Uncoupling the widespread occurrence of anti-NMDAR1 autoantibodies from neuropsychiatric disease in a novel autoimmune model.


Journal

Molecular psychiatry
ISSN: 1476-5578
Titre abrégé: Mol Psychiatry
Pays: England
ID NLM: 9607835

Informations de publication

Date de publication:
10 2019
Historique:
received: 29 08 2017
accepted: 30 10 2017
revised: 20 10 2017
pubmed: 11 2 2018
medline: 22 5 2020
entrez: 11 2 2018
Statut: ppublish

Résumé

Autoantibodies of the IgG class against N-methyl-D-aspartate-receptor subunit-NR1 (NMDAR1-AB) were considered pathognomonic for anti-NMDAR encephalitis. This view has been challenged by the age-dependent seroprevalence (up to >20%) of functional NMDAR1-AB of all immunoglobulin classes found in >5000 individuals, healthy or affected by different diseases. These findings question a merely encephalitogenic role of NMDAR1-AB. Here, we show that NMDAR1-AB belong to the normal autoimmune repertoire of dogs, cats, rats, mice, baboons, and rhesus macaques, and are functional in the NMDAR1 internalization assay based on human IPSC-derived cortical neurons. The age dependence of seroprevalence is lost in nonhuman primates in captivity and in human migrants, raising the intriguing possibility that chronic life stress may be related to NMDAR1-AB formation, predominantly of the IgA class. Active immunization of ApoE

Identifiants

pubmed: 29426955
doi: 10.1038/s41380-017-0011-3
pii: 10.1038/s41380-017-0011-3
pmc: PMC6756099
doi:

Substances chimiques

Autoantibodies 0
GRIN1 protein, human 0
Immunoglobulin G 0
NMDA receptor A1 0
Nerve Tissue Proteins 0
Receptors, N-Methyl-D-Aspartate 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1489-1501

