Evidence map›Paper›PMID 40775229›Full record

ArticleNature communications2025

Anti-CV2/CRMP5 autoantibodies as drivers of sensory neuron excitability and pain in rats.

Laurent Martin, Harrison J Stratton, Lyuba Y Salih, Nicolas LA Dumaire, Kimberly Gomez, Le Duy Do, Santiago Loya-Lopez, Cheng Tang, Aida Calderon-Rivera, Dongzhi Ran and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Pathogenic Role of FGFR3 Autoantibodies in Small Fiber Neuropathy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Glaucine suppresses IL-16/CD4 to alleviate neuropathic pain via spinal p56Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Laurent Martin *Department of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0001-7358-5335
Harrison J Stratton *Department of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0001-7021-853X
Lyuba Y SalihDepartment of Pharmacology and Physiology, School of Medicine, Saint Louis University, St. Louis, MO, USA.
Nicolas LA DumaireDepartment of Pharmacology and Physiology, School of Medicine, Saint Louis University, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-9905-1366
Kimberly GomezDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0003-1867-5041
Le Duy DoFrench Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, MeLiS-UCBL-CNRS UMR 5284-INSERM U1314, Université Claude Bernard Lyon 1, Lyon, France.
Santiago Loya-LopezDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Cheng TangDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0002-5848-2458
Aida Calderon-RiveraDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Dongzhi RanDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Venkatrao NunnaDepartment of Pharmacology and Physiology, School of Medicine, Saint Louis University, St. Louis, MO, USA.
Shreya S BellampalliDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Liberty François-MoutalDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Shizhen LuoDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Frank PorrecaDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Mohab IbrahimDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.
Véronique RogemondFrench Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, MeLiS-UCBL-CNRS UMR 5284-INSERM U1314, Université Claude Bernard Lyon 1, Lyon, France.
Jérôme HonnoratFrench Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, MeLiS-UCBL-CNRS UMR 5284-INSERM U1314, Université Claude Bernard Lyon 1, Lyon, France.ORCID http://orcid.org/0000-0002-4721-5952
Rajesh KhannaDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0002-9066-2969
Aubin MoutalDepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ, USA. aubin.moutal@health.slu.edu.ORCID http://orcid.org/0000-0003-4268-1206

Funding

CRMP2, mitochondria, and Huntington’s diseaseR01NS098772 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · PI BRUSTOVETSKY, NICKOLAY, KHANNA, RAJESH · 2017 to 2021
$2.8M
Sentrin proteases, CRMP2 deSUMOylation, and Chronic PainR01NS120663 · NINDS · UNIVERSITY OF FLORIDA · PI KHANNA, RAJESH · 2020 to 2021
$2.6M
Exploring CRMP5 as a novel target for Alzheimers diseaseR01NS119263 · NINDS · UNIVERSITY OF ARIZONA · PI Aubin Moutal · 2021 to 2026
$2.2M
CRMP2, Nav1.7 sodium channel, and chronic painR01DA042852 · NIDA · UNIVERSITY OF ARIZONA · PI KHANNA, RAJESH · 2017 to 2021
$1.9M
Mechanisms of osmosensing in GI enteroendocrine cellsF30DK138638 · NIDDK · MAYO CLINIC ROCHESTER · PI Shreya Bellampalli · 2024 to 2026
$149k
NIDA NIH HHS R01 DA042852NIDDK NIH HHS F30 DK138638NINDS NIH HHS R01 NS098772NINDS NIH HHS R01 NS119263NINDS NIH HHS R01 NS120663U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS098772U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS119263U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS120663
6 · The paper itself

Abstract

Paraneoplastic neurological syndromes arise from autoimmune reactions against nervous system antigens due to a maladaptive immune response to a peripheral cancer. Patients with small cell lung carcinoma or malignant thymoma can develop an autoimmune response against the CV2/collapsin response mediator protein 5 (CRMP5) antigen, with approximately 80% of these patients experiencing painful neuropathies. Here we investigate the mechanisms underlying anti-CV2/CRMP5 autoantibodies (CV2/CRMP5-Abs)-related pain and find that patient-derived CV2/CRMP5-Abs bind to their target on rat dorsal root ganglia (DRG) and superficial laminae of the spinal cord, to induce DRG neuron hyperexcitability and mechanical hypersensitivity. These effects from patient-derived Abs are recapitulated in rats immunized with a DNA vaccine for CRMP5, in which therapeutic treatment with anti-CD20 depleting B cells ameliorates autoimmunity and neuropathy. Our data thus reveal a mechanism of neuropathic pain in patients with paraneoplastic neurological syndromes and implicates CV2/CRMP5-Abs as a potential target for treating paraneoplastic neurological syndromes.

Indexed as

AutoantibodiesNerve Tissue ProteinsNeuralgiaParaneoplastic Syndromes, Nervous SystemSensory Receptor CellsAnimalsFemaleGanglia, SpinalHumansHydrolasesMaleMicrotubule-Associated ProteinsRatsRats, Sprague-DawleySpinal CordAutoantibodiesDPYSL5 protein, humanHydrolasesMicrotubule-Associated ProteinsNerve Tissue Proteins

Identifiers

PMID40775229
PMCPMC12332130

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.