Evidence map›Paper›PMID 40781580›Full record

ArticleAnnals of clinical and translational neurology2025

Cytokine, Chemokine, and Neurofilament Light Chain Signatures in LGI1 Autoimmune Encephalitis.

Albert Aboseif, Georgios Mangioris, Binxia Yang, Vanessa K Pazdernik, Jeffrey W Britton, Divyanshu Dubey, Eoin P Flanagan, Sarosh R Irani, Gregory S Day, Charles L Howe and 8 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 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. Observational
  3. Article
  4. Article
  5. Plasma proteome in LGI-1 autoimmune encephalitis.Journal of neuroinflammation · 2026
    Article
  6. Review
  7. Article
  8. Neuroglial markers of damage in autoimmune neurology.Therapeutic advances in neurological disorders · 2026
    Review
  9. Review
  10. Review
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

18 authors.

Albert AboseifDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0001-5053-8544
Georgios MangiorisCenter for Multiple Sclerosis & Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Binxia YangDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Vanessa K PazdernikDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Jeffrey W BrittonDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Divyanshu DubeyDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0002-4302-4075
Eoin P FlanaganDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Sarosh R IraniDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0002-7667-9748
Gregory S DayDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.ORCID 0000-0001-5133-5538
Charles L HoweDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0002-3889-8739
A Sebastian López-ChiribogaCenter for Multiple Sclerosis & Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Andrew McKeonDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0001-6856-8143
John R MillsDepartment of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Yahel SegalCenter for Multiple Sclerosis & Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Michel ToledanoDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Ivana VodopivecRoche Product Development-Neuroscience, F. Hoffmann-La Roche, Basel, Switzerland.
Sean J PittockDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0002-6140-5584
Anastasia ZekeridouDepartment of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.ORCID 0000-0002-1960-9065

Funding

Seronegative Autoimmune Encephalopathies: Biomarker Discovery, Validation & Deep PhenotypingR01NS126227 · NINDS · MAYO CLINIC ROCHESTER · PI Andrew McKeon · 2022 to 2026
$1.9M
Center for MS and Autoimmune Neurology, Mayo ClinicNINDS NIH HHS R01 NS126227NINDS NIH HHS RO1NS126227Roche/Genentech
6 · The paper itself

Abstract

objectivesTo investigate the value of cytokine, chemokine, and neurofilament light chain (NfL) concentrations in predicting relapse risk, chronic epilepsy, and functional impairment in LGI1 autoimmune encephalitis (AE).

methodsCytokines/chemokines (IL-1-beta, IL-2, IL-4, IL-5, IL-6, IL-8/CXCL8, IL-10, IL-12p70, IL-13, IL-17A, GM-CSF, TNF-alpha, IFN-gamma, CXCL9, CXCL10, CXCL13, BAFF) and NfL concentrations were measured in CSF and paired serum from LGI1-AE patients evaluated at Mayo Clinic (01/2015-02/2024), using a multiplex immunoassay system (ELLA, Bio-Techne) and correlated with clinical outcomes. A laboratory-based cohort of LGI1-IgG-positive patients and control cohorts, including patients with mixed non-inflammatory disorders (MNID), Alzheimer's disease (AD), and temporal lobe epilepsy (TLE) were analyzed.

resultsForty-four patients with LGI1-AE were included; 29 (66%) were male, with a median age of 68.5 years (range, 8-85). Median time from symptom onset to CSF sampling was eight months (IQR, 3-17); 19/42 (45%) experienced a clinical relapse and 27% developed chronic epilepsy. Serum IL-6, serum and CSF IL-8/CXCL8, and IL-17A were higher in LGI1-IgG positive patients than MNID (p < 0.05). TLE cytokine/chemokine profiles were similar to LGI1 AE; AD patients had lower serum IL-6 and CSF IL-8/CXCL8 (p = 0.04; p = 0.01), and higher serum IL-17A and GM-CSF (p = 0.004; p = 0.01) than LGI1-AE. Higher CSF IL-6 and IL-8/CXCL8 in LGI1-AE associated with clinical relapse (p < 0.05) and higher CSF NfL associated with chronic epilepsy (p = 0.01).

conclusionElevations in IL-6, IL-8/CXCL8, and IL-17A were identified in this LGI1-AE cohort. CSF IL-6, IL-8/CXCL8, and NfL levels are potential prognostic biomarkers for risk of relapse and chronic epilepsy in LGI1-AE.

Indexed as

Autoimmune Diseases of the Nervous SystemChemokinesCytokinesEncephalitisIntracellular Signaling Peptides and ProteinsNeurofilament ProteinsAdolescentAdultAgedAutoantibodiesBiomarkersFemaleHumansMaleMiddle AgedYoung AdultAutoantibodiesBiomarkersChemokinesCytokinesIntracellular Signaling Peptides and ProteinsLGI1 protein, humanneurofilament protein LNeurofilament Proteinsautoimmune seizuresbiomarkersepilepsyfaciobrachial dystonic seizuresLeucine‐rich glioma‐inactivated‐1

Identifiers

PMID40781580
PMCPMC12623847

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.