Evidence map›Paper›PMID 39693598›Full record

SynthesisNeurology(R) neuroimmunology & neuroinflammation2025

Clinical and Paraclinical Characterizations, Management, and Prognosis in DPPX Antibody-Associated Encephalitis: A Systematic Review.

Er-Chuang Li, Tian-Yi Zhang, Meng-Ting Cai, Sheng-Yao Su, Chun-Hong Shen, Qi-Lun Lai, Yin-Xi Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Neurology(R) neuroimmunology & neuroinflammation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

7 authors.

Er-Chuang LiDepartment of Neurology, Taikang Ningbo Hospital.
Tian-Yi ZhangDepartment of Neurology, First Affiliated Hospital, School of Medicine, Zhejiang University.
Meng-Ting CaiDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University; and.ORCID 0000-0003-1835-5734
Sheng-Yao SuDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University; and.ORCID 0000-0002-5020-7056
Chun-Hong ShenDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University; and.ORCID 0009-0000-0240-8673
Qi-Lun LaiDepartment of Neurology, Zhejiang Hospital, China.ORCID 0000-0002-3536-6921
Yin-Xi ZhangDepartment of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University; and.ORCID 0000-0002-4462-171X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In dipeptidyl-peptidase-like protein 6 (DPPX) antibody-associated encephalitis, DPPX antibodies from serum and CSF target the extracellular subunit of the voltage-gated potassium channel 4.2. This targeting leads to a characteristic clinical triad comprising gastrointestinal symptoms (predominantly diarrhea), cognitive-psychiatric dysfunction, and manifestations of CNS hyperexcitability, with hyperekplexia being a more specific feature. This rare disease typically presents with a subacute or chronic course and often affects middle-aged and older individuals. Patients may have a weak association with certain hematologic malignancies, particularly lymphoma and chronic lymphocytic leukemia. Brain MRI typically shows normal findings or nonspecific white matter changes. DPPX antibody-associated encephalitis responds well to immunotherapy, and most patients ultimately present with a good prognosis. However, relapses can occur. To improve our understanding of this rare but treatable autoimmune encephalitis and avoid misdiagnosis, we conduct a systematic review and summarize the current knowledge of its clinical and paraclinical features, management, and prognosis.

Indexed as

AutoantibodiesDipeptidyl-Peptidases and Tripeptidyl-PeptidasesEncephalitisHumansNerve Tissue ProteinsPotassium ChannelsPrognosisAutoantibodiesDipeptidyl-Peptidases and Tripeptidyl-PeptidasesDPP6 protein, humanNerve Tissue ProteinsPotassium Channels

Identifiers

PMID39693598
PMCPMC11658814

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.