Evidence map›Paper›PMID 40696586›Full record

ArticleMedicine2025

Causal effects of antibody-mediated immune responses on myocarditis: A two-sample Mendelian randomization study.

Jizhang Sheng, Yang Zhang, Lintao Dong, Jinpeng Yao

Abstract read
In one paragraph

Article in Medicine, 2025. 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

4 authors.

Jizhang ShengDepartment of Cardiology, Yantai Yeda Hospital, Yantai, Shandong, China.
Yang ZhangThe First Clinical Medical College of Ningxia Medical University, Ningxia, China.
Lintao DongThe First Clinical Medical College of Ningxia Medical University, Ningxia, China.
Jinpeng YaoDepartment of Cardiology, Yantai Yeda Hospital, Yantai, Shandong, China.ORCID 0000-0001-6359-7375

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have suggested a link between viral infections and myocarditis, but the causal nature of this relationship remains unclear. The antibody-mediated immune responses generated after such infections reflect an individual's infection history and immune status, offering insights into disease mechanisms and potential therapeutic targets. We used 46 antibody-mediated immune responses as exposures, with European myocarditis and Finnish nonischemic cardiomyopathy as outcomes. The overlapping results were then identified and further validated using Mendelian randomization based on generalized summary data to ensure accuracy. Our Mendelian randomization based on generalized summary data analysis showed that Epstein-Barr virus-related antibody levels, including EBNA-1 (OR = 1.7225, 95% CI: 1.2692-2.3376, P < .001) and VCA p18 (OR = 1.8108, 95% CI: 1.1919-2.7511, P = .0054), were significantly associated with an increased risk of myocarditis. In addition, polyomavirus-related antibody levels, including anti-polyomavirus 2 IgG seropositivity (OR = 0.5762, 95% CI: 0.4521-0.7344, P < .001), anti-Merkel cell polyomavirus IgG seropositivity (OR = 0.6924, 95% CI: 0.5522-0.8682, P = .0014), and Merkel cell polyomavirus VP1 antibody levels (OR = 0.6093, 95% CI: 0.3989-0.9307, P = .0219), were significantly associated with a reduced risk of myocarditis. Similarly, antibody levels against varicella zoster virus glycoproteins E and I were also inversely associated with myocarditis risk (OR = 0.4478, 95% CI: 0.3035-0.6606, P < .001). We identified 6 antibody-mediated immune responses associated with myocarditis, along with multiple genetic variants linked to these responses. These findings may help prioritize future research directions and guide drug development.

Indexed as

Antibodies, ViralMyocarditisFinlandHumansMendelian Randomization AnalysisAntibodies, Viralantibody-mediated immune responsegeneralized summary-data-based Mendelian randomizationMendelian randomization analysismyocarditis

Identifiers

PMID40696586
PMCPMC12282833

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.