Bürk Katrin
Biomol Concepts. 2011 Jun 1;2(3):149-57. doi: 10.1515/bmc.2011.013.
Autoantibodies (abs) related to neurological disease are currently classified into two large groups depending on the site of the respective target antigen: Group I encompasses abs that recognise intracellular antigens (Hu, Yo, Ri, CV2/CRMP5, amphiphysin, Ma2, SOX, ZIC, GAD, adenylate kinase 5, homer 3), whereas group II abs are targeted against neuronal cell membrane antigens (VGKC, AMPA-R, GABAB-R, NMDA-R, Glycine-R, VGCC, metabotropic GluR1). Both abs groups can be further subdivided according to their diagnostic impact for paraneoplastic or non-paraneoplastic neurological disease. The review gives an overview of the common characteristics of each group and provides more detailed information on single abs and the associated clinical syndromes.
目前,与神经系统疾病相关的自身抗体根据各自靶抗原的部位分为两大类:第一组包括识别细胞内抗原的自身抗体(Hu、Yo、Ri、CV2/CRMP5、抗 amphiphysin 抗体、Ma2、SOX、ZIC、谷氨酸脱羧酶、腺苷酸激酶 5、荷马蛋白 3),而第二组自身抗体则针对神经元细胞膜抗原(电压门控钾通道、α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体、GABAB 受体、N-甲基-D-天冬氨酸受体、甘氨酸受体、电压门控钙通道、代谢型谷氨酸受体 1)。这两组自身抗体均可根据其对副肿瘤性或非副肿瘤性神经系统疾病的诊断影响进一步细分。本综述概述了每组的共同特征,并提供了关于单个自身抗体及其相关临床综合征的更详细信息。