Evidence map›Paper›PMID 37097758›Full record

ArticleJCI insight2023

MOGAD patient autoantibodies induce complement, phagocytosis, and cellular cytotoxicity.

Soumya S Yandamuri, Beata Filipek, Abeer H Obaid, Nikhil Lele, Joshua M Thurman, Naila Makhani, Richard J Nowak, Yong Guo, Claudia F Lucchinetti, Eoin P Flanagan and 2 more

Abstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

12 authors.

Soumya S YandamuriDepartment of Neurology and.
Beata FilipekDepartment of Neurology and.
Abeer H ObaidDepartment of Neurology and.
Nikhil LeleDepartment of Neurology and.
Joshua M ThurmanDepartment of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
Naila MakhaniDepartment of Neurology and.
Richard J NowakDepartment of Neurology and.
Yong GuoDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Claudia F LucchinettiDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Eoin P FlanaganDepartment of Neurology and Center for MS and Autoimmune Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Erin E LongbrakeDepartment of Neurology and.
Kevin C O'ConnorDepartment of Neurology and.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Rare Disease Network for Myasthenia GravisU54NS115054 · NINDS · GEORGE WASHINGTON UNIVERSITY · PI HENRY J KAMINSKI · 2019 to 2026
$11.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Mechanisms of autoimmunity in myasthenia gravisR01AI114780 · NIAID · YALE UNIVERSITY · PI Kevin C O'Connor · 2016 to 2026
$4.7M
Utilizing epidemiology, imaging and fluid biomarkers in MOG antibody-associated disease to inform prognosis, pathogenesis and therapeuticsR01NS113828 · NINDS · MAYO CLINIC ROCHESTER · PI Eoin P Flanagan · 2020 to 2026
$2.4M
The Radiologically Isolated Syndrome in ChildrenK23NS101099 · NINDS · YALE UNIVERSITY · PI MAKHANI, NAILA · 2017 to 2022
$792k
Defining the autoimmune mechanisms driving human MOG antibody disease pathologyR21AI178859 · NIAID · YALE UNIVERSITY · PI O'CONNOR, KEVIN C · 2023 to 2024
$461k
Molecular determinants driving diverse mechanisms of antibody-mediated pathologyR21AI164590 · NIAID · YALE UNIVERSITY · PI O'CONNOR, KEVIN C · 2021 to 2022
$461k
NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI114780NIAID NIH HHS R21 AI164590NIAID NIH HHS R21 AI178859NINDS NIH HHS K23 NS101099NINDS NIH HHS R01 NS113828NINDS NIH HHS U54 NS115054
6 · The paper itself

Abstract

Myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is an inflammatory demyelinating CNS condition characterized by the presence of MOG autoantibodies. We sought to investigate whether human MOG autoantibodies are capable of mediating damage to MOG-expressing cells through multiple mechanisms. We developed high-throughput assays to measure complement activity (CA), complement-dependent cytotoxicity (CDC), antibody-dependent cellular phagocytosis (ADCP), and antibody-dependent cellular cytotoxicity (ADCC) of live MOG-expressing cells. MOGAD patient sera effectively mediate all of these effector functions. Our collective analyses reveal that (a) cytotoxicity is not incumbent on MOG autoantibody quantity alone; (b) engagement of effector functions by MOGAD patient serum is bimodal, with some sera exhibiting cytotoxic capacity while others did not; (c) the magnitude of CDC and ADCP is elevated closer to relapse, while MOG-IgG binding is not; and (d) all IgG subclasses can damage MOG-expressing cells. Histopathology from a representative MOGAD case revealed congruence between lesion histology and serum CDC and ADCP, and we identified NK cells, mediators of ADCC, in the cerebrospinal fluid of relapsing patients with MOGAD. Thus, MOGAD-derived autoantibodies are cytotoxic to MOG-expressing cells through multiple mechanisms, and assays quantifying CDC and ADCP may prove to be effective tools for predicting risk of future relapses.

Indexed as

AutoantibodiesImmunoglobulin GComplement System ProteinsCytotoxicity, ImmunologicHumansMyelin-Oligodendrocyte GlycoproteinPhagocytosisAutoantibodiesComplement System ProteinsImmunoglobulin GMyelin-Oligodendrocyte GlycoproteinAutoimmune diseasesAutoimmunityDemyelinating disordersNeurological disordersNeuroscience

Identifiers

PMID37097758
PMCPMC10393237

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.