Evidence map›Paper›PMID 42028700›Full record

ArticleAnnals of clinical and translational neurology2026

Anti-CD19 CAR T Cells in Autoimmune Encephalitis: Inflammation Controlled, Neurodegeneration Unchecked?

Dimitrios Mougiakakos, Marwa Al-Dubai, Denise Walther, Dominic Borie, Jan D Lünemann, Marc Pawlitzki, Sven G Meuth, Solveig Henneicke, Stefan Vielhaber, Stefanie Schreiber

Abstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2026. 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

10 authors.

Dimitrios MougiakakosDepartment of Hematology, Oncology, Cell- and Radiotherapy, Otto von Guericke University Magdeburg, Magdeburg, Germany.ORCID https://orcid.org/0000-0002-2817-6660
Marwa Al-DubaiDepartment of Neurology, Otto-von-Guericke University, Magdeburg, Germany.
Denise WaltherDepartment of Hematology, Oncology, Cell- and Radiotherapy, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Dominic BorieKyverna Therapeutics, Emeryville, California, USA.
Jan D LünemannDepartment of Neurology, University Hospital Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-3007-708X
Marc PawlitzkiDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany.
Sven G MeuthDepartment of Neurology, University Hospital Münster, Münster, Germany.
Solveig HenneickeDepartment of Neurology, Otto-von-Guericke University, Magdeburg, Germany.
Stefan VielhaberDepartment of Neurology, Otto-von-Guericke University, Magdeburg, Germany.
Stefanie SchreiberDepartment of Neurology, Otto-von-Guericke University, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Just recently, successful chimeric antigen receptor (CAR) T cell therapy was reported in the first patient with refractory, anti-diacylglycerol lipase alpha (DAGLA) antibody-mediated autoimmune encephalitis, achieving partial clinical remission. We now provide extended follow-up demonstrating a stable, relapse-free clinical course and persistent suppression of autoantibodies. However, the patient exhibited progressive neurodegeneration despite sustained control of B cell-mediated inflammation. This dissociation between immune quiescence and structural decline highlights that CAR T cell therapy, while highly effective in extinguishing inflammation, may not be sufficient to prevent or reverse ongoing neuronal damage in disorders characterized by both inflammation and neurodegeneration.

Indexed as

Antigens, CD19EncephalitisHashimoto DiseaseImmunotherapy, AdoptiveInflammationNeurodegenerative DiseasesFemaleHumansT-LymphocytesAntigens, CD19autoimmune encephalitisCAR T cellsneurodegeneration

Identifiers

PMID42028700
PMCPMC13394066

What OpenQuestion holds

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Registered trials

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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.