Suppr超能文献

伴有抗N-甲基-D-天冬氨酸受体(NMDAR)、抗α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体(AMPAR)、抗GQ1b、抗二肽基肽酶样蛋白-6(DPPX)、抗接触蛋白相关蛋白2(CASPR2)、抗富含亮氨酸胶质瘤失活蛋白1(LGI1)、抗Ri、抗Yo、抗Hu、抗CV2和抗γ-氨基丁酸A型受体(GABAAR)抗体的自身免疫性脑炎,见于精神病、肿瘤性疾病及副肿瘤综合征过程中。

Autoimmune Encephalitis with Antibodies: Anti-NMDAR, Anti-AMPAR, Anti-GQ1b, Anti-DPPX, Anti-CASPR2, Anti-LGI1, Anti-RI, Anti-Yo, Anti-Hu, Anti-CV2 and Anti-GABAAR, in the Course of Psychoses, Neoplastic Diseases, and Paraneoplastic Syndromes.

作者信息

Braczkowski Michał, Soszyński Dariusz, Sierakowska Alicja, Braczkowski Ryszard, Kufel Klaudia, Łabuz-Roszak Beata

机构信息

Department of Physiology, Institute of Medical Sciences, University of Opole, 45040 Opole, Poland.

Department of Human Physiology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 87100 Torun, Poland.

出版信息

Diagnostics (Basel). 2023 Aug 3;13(15):2589. doi: 10.3390/diagnostics13152589.

Abstract

Encephalitis is a condition with a variety of etiologies, clinical presentations, and degrees of severity. The causes of these disorders include both neuroinfections and autoimmune diseases in which host antibodies are pathologically directed against self-antigens. In autoimmune encephalitis, autoantibodies are expressed in the central nervous system. The incidence of this disease is approximately 4% of all reported cases of encephalitis. Autoimmune encephalitis can be induced by antibodies against neuronal surface antigens such as N-methyl-D-aspartate-activated glutamate receptors (NMDAR), α-amino-3-hydroxy-5-methyl-4-isoxazole propionate receptors (AMPAR) or gangliosides GQ1b, DPPX, CASPR2, LGI1, as well as by antibodies against neuronal intracellular antigens. The paper presents a number of both mental and neurological symptoms of autoimmune encephalitis. Moreover, the coexistence of psychoses, neoplastic diseases, and the methods of diagnosing autoimmune encephalitis are discussed. Attention was also drawn to the fact that early diagnosis, as well as early initiation of targeted treatment, increases the chance of a successful course of the therapeutic process. Strategy and Methodology: The articles on which the following paper was based were searched using search engines such as PubMed and Medline. Considering that anti-NMDAR antibodies were first described in 2007, the articles were from 2007 to 2023. The selection of papers was made by entering the phrases "autoimmune encephalitis and psychosis/paraneplastic syndromes or cancer". The total number of articles that could be searched was 747, of which 100 items were selected, the most recent reports illustrating the presented topic. Thirty-four of them were rejected in connection with case reports or papers that could not be accessed.

摘要

脑炎是一种病因、临床表现和严重程度各异的病症。这些疾病的病因包括神经感染和自身免疫性疾病,在自身免疫性疾病中,宿主抗体病理性地针对自身抗原。在自身免疫性脑炎中,自身抗体在中枢神经系统中表达。这种疾病的发病率约占所有报告的脑炎病例的4%。自身免疫性脑炎可由针对神经元表面抗原的抗体诱发,如N-甲基-D-天冬氨酸激活的谷氨酸受体(NMDAR)、α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体(AMPAR)或神经节苷脂GQ1b、DPPX、CASPR2、LGI1,以及针对神经元细胞内抗原的抗体。本文介绍了自身免疫性脑炎的一些精神和神经症状。此外,还讨论了精神病、肿瘤性疾病的共存情况以及自身免疫性脑炎的诊断方法。还提请注意这样一个事实,即早期诊断以及尽早开始针对性治疗可增加治疗过程成功的机会。策略与方法:使用诸如PubMed和Medline等搜索引擎搜索了作为本文基础的文章。考虑到抗NMDAR抗体于2007年首次被描述,这些文章发表于2007年至2023年。通过输入“自身免疫性脑炎与精神病/副肿瘤综合征或癌症”等短语来选择文章。可搜索的文章总数为747篇,其中100篇被选中,最新报告阐述了所呈现的主题。其中34篇因病例报告或无法获取的论文而被排除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be9f/10417199/975b90c4a228/diagnostics-13-02589-g001.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验