Distinct intrathecal interleukin-17/interleukin-6 activation in anti-N-methyl-D-aspartate receptor encephalitis

被引:59
作者
Byun, Jung-Ick [1 ,2 ,3 ]
Lee, Soon-Tae [1 ,2 ]
Moon, Jangsup [1 ,2 ]
Jung, Keun-Hwa [1 ,2 ]
Sunwoo, Jun-Sang [1 ,2 ,4 ]
Lim, Jung-Ah [1 ,2 ]
Kim, Tae-Joon [1 ,2 ]
Shin, Yong-Won [1 ,2 ]
Lee, Keon-Joo [1 ,2 ]
Jun, Jin-Sun [1 ,2 ]
Lee, Han Sang [1 ,2 ]
Lee, Woo-Jin [1 ,2 ]
Kim, Young-Sook [2 ]
Kim, Soyun [2 ]
Jeon, Daejong [5 ]
Park, Kyung-Il [1 ,2 ,6 ]
Jung, Ki-Young [1 ,2 ]
Kim, Manho [1 ,2 ]
Chu, Kon [1 ,2 ]
Lee, Sang Kun [1 ,2 ]
机构
[1] Seoul Natl Univ Hosp, Dept Neurol, Seoul, South Korea
[2] Seoul Natl Univ, Program Neurosci, Coll Med, Seoul, South Korea
[3] Kyung Hee Univ Hosp Gangdong, Dept Neurol, Seoul, South Korea
[4] Soonchunhyang Univ, Dept Neurol, Sch Med, Seoul, South Korea
[5] Adv Neural Technol Co, Seoul, South Korea
[6] Seoul Natl Univ Hospita, Dept Neurol, Healthcare Syst Gangnam Ctr, Seoul, South Korea
关键词
Cytokine; Autoimmune encephalitis; NMDAR; LGI1; IL-17A; IL-6; CXCL13; T-CELLS; INTERLEUKIN-2; MECHANISMS; PROFILES; CYTOKINE; BLOCKADE; SPECTRUM; PATIENT;
D O I
10.1016/j.jneuroim.2016.05.023
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The aim of this study was to compare serum and cerebrospinal fluid (CSF) cytokine/chemokine levels between anti-NMDAR and anti-LGI1 encephalitis patients. Samples from fourteen anti-NMDAR encephalitis patients, ten anti-LGI1 encephalitis patients, and ten controls were analyzed for the following cytokines/chemokines: IL-1b, IL-2, IL-4, IL-5, IL-6,IL-10, IL-12, IL-13, IL-17A, IL-23, GM-CSF, IFN-gamma, TNF-alpha, and CXCL13. Compared with controls, CSF IL-17A, IL-6 and CXCL13 were elevated in anti-NMDAR encephalitis patients (post-hoc p-values 0.002, 0.011, and 0.011, respectively) but not in anti-LGI1 encephalitis patients. In the serum, only IL-2 was increased in anti-NMDAR encephalitis. Intrathecal IL-17/IL-6 activation is a characteristic of anti-NMDAR encephalitis. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:141 / 147
页数:7
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