Références

Dalmau J, Tuzun E, Wu HY, Masjuan J, Rossi JE, Voloschin A, et al. Paraneoplastic anti-N-methyl-D-aspartate receptor encephalitis associated with ovarian teratoma. Ann Neurol. 2007;61:25–36.
doi: 10.1002/ana.21050
Dalmau J, Gleichman AJ, Hughes EG, Rossi JE, Peng X, Lai M, et al. Anti-NMDA-receptor encephalitis: case series and analysis of the effects of antibodies. Lancet Neurol. 2008;7:1091–8.
doi: 10.1016/S1474-4422(08)70224-2
Dalmau J, Lancaster E, Martinez-Hernandez E, Rosenfeld MR, Balice-Gordon R. Clinical experience and laboratory investigations in patients with anti-NMDAR encephalitis. Lancet Neurol. 2011;10:63–74.
doi: 10.1016/S1474-4422(10)70253-2
Titulaer MJ, McCracken L, Gabilondo I, Armangue T, Glaser C, Iizuka T, et al. Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study. Lancet Neurol. 2013;12:157–65.
doi: 10.1016/S1474-4422(12)70310-1
Hammer C, Stepniak B, Schneider A, Papiol S, Tantra M, Begemann M, et al. Neuropsychiatric disease relevance of circulating anti-NMDA receptor autoantibodies depends on blood-brain barrier integrity. Mol Psychiatry. 2014;19:1143–9.
doi: 10.1038/mp.2013.110
Dahm L, Ott C, Steiner J, Stepniak B, Teegen B, Saschenbrecker S, et al. Seroprevalence of autoantibodies against brain antigens in health and disease. Ann Neurol. 2014;76:82–94.
doi: 10.1002/ana.24189
Steiner J, Teegen B, Schiltz K, Bernstein HG, Stoecker W, Bogerts B. Prevalence of N-methyl-D-aspartate receptor autoantibodies in the peripheral blood: healthy control samples revisited. JAMA Psychiatry. 2014;71:838–9.
doi: 10.1001/jamapsychiatry.2014.469
Zerche M, Weissenborn K, Ott C, Dere E, Asif AR, Worthmann H, et al. Preexisting serum autoantibodies against the NMDAR subunit NR1 modulate evolution of lesion size in acute ischemic stroke. Stroke. 2015;46:1180–6.
doi: 10.1161/STROKEAHA.114.008323
Castillo-Gomez E, Kastner A, Steiner J, Schneider A, Hettling B, Poggi G, et al. The brain as immunoprecipitator of serum autoantibodies against N-Methyl-D-aspartate receptor subunit NR1. Ann Neurol. 2016;79:144–51.
doi: 10.1002/ana.24545
Castillo-Gomez E, Oliveira B, Tapken D, Bertrand S, Klein-Schmidt C, Pan H et al. All naturally occurring autoantibodies against the NMDA receptor subunit NR1 have pathogenic potential irrespective of epitope and immunoglobulin class. Mol Psychiatry. 2016;22:1776–178.
doi: 10.1038/mp.2016.125
Abramson J, Husebye ES. Autoimmune regulator and self-tolerance—molecular and clinical aspects. Immunol Rev. 2016;271:127–40.
doi: 10.1111/imr.12419
Cohen I, Young D. Autoimmunity, microbial immunity and the immunological homunculus. Immunol Today. 1991;12:105–10.
doi: 10.1016/0167-5699(91)90093-9
Coutinho A, Kazatchkine MD, Avrameas S. Natural autoantibodies. Curr Opin Immunol. 1995;7:812–8.
doi: 10.1016/0952-7915(95)80053-0
Ehrenreich H. Autoantibodies against the N-methyl-d-aspartate receptor subunit NR1: untangling apparent inconsistencies for clinical practice. Front Immunol. 2017;8:181.
doi: 10.3389/fimmu.2017.00181
Lobo PI. Role of natural autoantibodies and natural IgM anti-leucocyte autoantibodies in health and disease. Front Immunol. 2016;7:198.
doi: 10.3389/fimmu.2016.00198
Mader S, Brimberg L, Diamond B. The role of brain-reactive autoantibodies in brain pathology and cognitive impairment. Front Immunol. 2017;8:1101.
doi: 10.3389/fimmu.2017.01101
Nguyen TT, Baumgarth N. Natural IgM and the development of b cell-mediated autoimmune diseases. Crit Rev Immunol. 2016;36:163–77.
doi: 10.1615/CritRevImmunol.2016018175
Coutinho E, Harrison P, Vincent A. Do neuronal autoantibodies cause psychosis? A neuroimmunological perspective. Biol Psychiatry. 2014;75:269–75.
doi: 10.1016/j.biopsych.2013.07.040
Diamond B, Huerta P, Mina-Osorio P, Kowal C, Volpe B. Losing your nerves? Maybe it’s the antibodies. Nat Rev Immunol. 2009;9:449–56.
doi: 10.1038/nri2529
Hammer C, Zerche M, Schneider A, Begemann M, Nave KA, Ehrenreich H. Apolipoprotein E4 carrier status plus circulating anti-NMDAR1 autoantibodies: association with schizoaffective disorder. Mol Psychiatry. 2014;19:1054–6.
doi: 10.1038/mp.2014.52
Kreye J, Wenke NK, Chayka M, Leubner J, Murugan R, Maier N, et al. Human cerebrospinal fluid monoclonal N-methyl-D-aspartate receptor autoantibodies are sufficient for encephalitis pathogenesis. Brain. 2016;139:2641–52.
doi: 10.1093/brain/aww208
Begemann MGS, Papiol S, Malzahn D, Krampe H, Ribbe K, et al. Modification of cognitive performance in schizophrenia by complexin 2 gene polymorphisms. Arch Gen Psychiatry. 2010;67:879–88.
doi: 10.1001/archgenpsychiatry.2010.107
Ribbe. K, Friedrichs H, Begemann M, Grube S, Papiol S, Kästner. A, et al. The cross-sectional GRAS sample: a comprehensive phenotypical data collection of schizophrenic patients. BMC Psychiatry. 2010;10:0–20.
doi: 10.1186/1471-244X-10-91
American Psychiatric Association. (2000) Diagnostic and statistical manual of mental disorders. 4th edn American Psychiatric Press, Washington, DC. .
Wandinger KP, Saschenbrecker S, Stoecker W, Dalmau J. Anti-NMDA-receptor encephalitis: a severe, multistage, treafa disorder presenting with psychosis. J Neuroimmunol. 2011;231:86–91.
doi: 10.1016/j.jneuroim.2010.09.012
Boyle MDP, Reis KJ. Bacterial Fc receptors. Nat Biotechnol. 1987;5:697–703.
doi: 10.1038/nbt0787-697
Pruss H, Leubner J, Wenke NK, Czirjak GA, Szentiks CA, Greenwood AD. Anti-NMDA receptor encephalitis in the polar bear (Ursus maritimus) Knut. Sci Rep. 2015;5:1–7.
doi: 10.1038/srep12805
