Serum anti-NMDA receptor antibodies are linked to memory impairment 12 months after stroke.


Journal

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

Informations de publication

Date de publication:
30 Oct 2024
Historique:
received: 17 01 2024
accepted: 02 09 2024
revised: 29 08 2024
medline: 31 10 2024
pubmed: 31 10 2024
entrez: 31 10 2024
Statut: aheadofprint

Résumé

Patients suffering from strokes are at increased risk of developing post-stroke dementia. Serum anti-NMDA receptor autoantibodies (NMDAR1-abs) have been associated with unfavorable post-stroke outcomes. However, their effect on specific cognitive domains remains unclear. We used data from the prospective multicenter DZNE-mechanisms after stroke (DEMDAS) cohort, and measured NMDAR1-abs in serum at baseline. Cognitive function was assessed with a comprehensive neuropsychological test battery at 6- and 12-months follow-up. We employed crude and stepwise confounder adjusted linear and logistic regression models as well as generalized estimating equation models (GEE) to determine the relevance of NMDAR1-abs seropositivity on cognitive function after stroke. 10.2% (58/569) DEMDAS patients were NMDAR1-abs seropositive (IgM:n = 44/IgA:n = 21/IgG:n = 2). Seropositivity was not associated with global cognitive impairment after stroke. However, NMDAR1-abs seropositive patients performed lower in the memory domain (β

Identifiants

pubmed: 39478168
doi: 10.1038/s41380-024-02744-w
pii: 10.1038/s41380-024-02744-w
doi:

Banques de données

ClinicalTrials.gov
['NCT01334749']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Deutsches Zentrum für Neurodegenerative Erkrankungen (German Center for Neurodegenerative Diseases)
ID : MC002
Organisme : Deutsche Forschungsgemeinschaft (German Research Foundation)
ID : EXC-2049 - 390688087
Organisme : Deutsche Forschungsgemeinschaft (German Research Foundation)
ID : 5023 BeCAUSE-Y, project 2 EN343/16-1

Investigateurs

Matthias Endres (M)
Thomas Liman (T)
Christian Nolte (C)
Lucia Kerti (L)
Tatjana Wittenberg (T)
Jan F Scheitz (JF)
Pia S Sperber (PS)
Alexander H Nave (AH)
Anna Ibaroule Kufner (AI)
Felix Bode (F)
Sebastian Stösser (S)
Julius N Meißner (JN)
Taraneh Ebrahimi (T)
Julia Nordsiek (J)
Niklas Beckonert (N)
Peter Hermann (P)
Matthias Schmitz (M)
Stefan Goebel (S)
Julia Schütte-Schmidt (J)
Sabine Nuhn (S)
Corinna Volpers (C)
Peter Dechent (P)
Matthias Bähr (M)
Wenzel Glanz (W)
Marios Georgakis (M)
Steffen Tiedt (S)
Karin Waegemann (K)
Daniel Janowitz (D)
Benno Ikenberg (B)
Kathleen Bermkopf (K)
Christiane Huber (C)
Michael Wagner (M)
Katja Neumann (K)
Annika Spottke (A)
Tony Stöcker (T)
Marco Dühring (M)
Oliver Speck (O)
Emrah Duezel (E)
Peter Bartenstein (P)

Informations de copyright

© 2024. The Author(s).

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Auteurs

Friederike A Arlt (FA)

Department of Neurology and Experimental Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany. friederike-antonia.arlt@charite.de.
German Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany. friederike-antonia.arlt@charite.de.

Pia S Sperber (PS)

Department of Neurology and Experimental Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany. pia.sperber@charite.de.
Experimental and Clinical Research Center, a cooperation between Max Delbrück Center for Molecular Medicine in the Helmholtz Association and Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany. pia.sperber@charite.de.
NeuroCure Clinical Research Center, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany. pia.sperber@charite.de.
German Center for Cardiovascular Diseases (DZHK), Partner Site Berlin, Berlin, Germany. pia.sperber@charite.de.

Regina von Rennenberg (R)

Department of Neurology and Experimental Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.
German Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.

Pimrapat Gebert (P)

Institute of Biometry and Clinical Epidemiology, Charité-Universitätsmedizin Berlin, Corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.

Bianca Teegen (B)

Clinical Immunological Laboratory Prof. Stöcker, Groß Grönau, Germany.

Marios K Georgakis (MK)

Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.

Rong Fang (R)

Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.

Anna Dewenter (A)

Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.

Michael Görtler (M)

Department of Neurology, University Hospital, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.
German Center for Neurodegenerative Diseases (DZNE) Magdeburg, Magdeburg, Germany.

Gabor C Petzold (GC)

Department of Vascular Neurology, University Hospital Bonn, Bonn, Germany.
German Center for Neurodegenerative Diseases (DZNE) Bonn, Bonn, Germany.

Silke Wunderlich (S)

Department of Neurology, Klinikum rechts der Isar School of Medicine, Technical University of Munich, Munich, Germany.

Inga Zerr (I)

Department of Neurology, University Medical Center Göttingen, Göttingen, Germany.
German Center for Neurodegenerative Diseases (DZNE) Göttingen, Göttingen, Germany.

Martin Dichgans (M)

Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
German Center for Neurodegenerative Diseases (DZNE) Munich, Munich, Germany.
Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
German Center for Cardiovascular Research (DZHK, Munich), Munich, Germany.

Harald Prüss (H)

Department of Neurology and Experimental Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.
German Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.

Matthias Endres (M)

Department of Neurology and Experimental Neurology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.
German Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
German Center for Cardiovascular Diseases (DZHK), Partner Site Berlin, Berlin, Germany.
Center for Stroke Research Berlin (CSB), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.
German Center for Mental Health (DZPG), Partner Site Berlin, Berlin, Germany.

Classifications MeSH