与抗CASPR2相关的神经综合征的队列中不同的表型
João Moura1, Raquel Samões2, Márcio Cardoso3
1Department of Neurology, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Clinical neurology and neurosurgery
|October 5, 2023
概括
这项研究强调,抗接触素相关蛋白类2 (CASPR2) 神经系统疾病可以表现为异常症状和缓慢进展. 早期诊断和治疗对于管理这些罕见的自身免疫性疾病至关重要.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 抗接触素相关蛋白类2 (CASPR2) 抗体与边缘脑炎 (LE),莫万综合征和外围神经过激动性 (PNH) 有关.
- 之前已经确认了与抗CASPR2抗体相关的额外临床特征.
研究的目的:
- 描述一组患有抗CASPR2相关的神经综合征的患者队列.
- 描述临床范围,诊断发现和第三级推中心的结果.
主要方法:
- 对血清抗CASPR2抗体阳性患者的回顾性分析.
- 2014年至2021年间从高等推中心收集的数据.
主要成果:
- 确定了19名患者,LE,Morvan综合征和PNH是最常见的综合征.
- 在31.6%的病例中观察到非典型的表型,包括dysautonomia和脑干参与.
- 发作,PNH和认知功能障碍是最常见的症状;CSF和成像通常是正常的.
结论:
- 与抗CASPR2相关的神经疾病可以呈现出孤立的非典型表型和缓慢的进展.
- 正常的脊髓和成像检测结果并不排除与抗CASPR2相关的神经疾病.
- 治疗可以使大约一半受影响的患者得到改善或稳定.
相关概念视频
Pleiotropy
40.6K
Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
40.6K
Genetic Lingo
103.0K
Overview
103.0K
Sex-linked Disorders
102.3K
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
102.3K
EPS and iPS Cells in Disease Research
2.8K
Embryonic and induced pluripotent stem cells are excellent models for disease research because of their ability to self-renew and differentiate into most cell types. Somatic cells from a patient are isolated and reprogrammed into induced pluripotent stem cells or iPSCs. These iPSCs are later differentiated into the desired cell type, which mirrors the diseased cell of the patient. In this way, disease models have been created for investigating diseases such as Down syndrome, type I diabetes,...
2.8K
Pedigree Analysis
84.4K
Overview
84.4K


