CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.
Front Immunol. 2021 Oct 7;12:717598. doi: 10.3389/fimmu.2021.717598. eCollection 2021.
Anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) and anti-leucine-rich glioma-inactivated 1 encephalitis (anti-LGI1E) are the two most common types of antibody-mediated autoimmune encephalitis. We performed a comprehensive analysis of the B-cell immune repertoire in patients with anti-NMDARE ( = 7) and anti-LGI1E ( = 10) and healthy controls ( = 4). The results revealed the presence of many common clones between patients with these two types of autoimmune encephalitis, which were mostly class-switched. Additionally, many differences were found among the anti-NMDARE, anti-LGI1E, and healthy control groups, including the diversity of the B-cell immune repertoire and gene usage preference. These findings suggest that the same adaptive immune responses occur in patients with anti-NMDARE and anti-LGI1E, which deserves further exploration.
抗 N-甲基-D-天冬氨酸受体脑炎(anti-NMDARE)和抗亮氨酸丰富的胶质瘤失活 1 型脑炎(anti-LGI1E)是两种最常见的抗体介导自身免疫性脑炎。我们对抗 NMDARE(=7)、抗 LGI1E(=10)患者和健康对照者(=4)的 B 细胞免疫受体库进行了全面分析。结果表明,这两种自身免疫性脑炎患者之间存在许多共同的克隆,这些克隆大多发生了类别转换。此外,在抗 NMDARE、抗 LGI1E 和健康对照组之间还发现了许多差异,包括 B 细胞免疫受体库的多样性和基因使用偏好。这些发现提示抗 NMDARE 和抗 LGI1E 患者存在相同的适应性免疫反应,值得进一步探索。