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自身免疫性和副肿瘤性脊髓病的最新进展:新描述的抗原靶点和抗体检测

Update in autoimmune and paraneoplastic myelopathies: Newly described antigen targets and antibody testing.

作者信息

Passeri Michlene, Matthews Elizabeth, Kammeyer Ryan, Piquet Amanda L

机构信息

Department of Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

Department of Pediatrics and Neurology, Children's Hospital Anschutz Medical Campus, Aurora, CO, United States.

出版信息

Front Neurol. 2022 Jul 28;13:972143. doi: 10.3389/fneur.2022.972143. eCollection 2022.

Abstract

Myelopathy is an increasingly recognized presentation of many antibody-mediated neuroinflammatory disorders. While specific features of certain autoimmune myelopathies such as aquaporin-4 antibody associated neuromyelitis optica spectrum disorder (NMOSD) and myelin oligodendrocyte glycoprotein associated disorder (MOGAD) are well-characterized, other less commonly seen antibody-associated myelopathies are not as well-defined. These include but are not limited to, Hu/ANNA1, anti-glial fibrillary acidic protein (GFAP), anti-CV2/collapsin response mediator protein (CRMP5), and amphiphysin. Here, we review the mentioned more common antibody mediated myelopathies as well those that as less common, followed by a review of differentials that may mimic these disorders.

摘要

脊髓病是许多抗体介导的神经炎性疾病中越来越被认识到的一种表现形式。虽然某些自身免疫性脊髓病的特定特征,如与水通道蛋白4抗体相关的视神经脊髓炎谱系障碍(NMOSD)和与髓鞘少突胶质细胞糖蛋白相关的疾病(MOGAD)已得到充分描述,但其他不太常见的抗体相关脊髓病则定义不那么明确。这些包括但不限于Hu/ANNA1、抗胶质纤维酸性蛋白(GFAP)、抗CV2/塌陷反应介导蛋白(CRMP5)和抗 amphiphysin。在此,我们回顾上述更常见的抗体介导的脊髓病以及那些不太常见的脊髓病,随后回顾可能模仿这些疾病的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e996/9366192/bada8a8ec2dd/fneur-13-972143-g0001.jpg

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