisms of autoimmunity in myasthenia gravisR01AI114780 · NIAID · YALE UNIVERSITY · PI Kevin C O'Connor · 2016 to 2026
$4.7M
In-depth characterization of B-cell dysfunction in chronic inflammatory demyelinating polyneuropathyR01NS132860 · NINDS · YALE UNIVERSITY · PI Bhaskar Roy · 2024 to 2026
$1.2M
HHS | NIH | National Center for Advancing Translational Sciences (NCATS) U54NS115054HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01AI114780HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) 1R01NS132860-01A1NIAID NIH HHS R01 AI114780NINDS NIH HHS R01 NS132860NINDS NIH HHS U54 NS115054
6 · The paper itself

Abstract

Autoimmune nodopathies (AINs) are rare acquired autoimmune neuropathies with distinct clinical features and circulating autoantibodies, often of the immunoglobulin G4 (IgG4) subclass, targeting proteins at the node of Ranvier. Defects in B cell tolerance checkpoints have been implicated in several autoimmune diseases, including MuSK-positive myasthenia gravis, another IgG4 autoantibody-mediated disease. Here, we investigated whether tolerance defects exist in neurofascin-155-mediated AIN (NF155-AIN), using a well-established assay, by generating recombinant antibodies from new emigrant (NE) and mature naive (MN) B cells from three NF155-AIN patients, and tested them for polyreactivity and autoreactivity. Additionally, we analyzed the transcriptome of peripheral blood mononuclear cells, with a particular focus on naive B cells and CD4+ T cells at the single-cell level, and characterized cell-cell interactions. NF155-AIN patients have an elevated frequency of polyreactive B cells in the NE (37.4% compared to 9.7% in healthy controls (HCs),

Indexed as

B-LymphocytesCell Adhesion MoleculesImmune ToleranceNerve Growth FactorsReceptors, Antigen, B-CellAutoantibodiesCD4-Positive T-LymphocytesFemaleHumansImmunoglobulin GSignal Transductionsrc-Family KinasesAutoantibodiesCell Adhesion MoleculesImmunoglobulin GNerve Growth FactorsNFASC protein, humanReceptors, Antigen, B-Cellsrc-Family Kinasesautoimmune nodopathiesIgG4neuropathy

Identifiers

PMID42008666
PMCPMC13123804

What OpenQuestion holds

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Read underepoch 390

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.