周围神经系统表现的MOG抗体相关疾病的表现
Pranjal Gupta1,2, Pritikanta Paul1,2, Vyanka Redenbaugh1,2
1Departments of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Annals of clinical and translational neurology
|January 18, 2024
概括
在中枢神经系统脱髓化事件期间,髓寡细胞糖蛋白抗体相关疾病 (MOGAD) 可以涉及周围神经系统 (PNS),特别是神经根. 孤立的外周神经病变不是MOGAD的特征.
科学领域:
- 神经免疫学 神经免疫学
- 神经学 神经学
- 脱线性疾病 脱线性疾病
背景情况:
- 周围神经系统 (PNS) 的参与在髓寡二细胞糖蛋白抗体相关疾病 (MOGAD) 中曾经有过事报告.
- MOG-IgG1与各种神经疾病有关,促使人们对其在PNS中的作用进行调查.
研究的目的:
- 描述PNS参与MOGAD的频谱和频率.
- 为了确定孤立的外围神经病变是否是MOGAD的特征.
主要方法:
- 对215名MOGAD患者的回顾性分析.
- 对PNS参与和与之并发的中枢神经系统脱髓化临床数据的审查.
- 在神经根中MOG表达的免疫组织化学分析.
主要成果:
- 在215名MOGAD患者中,有6名患者 (2.8%) 呈现PNS参与,仅以多基核病症的形式,与中枢神经系统脱髓化相吻合.
- 在健康的人类近接神经根中证实了MOG表达.
- 九名MOG-IgG1阳性患者与PNS参与有无关的病因,不包括MOGAD作为原因.
结论:
- 在MOGAD中,炎症性神经根参与可以与中枢神经系统脱髓化事件同时发生.
- 孤立的外周神经病变不是MOGAD的特征表现.
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