Anti-streptococcal, tubulin, and dopamine receptor 2 antibodies in children with PANDAS and Tourette syndrome: Single-point and longitudinal assessments

被引:37
作者
Morris-Berry, C. M. [1 ]
Pollard, M. [1 ]
Gao, S. [1 ]
Thompson, C. [2 ]
Singer, H. S. [1 ,3 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Neurol, Baltimore, MD 21287 USA
[2] Johns Hopkins Sch Publ Hlth, Dept Stat Serv, Baltimore, MD 21205 USA
[3] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21287 USA
关键词
PANDAS; Tourette syndrome; Anti-neuronal antibodies; D2; receptor; Tubulin; Single-point and longitudinal; OBSESSIVE-COMPULSIVE SYMPTOMS; STREPTOCOCCAL INFECTION; DIFFERENTIATE PANDAS; SERUM AUTOANTIBODIES; NEURONAL SURFACE; SYDENHAM CHOREA; TIC DISORDERS; EXACERBATIONS; MOVEMENT; BEHAVIOR;
D O I
10.1016/j.jneuroim.2013.09.010
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Single-point-in-time ELISA optical densities for three putative antibodies identified in Sydenham's chorea, the streptococcal group A carbohydrate antigen, N-acetyl-beta-o-glucosamine, tubulin, and the dopamine 2 receptor, showed no differences in children with PANDAS (n = 44) or Tourette syndrome (n = 40) as compared to controls (n = 24). Anti-tubulin and D2 receptor antibodies assessed in serial samples from 12 PANDAS subjects obtained prior to a documented exacerbation, during the exacerbation (with or without a temporally associated streptococcal infection), and following the exacerbation, showed no evidence of antibody levels correlating with a clinical exacerbation. These data do not support hypotheses suggesting an autoimmune hypothesis in either TS or PANDAS. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:106 / 113
页数:8
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