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Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
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Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
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Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
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Nivolumab-induced seronegative encephalitis.

Gonçalo Cabral1, Filipa Ladeira2, Nuno Gil3

  • 1Department of Neurology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.

Journal of Neuroimmunology
|August 10, 2020
PubMed
Summary

Immune checkpoint inhibitors can cause encephalitis, a rare neurological complication. Prompt recognition and treatment, including stopping therapy and using steroids, led to full recovery in a patient with nivolumab-induced encephalitis.

Area of Science:

  • Neuroscience
  • Immunology
  • Oncology

Background:

  • Immune checkpoint inhibitors (ICIs) are vital cancer therapies.
  • Neurological complications affect ~1% of patients on ICIs.

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  • ICI-induced encephalitis is rare (0.1-0.2%), often seronegative with nonspecific findings.