Toyka KBD, Pestronk A, Kao I. Myasthenia gravis: passive transfer from man to mouse. Science. 1975;190:397–9.
doi: 10.1126/science.1179220
Schindelin J, Arganda-Carreras I, Frise E, Kaynig V, Longair M, Pietzsch T, et al. Fiji: an open-source platform for biological-image analysis. Nat Methods. 2012;9:676–82.
doi: 10.1038/nmeth.2019
Berghoff SA, Gerndt N, Winchenbach J, Stumpf SK, Hosang L, Odoardi F, et al. Dietary cholesterol promotes repair of demyelinated lesions in the adult brain. Nat Commun. 2017;8:1–15.
doi: 10.1038/ncomms14241
Berghoff SA, Düking T, Spieth L, Winchenbach J, Stumpf SK, Gerndt N, et al. Blood-brain barrier hyperpermeability precedes demyelination in the cuprizone model. Acta Neuropathol Commun. 2017;5:94.
doi: 10.1186/s40478-017-0497-6
Wust S, van den Brandt J, Tischner D, Kleiman A, Tuckermann JP, Gold R, et al. Peripheral T cells are the therapeutic targets of glucocorticoids in experimental autoimmune encephalomyelitis. J Immunol. 2008;180:8434–43.
doi: 10.4049/jimmunol.180.12.8434
Dere E, Dahm L, Lu D, Hammerschmidt K, Ju A, Tantra M, et al. Heterozygous ambra1 deficiency in mice: a genetic trait with autism-like behavior restricted to the female gender. Front Behav Neurosci. 2014;8:181.
pubmed: 24904333 pmcid: 4032889
Dere E, Winkler D, Ritter C, Ronnenberg A, Poggi G, Patzig J, et al. Gpm6b deficiency impairs sensorimotor gating and modulates the behavioral response to a 5-HT2A/C receptor agonist. Behav Brain Res. 2015;277:254–63.
doi: 10.1016/j.bbr.2014.04.021
Netrakanti PR, Cooper BH, Dere E, Poggi G, Winkler D, Brose N, et al. Fast cerebellar reflex circuitry requires synaptic vesicle priming by munc13-3. Cerebellum. 2015;14:264–83.
doi: 10.1007/s12311-015-0645-0
Winkler D, Daher F, Wustefeld L, Hammerschmidt K, Poggi G, Seelbach A et al. Hypersocial behavior and biological redundancy in mice with reduced expression of PSD95 or PSD93. Behav Brain Res. 2017. https://doi.org/10.1016/j.bbr.2017.02.011 (e-pub ahead of print).
doi: 10.1016/j.bbr.2017.02.011
Radyushkin K, El-Kordi A, Boretius S, Castaneda S, Ronnenberg A, Reim K, et al. Complexin2 null mutation requires a ‘second hit’ for induction of phenotypic changes relevant to schizophrenia. Genes Brain Behav. 2010;9:592–602.
pubmed: 20412316
Akdeniz C, Tost H, Streit F, Haddad L, Wust S, Schafer A, et al. Neuroimaging evidence for a role of neural social stress processing in ethnic minority-associated environmental risk. JAMA Psychiatry. 2014;71:672–80.
doi: 10.1001/jamapsychiatry.2014.35
Jacobson SL, Ross SR, Bloomsmith MA. Characterizing abnormal behavior in a large population of zoo-housed chimpanzees: prevalence and potential influencing factors. PeerJ. 2016;4:e2225.
doi: 10.7717/peerj.2225
Stepniak B, Papiol S, Hammer C, Ramin A, Everts S, Hennig L, et al. Accumulated environmental risk determining age at schizophrenia onset: a deep phenotyping-based study. Lancet Psychiatry. 2014;1:444–53.
doi: 10.1016/S2215-0366(14)70379-7
Maes M, Hendriks D, Gastel AV, Demedts P, Wauters A, Neels H, et al. Effects of psychological stress on serum immunoglobulin, complement and acute phase protein concentrationsin normal volunteers. Psychoneuroendocrinology. 1997;2:397–409.
doi: 10.1016/S0306-4530(97)00042-5
Nagele EP, Han M, Acharya NK, DeMarshall C, Kosciuk MC, Nagele RG. Natural IgG autoantibodies are abundant and ubiquitous in human sera, and their number is influenced by age, gender, and disease. PLoS ONE. 2013;8:4.
doi: 10.1371/journal.pone.0060726
Planaguma J, Leypoldt F, Mannara F, Gutierrez-Cuesta J, Martin-Garcia E, Aguilar E, et al. Human N-methyl D-aspartate receptor antibodies alter memory and behaviour in mice. Brain. 2015;138:94–109.
doi: 10.1093/brain/awu310
Busse S, Brix B, Kunschmann R, Bogerts B, Stoecker W, Busse M. N-methyl-d-aspartate glutamate receptor (NMDA-R) antibodies in mild cognitive impairment and dementias. Neurosci Res. 2014;85:58–64.
doi: 10.1016/j.neures.2014.06.002
Doss S, Wandinger KP, Hyman BT, Panzer JA, Synofzik M, Dickerson B, et al. High prevalence of NMDA receptor IgA/IgM antibodies in different dementia types. Ann Clin Transl Neurol. 2014;1:822–32.
doi: 10.1002/acn3.120
Tuzun E, Zhou L, Baehring JM, Bannykh S, Rosenfeld MR, Dalmau J. Evidence for antibody-mediated pathogenesis in anti-NMDAR encephalitis associated with ovarian teratoma. Acta Neuropathol. 2009;118:737–43.
doi: 10.1007/s00401-009-0582-4
Du J, Li XH, Li YJ. Glutamate in peripheral organs: biology and pharmacology. Eur J Pharmacol. 2016;784:42–8.
doi: 10.1016/j.ejphar.2016.05.009
Gerhard DM, Wohleb ES, Duman RS. Emerging treatment mechanisms for depression: focus on glutamate and synaptic plasticity. Drug Discov Today. 2016;21:454–64.
doi: 10.1016/j.drudis.2016.01.016
Abdallah CG, Adams TG, Kelmendi B, Esterlis I, Sanacora G, Krystal JH. Ketamine’s mechanism of action: a path to rapid-acting antidepressants. Depress Anxiety. 2016;33:689–97.
doi: 10.1002/da.22501
Alexander JK, DeVries AC, Kigerl KA, Dahlman JM, Popovich PG. Stress exacerbates neuropathic pain via glucocorticoid and NMDA receptor activation. Brain Behav Immun. 2009;23:851–60.
doi: 10.1016/j.bbi.2009.04.001
Rubio-Casillas A, Fernandez-Guasti A. The dose makes the poison: from glutamate-mediated neurogenesis to neuronal atrophy and depression. Rev Neurosci. 2016;27:599–622.
doi: 10.1515/revneuro-2015-0066
Nair A, Hunzeker J, Bonneau RH. Modulation of microglia and CD8(+) T cell activation during the development of stress-induced herpes simplex virus type-1 encephalitis. Brain Behav Immun. 2007;21:791–806.
doi: 10.1016/j.bbi.2007.01.005

