Different pain phenotypes are associated with anti-Caspr2 autoantibodies.
Autoantibody
Caspr2
IgG subclass
IgG4
Pain
Journal
Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161
Informations de publication
Date de publication:
22 Feb 2024
22 Feb 2024
Historique:
received:
12
12
2023
accepted:
24
01
2024
revised:
22
01
2024
medline:
22
2
2024
pubmed:
22
2
2024
entrez:
22
2
2024
Statut:
aheadofprint
Résumé
Autoantibodies against contactin-associated protein 2 (Caspr2) not only induce limbic autoimmune encephalitis but are also associated with pain conditions. Here, we analyzed clinical data on pain in a large cohort of patients included into the German Network for Research in Autoimmune Encephalitis. Out of 102 patients in our cohort, pain was a frequent symptom (36% of all patients), often severe (63.6% of the patients with pain) and/or even the major symptom (55.6% of the patients with pain). Pain phenotypes differed between patients. Cluster analysis revealed two major phenotypes including mostly distal-symmetric burning pain and widespread pain with myalgia and cramps. Almost all patients had IgG4 autoantibodies and some additional IgG1, 2, and/or 3 autoantibodies, but IgG subclasses, titers, and presence or absence of intrathecal synthesis were not associated with the occurrence of pain. However, certain pre-existing risk factors for chronic pain like diabetes mellitus, peripheral neuropathy, or preexisting chronic back pain tended to occur more frequently in patients with anti-Caspr2 autoantibodies and pain. Our data show that pain is a relevant symptom in patients with anti-Caspr2 autoantibodies and support the idea of decreased algesic thresholds leading to pain. Testing for anti-Caspr2 autoantibodies needs to be considered in patients with various pain phenotypes.
Identifiants
pubmed: 38386048
doi: 10.1007/s00415-024-12224-4
pii: 10.1007/s00415-024-12224-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Deutsche Forschungsgemeinschaft
ID : KFO5001
Investigateurs
Michael Adelmann
(M)
Luise Appeltshauser
(L)
Ilya Ayzenberg
(I)
Andreas van Baalen
(A)
Sebastian Baatz
(S)
Oliver Bähr
(O)
Bettina Balint
(B)
Sebastian Bauer
(S)
Annette Baumgartner
(A)
Stefanie Becker
(S)
Sonka Benesch
(S)
Robert Berger
(R)
Birgit Berger
(B)
Martin Berghoff
(M)
Sascha Berning
(S)
Sarah Bernsen
(S)
Achim Berthele
(A)
Christian Bien
(C)
Corinna Bien
(C)
Andreas Binder
(A)
Stefan Bittner
(S)
Daniel Bittner
(D)
Franz Blaes
(F)
Astrid Blaschek
(A)
Amelie Bohn
(A)
Sergio Castro-Gomez
(S)
Justina Dargvainiene
(J)
Timo Deba
(T)
Julia Maren Decker
(JM)
Andre Dik
(A)
Juliane Dominik
(J)
Mona Dreesmann
(M)
Friedrich Ebinger
(F)
Lena Edelhoff
(L)
Laura Ehrhardt
(L)
Sven Ehrlich
(S)
Alexander Emmer
(A)
Dominique Endres
(D)
Marina Entscheva
(M)
Daniela Esser
(D)
Thorleif Etgen
(T)
Jürgen Hartmut Faiss
(JH)
Kim Kristin Falk
(KK)
Walid Fazeli
(W)
