Autoimmune movement disorders with neuronal antibodies - an update
Bettina Balint1, Kailash P Bhatia2
1Department of Neurology, University Hospital, Heidelberg, Germany.
Current Opinion in Neurology
|May 19, 2021
Summary
New neuronal antibodies are emerging as key markers for autoimmune movement disorders, aiding in diagnosis and guiding targeted immunotherapy and tumor treatments for conditions like chorea and cerebellar ataxia.
Area of Science:
- Neuroimmunology
- Movement Disorders
Background:
- Neuroimmunology advancements impact movement disorder diagnosis.
- An expanding spectrum of neuronal antibodies is identified.
Purpose of the Study:
- Review new neuronal antibodies in movement disorders.
- Update on clinical spectrum and pathophysiology.
- Focus on antibody-related movement disorders.
Main Methods:
- Literature review of recent studies on neuronal antibodies.
- Analysis of clinical presentations and pathophysiological insights.
Main Results:
- Phosphodiesterase 10A antibodies linked to paraneoplastic chorea.
- mGluR5 antibodies associated with hyperkinetic disorders and Ophelia syndrome.
- Kelch-like protein 11 antibodies common in paraneoplastic cerebellar ataxia.
Conclusions:
- New antibody markers are crucial for identifying patients for immunotherapy.
- Understanding pathophysiology can guide personalized treatment strategies.
- Future research may lead to more targeted therapeutic approaches.
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