Identification of adenylate kinase 5 antibodies during routine diagnostics in a tissue-based assay: Three new cases and a review of the literature.

Adenylate kinase 5 antibodies Cell-based assay Depression Immunotherapy Limbic encephalitis Memory problems Outcome Tissue-based assay

Journal

Journal of neuroimmunology
ISSN: 1872-8421
Titre abrégé: J Neuroimmunol
Pays: Netherlands
ID NLM: 8109498

Informations de publication

Date de publication:
15 09 2019
Historique:
received: 17 04 2019
revised: 27 05 2019
accepted: 28 05 2019
pubmed: 10 6 2019
medline: 12 6 2020
entrez: 10 6 2019
Statut: ppublish

Résumé

Antibodies against adenylate kinase 5 (AK5) have been described in patients with non-paraneoplastic limbic encephalitis, mainly in men around 70 years of age. Routine testing with specific cell-based assays is not yet available. Three patients with episodic anterograde memory problems and depression had extensive limbic lesions and developed severe atrophy, mainly of the medial temporal lobes. The antibodies were identified in serum and CSF based on the typical staining pattern of AK5 antibodies on a tissue-based assay (here, unfixed mouse brain). Subsequently, they were confirmed by a research laboratory through a cell-based assay.

Identifiants

pubmed: 31177032
pii: S0165-5728(19)30197-3
doi: 10.1016/j.jneuroim.2019.576975
pii:
doi:

Substances chimiques

Autoantibodies 0
Biomarkers 0
Adenylate Kinase EC 2.7.4.3
adenylate kinase 5 EC 2.7.4.3

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

576975

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Corinna I Bien (CI)

Laboratory Krone, Bad Salzuflen, Germany.

Ferdinand Nehls (F)

Katholisches Krankenhaus Hagen, Department of Neurology, Hagen, Germany.

Rainer Kollmar (R)

Klinikum Darmstadt, Department of Neurology and Neurological Intensive Care, Darmstadt, Germany.

Maria Weis (M)

Klinikum Darmstadt, Department of Neurology and Neurological Intensive Care, Darmstadt, Germany.

Wolfgang Steinke (W)

Marien-Hospital Düsseldorf, Department of Neurology, Düsseldorf, Germany.

Friedrich Woermann (F)

Epilepsy Center Bethel, Krankenhaus Mara, Bielefeld, Germany; Society of Epilepsy Research, Bielefeld, Germany.

Josep Dalmau (J)

Neurology Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barelona, Spain; ICREA (Catalan Institution for Research and Advanced Studies), Barcelona, Spain; Department of Neurology, University of Pennsylvania, Philadelphia, USA.

Christian G Bien (CG)

Laboratory Krone, Bad Salzuflen, Germany; Epilepsy Center Bethel, Krankenhaus Mara, Bielefeld, Germany. Electronic address: christian.bien@mara.de.

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Classifications MeSH