Alexander Finke
(A)
Carsten Finke
(C)
Dirk Fitzner
(D)
Marina Flotats-Bastardas
(M)
Mathias Fousse
(M)
Tobias Freilinger
(T)
Paul Friedemann
(P)
Manuel Friese
(M)
Marco Gallus
(M)
Marcel Gebhard
(M)
Anna Gorsler
(A)
Armin Grau
(A)
Oliver Grauer
(O)
Britta Greshake
(B)
Catharina Groß
(C)
Thomas Grüter
(T)
Aiden Haghikia
(A)
Niels Hansen
(N)
Jens Harmel
(J)
Antonia Harms
(A)
Yetzenia Dubraska Haro Alizo
(YDH)
Martin Häusler
(M)
Joachim Havla
(J)
Chung Ha-Yeun
(C)
Wolfgang Heide
(W)
Valentin Held
(V)
Kerstin Hellwig
(K)
Philip Hillebrand
(P)
Frank Hoffmann
(F)
Christian Hofmann
(C)
Ulrich Hofstadt-van Oy
(UH)
Peter Huppke
(P)
Hagen Huttner
(H)
Fatme Seval Ismail
(FS)
Martina Jansen
(M)
Mareike Jansen
(M)
Aleksandra Juranek
(A)
Michael Karenfort
(M)
Max Kaufmann
(M)
Christoph Kellinghaus
(C)
Constanze Kerin Geb Mönig
(C)
Susanne Knake
(S)
Ellen Knierim
(E)
Peter Körtvélyessy
(P)
Markus Krämer
(M)
Verena Kraus
(V)
Christos Krogias
(C)
Gregor Kuhlenbäumer
(G)
Tanja Kümpfel
(T)
Christoph Lehrich
(C)
Andeas Linsa
(A)
Jan Lünemann
(J)
Marie Madlener
(M)
Niels Margraf
(N)
Carlos Martinez Quesada
(C)
Monika Meister
(M)
Nico Melzer
(N)
Kristin Stefanie Melzer
(KS)
Til Menge
(T)
Sven Meuth
(S)
Gerd Meyer Zu Hörste
(G)
Fabian Möller
(F)
Marie-Luise Mono
(ML)
Sigrid Mues
(S)
Jost Obrocki
(J)
Loana Penner
(L)
Lena Kristina Pfeffer
(LK)
Thomas Pfefferkorn
(T)
Steffen Pfeuffer
(S)
Alexandra Philipsen
(A)
Johannes Piepgras
(J)
Felix von Poderwils
(F)
Mosche Pompsch
(M)
Josef Priller
(J)
Anne-Katrin Pröbstel
(AK)
Daniel Rapp
(D)
Dominica Ratuszny
(D)
Johanna Maria Helena Rau
(JMH)
Saskia Jania Räuber
(SJ)
Robert Rehmann
(R)
Ina Reichen
(I)
Gernot Reimann
(G)
Raphael Reinecke
(R)
Nele Retzlaff
(N)
Marius Ringelstein
(M)
Henrik Rohner
(H)
Felix Rosenow
(F)
Kevin Rostasy
(K)
Theodor Rüber
(T)
Stephan Rüegg
(S)
Yannic Saathoff
(Y)
Jens Schaumberg
(J)
Ruth Schilling
(R)
Mareike Schimmel
(M)
Jens Schmidt
(J)
Ina-Isabelle Schmütz
(II)
Hauke Schneider
(H)
Patrick Schramm
(P)
Stephan Schreiber
(S)
Gesa Schreyer
(G)
Ina Schröder
(I)
Simon Schuster
(S)
Günter Seidel
(G)
Frank Seifert
(F)
Makbule Senel
(M)
Olga Simova
(O)
Juliane Spiegler
(J)
Oliver Stammel
(O)
Andeas Steinbrecher
(A)
Henning Stolze
(H)
Muriel Stoppe
(M)
Karin van S Gravesande Storm
(KVSG)
Christine Strippel
(C)
Dietrich Sturm
(D)
Klarissa Hanja Stürner
(KH)
Steffen Syrbe
(S)
Pawel Tacik
(P)
Simone Tauber
(S)
Florian Then Bergh
(F)
Anja Tietz
(A)
Corinna Trebst
(C)
George Trendelenburg
(G)
Regina Trollmann
(R)
Thanos Tsaktanis
(T)
Hayrettin Tumani
(H)
Methap Türedi
(M)
Christian Urbanek
(C)
Niklas Vogel
(N)
Max Vogtmann
(M)
Matthias von Mering
(M)
Jan Wagner
(J)
Klaus-Peter Wandinger
(KP)
Robert Weissert
(R)
Brigitte Wildemann
(B)
Karsten Witt
(K)
Kartharina Wurdack
(K)
Lara Zieger
(L)
Informations de copyright
© 2024. The Author(s).
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