Auteurs

Hong Pan (H)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Bárbara Oliveira (B)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Gesine Saher (G)

Department of Neurogenetics, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Ekrem Dere (E)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Daniel Tapken (D)

Department of Biochemistry I-Receptor Biochemistry, Ruhr University, Bochum, Germany.

Marina Mitjans (M)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Jan Seidel (J)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Janina Wesolowski (J)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Debia Wakhloo (D)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Christina Klein-Schmidt (C)

Department of Biochemistry I-Receptor Biochemistry, Ruhr University, Bochum, Germany.

Anja Ronnenberg (A)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Kerstin Schwabe (K)

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

Ralf Trippe (R)

Department of Biochemistry I-Receptor Biochemistry, Ruhr University, Bochum, Germany.

Kerstin Mätz-Rensing (K)

Department of Pathology, Leibniz Institute for Primate Research, Göttingen, Germany.

Stefan Berghoff (S)

Department of Neurogenetics, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Yazeed Al-Krinawe (Y)

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

Henrik Martens (H)

Synaptic Systems GmbH, Göttingen, Germany.

Martin Begemann (M)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.

Winfried Stöcker (W)

Institute for Experimental Immunology, affiliated to Euroimmun, Lübeck, Germany.

Franz-Josef Kaup (FJ)

Department of Pathology, Leibniz Institute for Primate Research, Göttingen, Germany.

Reinhard Mischke (R)

Small Animal Clinic, University of Veterinary Medicine, Hannover, Germany.

Susann Boretius (S)

Functional Imaging Laboratory, Leibniz Institute for Primate Research, Göttingen, Germany.

Klaus-Armin Nave (KA)

Department of Neurogenetics, Max Planck Institute of Experimental Medicine, Göttingen, Germany.
DFG Research Center for Nanoscale Microscopy and Molecular Physiology of the Brain (CNMPB), Göttingen, Germany.

Joachim K Krauss (JK)

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

Michael Hollmann (M)

Department of Biochemistry I-Receptor Biochemistry, Ruhr University, Bochum, Germany.

Fred Lühder (F)

Department of Neuroimmunology, Institute for Multiple Sclerosis Research and Hertie Foundation, University Medicine Göttingen, Göttingen, Germany.

Hannelore Ehrenreich (H)

Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany. ehrenreich@em.mpg.de.
DFG Research Center for Nanoscale Microscopy and Molecular Physiology of the Brain (CNMPB), Göttingen, Germany. ehrenreich@em.mpg.de.

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