Evidence map›Paper›PMID 42527773›Full record

ArticleJournal of immunology research2026

Cytokine Changes With Effective Drug Therapy for Juvenile Myasthenia Gravis.

Yuanyuan Geng, Peng Liu, Min Jin, Guoyan Qi, Xiaoting Lin, Yousheng Zhang

Abstract read
In one paragraph

Article in Journal of immunology research, 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. 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

6 authors.

Yuanyuan GengShijiazhuang People's Hospital, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0009-0002-4922-0867
Peng LiuShijiazhuang People's Hospital, Shijiazhuang, Hebei, China.
Min JinSchool of Basic Medicine, North China University of Science and Technology, Tangshan, Hebei, China, ncst.edu.cn.
Guoyan QiShijiazhuang People's Hospital, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0000-0001-9218-3219
Xiaoting LinShijiazhuang People's Hospital, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0009-0005-7504-757X
Yousheng ZhangFaculty of Medicine and Health, The University of Melbourne, Parkville, Melbourne 3010, Victoria, Australia, unimelb.edu.au.ORCID https://orcid.org/0009-0008-4998-668X

Funding

Central Guidance for Local Scientific and Technological Development Funding Projects 246Z7706GKey Laboratory Construction Subsidy Fund Project 236790017HNational Natural Science Foundation of China 82274582
6 · The paper itself

Abstract

objectiveIn order to investigate the therapeutic mechanism of Jianpiyiqi Granule in juvenile myasthenia gravis (JMG) and find the immune-associated cytokines or signaling pathways targeted by this intervention.

methods(1) We extracted JMG serum samples from the sample bank of the Hebei Provincial Key Laboratory of Myasthenia Gravis before and after treatment. (2) Using Olink Immune Response Panel detects serum cytokines. Data were collated and analyzed using statistical software. Differentially expressed proteins (DEPs) were visualized using heat maps, volcano plots, and other tools. Differentially expressed cytokines were analyzed using KEGG enrichment pathway analysis to identify the relevant signaling pathways they participate in.

results(1) Twelve of 92 cytokines were found to be differentially expressed from 20 patients before and after treatment, namely AXIN1, CCL11, CCL13, CCL20, CCL25, CCL3, CD40, IL12B, S100A12, SIRT2, SLAMF1, and STAMBP (|log

conclusionsDrug therapy for JMG revealed 12 differentially expressed cytokines. Due to the exploratory nature and sample volume constraints, only two candidate cytokines were validated by ELISA. We found that the cytokines CCL11 and CCL20-associated with the IL-17 signaling pathway-were downregulated after treatment. The drug therapy may inhibit MG progression by reducing the expression of IL-17-associated cytokines. At the same time, the drug reduced the expression of CCL3, CCL13, CCL25, and CD40, which may play a role in the abnormal proliferation of thymocytes and chronic inflammatory response at the neuromuscular junction. Future studies with multiplex assays are needed to confirm the involvement of other differentially expressed cytokines, such as SIRT2 and AXIN1, which may contribute to disease mechanisms outside the identified pathways.

Indexed as

CytokinesDrugs, Chinese HerbalMyasthenia GravisAdolescentChildFemaleGene Expression ProfilingHumansMaleSignal TransductionCytokinesDrugs, Chinese Herbalcytokinemyasthenia gravissignal pathwaytreatment

Identifiers

PMID42527773
PMCPMC13420311

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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.