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神经元表面抗体综合征:疾病特征及其与自身抗体相关性的综述。

Neuronal Surface Antibody Syndrome: A Review of the Characteristics of the Disease and Its Association with Autoantibodies.

机构信息

Department of Neurosurgery, Binzhou Medical University Hospital, Binzhou, China.

Department of Neurology, Binzhou Medical University Hospital, Binzhou, China.

出版信息

Neuroimmunomodulation. 2020;27(1):1-8. doi: 10.1159/000507448. Epub 2020 Jun 18.

Abstract

Several studies have certified that autoantibodies play an important role in the manifestation of neuromuscular diseases. Scientists have discovered specific neuronal tumor antibodies in patients with typical paraneoplastic neurological disorders. But in some clinical cases, it is not useful to cure this disease with common treatments unless the autoantibodies are addressed. In addition, recent studies have shown a close relationship between certain antibodies and neuronal surface proteins in some special cases. These antibodies, which act on the surface of neurons, mainly include voltage-gated calcium channel (VGKC) antibodies. VGKC antibodies are further divided into several types including anti-leucine-rich glioma inactivated 1 (LGI1), anti-contactin-associated protein-like 2 (Caspr2), anti-N-methyl-D-aspartate receptor (NMDAR), anti-α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR), anti-γ-aminobutyric acid receptor (GABAR), and glycine receptor. For the purpose of this review, cases of clinical studies of autoantibody-associated encephalitis were collected, the key points regarding the pathogenesis were summarized, the clinical manifestation was discussed, and all this information was organized as this review in order to introduce the relationship between autoantibodies and autoimmune encephalitis. Furthermore, it is hoped that it can effectively direct the development of diagnostic and therapeutic approach in the future.

摘要

多项研究已经证实,自身抗体在神经肌肉疾病的表现中起着重要作用。科学家们在具有典型副肿瘤神经障碍的患者中发现了特定的神经元肿瘤抗体。但在某些临床情况下,除非针对自身抗体进行治疗,否则使用常规治疗方法对这种疾病无效。此外,最近的研究表明,在某些特殊情况下,某些抗体与神经元表面蛋白之间存在密切关系。这些作用于神经元表面的抗体主要包括电压门控钙通道(VGKC)抗体。VGKC 抗体进一步分为几种类型,包括抗亮氨酸丰富型胶质瘤失活 1(LGI1)抗体、抗接触蛋白相关蛋白样 2(Caspr2)抗体、抗 N-甲基-D-天冬氨酸受体(NMDAR)抗体、抗α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体(AMPAR)抗体、抗γ-氨基丁酸受体(GABAR)抗体和甘氨酸受体抗体。为了进行本次综述,我们收集了自身抗体相关脑炎的临床研究病例,总结了发病机制的要点,讨论了临床表现,并将所有这些信息整理成综述,以介绍自身抗体与自身免疫性脑炎之间的关系。此外,我们希望它能够有效地指导未来诊断和治疗方法的发展。

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