在SARS-CoV-2感染和抗NMDA受体脑炎之间可能存在时间关系:元分析
Veronika Vasilevska1,2, Paul C Guest1,2,3, Michael Szardenings4
1Department of Psychiatry, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
Translational psychiatry
|March 8, 2024
概括
感染SARS-CoV-2和接种疫苗不太可能导致自身免疫性NMDA受体脑炎. 对病例报告的审查表明,尽管广泛接触病毒和疫苗,这种神经疾病仍然很罕见.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 全球SARS-CoV-2的影响引发了对二级自身免疫性疾病的担忧.
- 潜在的SARS-CoV-2引发对N-甲基-D-酸盐 (NMDA) 受体和神经精神问题的免疫反应.
研究的目的:
- 探索SARS-CoV-2感染/接种疫苗和NMDA受体脑炎之间的联系.
- 研究自身免疫神经精神疾病的潜在机制和影响.
主要方法:
- 系统的文献搜索与SARS-CoV-2感染或疫苗接种相关的NMDA受体脑炎病例报告.
- 分析病例报告的局限性,包括因果关系,先前存在的抗体和血脑屏障泄漏.
主要成果:
- 确定了19份病例报告;然而,因果关系尚不清楚.
- 由于先前存在的抗体和暂时的血脑屏障泄漏,难以确定因果关系.
- 在四例病例中出现并发性卵巢瘤,这是NMDA受体脑炎的已知触发因素.
- 报告病例的稀有性表明,尽管暴露广泛,但发病率很低.
结论:
- 目前的证据不支持SARS-CoV-2感染或接种疫苗导致自身免疫NMDA受体脑炎的增加.
- 持续的警和研究对于监测病毒对中枢神经系统的影响至关重要.
更多相关视频
07:20A Simple Cell-based Immunofluorescence Assay to Detect Autoantibody Against the N-Methyl-D-Aspartate NMDA Receptor in Blood
Published on: January 9, 2018
9.9K
08:20Hippocampal Neuronal Cultures to Detect and Study New Pathogenic Antibodies Involved in Autoimmune Encephalitis
Published on: June 2, 2022
3.2K
相关概念视频
Viral Meningitis
199
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
199
Arboviral Encephalitis
59
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
59
Encephalitis l: Introduction
15
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
15
Encephalitis ll: Pathophysiology
22
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
22
