Occurrence of major anti-retinal autoantibodies associated with paraneoplastic autoimmune retinopathy

被引:35
作者
Adamus, Grazyna [1 ]
Champaigne, Rachel [1 ]
Yang, Sufang [1 ]
机构
[1] Oregon Hlth & Sci Univ, Sch Med, Casey Eye Inst, Ocular Immunol Lab, Portland, OR 97239 USA
基金
美国国家卫生研究院;
关键词
GLYCERALDEHYDE-3-PHOSPHATE DEHYDROGENASE; GLYCOLYTIC-ENZYMES; LUNG-CANCER; PROTEIN; RECOVERIN; PATIENT; ENOLASE;
D O I
10.1016/j.clim.2019.108317
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Autoantibodies (AAbs) against retinal antigens can be found in patients with cancer and unexplained vision loss unrelated to the cancer metastasis. Cancer-associated retinopathy (CAR) is a rare paraneoplastic visual syndrome mediated by AAbs. Our goal was to determine whether CAR patients with different malignancies have a specific AAb or repertoire of AAbs that could serve as biomarkers for retinal disease. We found AAbs against 12 confirmed retinal antigens, with a-enolase being the most frequently recognized. The significant finding of the study was a high incidence of anti-aldolase AAbs in colon-CAR, anti-CAII in prostate-CAR, and anti-arrestin in skin melanoma patients thus these AAbs could serve as biomarkers in the context of clinical presentation and could support the diagnosis of CAR. However, a lack of AAb restriction to any one antigenic protein or to one retinal cellular location makes screening for a CAR biomarker challenging.
引用
收藏
页数:8
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