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拉斯穆森脑炎患者血清与谷氨酸受体的结合情况与部分癫痫患者相似。

Similar binding to glutamate receptors by Rasmussen and partial epilepsy patients' sera.

作者信息

Bernasconi P, Cipelletti B, Passerini L, Granata T, Antozzi C, Mantegazza R, Spreafico R

机构信息

Immunology and Muscular Pathology Unit, Istituto Nazionale Neurologico Carlo Besta, Milan, Italy.

出版信息

Neurology. 2002 Dec 24;59(12):1998-2001. doi: 10.1212/01.wnl.0000036912.25881.7b.

DOI:10.1212/01.wnl.0000036912.25881.7b
PMID:12499503
Abstract

Immunoreactivity of sera from patients with Rasmussen encephalitis (RE) and patients with partial epilepsy (PE) was analyzed by immunohistoblot on rat brain sections and the staining pattern compared with that obtained with antibodies to a-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid and NMDA receptors. Staining for anti-glutamate receptor 3 (GluR3) was found in 82% of patients with RE and 64% of patients with PE. Histoblot analysis showed a positive staining in GluR3- and NMDA-specific regions of rat brain, providing a comprehensive CNS immunolocalization.

摘要

通过对大鼠脑切片进行免疫印迹分析,比较了拉斯穆森脑炎(RE)患者和部分性癫痫(PE)患者血清的免疫反应性,并将染色模式与用α-氨基-3-羟基-5-甲基-4-异恶唑丙酸和NMDA受体抗体获得的染色模式进行了比较。在82%的RE患者和64%的PE患者中发现了抗谷氨酸受体3(GluR3)染色。组织印迹分析显示大鼠脑的GluR3和NMDA特异性区域呈阳性染色,提供了全面的中枢神经系统免疫定位。

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Similar binding to glutamate receptors by Rasmussen and partial epilepsy patients' sera.拉斯穆森脑炎患者血清与谷氨酸受体的结合情况与部分癫痫患者相似。
Neurology. 2002 Dec 24;59(12):1998-2001. doi: 10.1212/01.wnl.0000036912.25881.7b.
2
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引用本文的文献

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Rasmussen Encephalitis: Clinical Features, Pathophysiology, and Management Strategies-A Comprehensive Literature Review.拉森姆脑炎:临床特征、病理生理学和管理策略——全面文献综述。
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Therapeutic effect of Anakinra in the relapsing chronic phase of febrile infection-related epilepsy syndrome.阿那白滞素在发热感染相关性癫痫综合征复发慢性期的治疗效果
Epilepsia Open. 2019 Mar 27;4(2):344-350. doi: 10.1002/epi4.12317. eCollection 2019 Jun.
3
Anti-AMPA GluA3 antibodies in Frontotemporal dementia: a new molecular target.
抗 AMPA 型谷氨酸受体 GluA3 抗体在额颞叶痴呆中的作用:一个新的分子靶点。
Sci Rep. 2017 Jul 27;7(1):6723. doi: 10.1038/s41598-017-06117-y.
4
In Rasmussen encephalitis, hemichannels associated with microglial activation are linked to cortical pyramidal neuron coupling: a possible mechanism for cellular hyperexcitability.在拉斯穆森脑炎中,与小胶质细胞激活相关的半通道与皮质锥体神经元耦合有关:这是细胞过度兴奋性的一种可能机制。
CNS Neurosci Ther. 2015 Feb;21(2):152-63. doi: 10.1111/cns.12352. Epub 2014 Dec 1.
5
Glutamate receptor antibodies in neurological diseases: anti-AMPA-GluR3 antibodies, anti-NMDA-NR1 antibodies, anti-NMDA-NR2A/B antibodies, anti-mGluR1 antibodies or anti-mGluR5 antibodies are present in subpopulations of patients with either: epilepsy, encephalitis, cerebellar ataxia, systemic lupus erythematosus (SLE) and neuropsychiatric SLE, Sjogren's syndrome, schizophrenia, mania or stroke. These autoimmune anti-glutamate receptor antibodies can bind neurons in few brain regions, activate glutamate receptors, decrease glutamate receptor's expression, impair glutamate-induced signaling and function, activate blood brain barrier endothelial cells, kill neurons, damage the brain, induce behavioral/psychiatric/cognitive abnormalities and ataxia in animal models, and can be removed or silenced in some patients by immunotherapy.神经疾病中的谷氨酸受体抗体:抗AMPA - GluR3抗体、抗NMDA - NR1抗体、抗NMDA - NR2A/B抗体、抗mGluR1抗体或抗mGluR5抗体存在于以下疾病患者的亚组中:癫痫、脑炎、小脑共济失调、系统性红斑狼疮(SLE)和神经精神性SLE、干燥综合征、精神分裂症、躁狂症或中风。这些自身免疫性抗谷氨酸受体抗体可在少数脑区与神经元结合,激活谷氨酸受体,降低谷氨酸受体的表达,损害谷氨酸诱导的信号传导和功能,激活血脑屏障内皮细胞,杀死神经元,损伤大脑,在动物模型中诱发行为/精神/认知异常和共济失调,并且在一些患者中可通过免疫疗法去除或使其失活。
J Neural Transm (Vienna). 2014 Aug;121(8):1029-75. doi: 10.1007/s00702-014-1193-3. Epub 2014 Aug 1.
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Temporal lobe epilepsy and anti glutamic acid decarboxylase autoimmunity.颞叶癫痫与抗谷氨酸脱羧酶自身免疫性疾病。
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