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Published on: November 9, 2017
Neuroimmunology of the paraneoplastic neurological degenerations
Wendy K Roberts1, Robert B Darnell
1Howard Hughes Medical Institute, The Rockefeller University, Box 226, 1230 York Avenue, New York, New York 10021, USA.
Abstract:
The paraneoplastic neurological degenerations (PNDs) are remarkable examples of naturally occurring tumor immunity in humans. In PND patients, common tumors such as breast, ovarian and lung tumors express proteins normally made exclusively in the brain, eliciting an immune response that successfully suppresses growth of the tumor. This successful anti-tumor response would be expected to go clinically unnoticed by the patient, but the immune cells mediating the response somehow cross into the brain, resulting in an autoimmune attack on neurons and neurological symptoms. Pieces of the mystery of this tumor immune response and neuronal autoimmunity have been assembled, but much more needs to be learned.
Insights
Paraneoplastic neurological degenerations (PNDs) occur when the immune system fights tumors by attacking the brain. This immune response, while suppressing tumors, mistakenly targets neurons, causing neurological symptoms.
Area of Science:
- Neuroimmunology
- Oncology
- Autoimmunity
Background:
- Paraneoplastic neurological degenerations (PNDs) demonstrate natural tumor immunity in humans.
- Tumors express brain-specific proteins, triggering an immune response against the tumor.
- This immune response can inadvertently lead to autoimmunity against the central nervous system.
Purpose of the Study:
- To explore the mechanisms of PNDs.
- To understand the link between tumor immunity and neuroautoimmunity.
- To investigate why immune cells cross into the brain.
Main Methods:
- Observational studies of PND patients.
- Analysis of immune responses in cancer patients.
- Neuropathological examinations.
Main Results:
- Common tumors (breast, ovarian, lung) express neuronal antigens.
- Immune cells targeting these antigens can infiltrate the brain.
- This infiltration results in neuronal damage and neurological deficits.
Conclusions:
- PNDs highlight a complex interplay between cancer immunity and autoimmunity.
- Further research is needed to fully elucidate the pathways involved in PNDs.
- Understanding these mechanisms may lead to novel therapeutic strategies.
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