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Absence of Neuronal Autoantibodies in Neuropsychiatric Systemic Lupus Erythematosus

Varley, James A; Andersson, Magnus; Grant, Eleanor; Berretta, Antonio; Zandi, Michael S; Bondet, Vincent; Duffy, Darragh; ... Irani, Sarosh R; + view all (2020) Absence of Neuronal Autoantibodies in Neuropsychiatric Systemic Lupus Erythematosus. Annals of Neurology , 88 (6) pp. 1244-1250. 10.1002/ana.25908. Green open access

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Abstract

This study aimed to characterise both neuronal autoantibodies and levels of interferon α, two proposed causative agents in neuropsychiatric systemic lupus erythematosus (NPSLE). Cerebrospinal fluid (CSF) and plasma from 35 patients with systemic lupus erythematosus (SLE; 15 with NPSLE) showed no antibodies against natively expressed N-methyl-D-aspartate receptors (NMDARs), or the surface of live hippocampal neurons. By comparison to controls (n = 104), patients with SLE had antibodies that bound to a peptide representing the extracellular domain of NMDARs (p < 0.0001), however, binding was retained against both rearranged peptides and no peptide (r = 0.85 and r = 0.79, respectively, p < 0.0001). In summary, neuronal-surface reactive antibodies were not detected in NPSLE. Further, while interferon α levels were higher in SLE (p < 0.0001), they lacked specificity for NPSLE. Our findings mandate a search for novel biomarkers in this condition. ANN NEUROL 2020;88:1244–1250.

Type: Article
Title: Absence of Neuronal Autoantibodies in Neuropsychiatric Systemic Lupus Erythematosus
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/ana.25908
Publisher version: https://doi.org/10.1002/ana.25908
Language: English
Additional information: © 2020 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Science & Technology, Life Sciences & Biomedicine, Clinical Neurology, Neurosciences, Neurosciences & Neurology, RECEPTOR, ANTIBODY
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Institute of Prion Diseases
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neuroinflammation
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10166171
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