1. No association between Parkinson disease and autoantibodies against NMDA-type glutamate receptors
- Author
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Stefanie H. Müller, Richard Dodel, Günther Deuschl, Monika Balzer-Geldsetzer, Kathrin Reetz, Alexander Storch, Elke Kalbe, Klaus-Peter Wandinger, Franziska Hopfner, Jan Kassubek, Inga Liepelt-Scarfone, Frank Leypoldt, Claudia Trenkwalder, Thomas Klockgether, Daniela Berg, Nele Schmidt, Hans-Ulrich Wittchen, Oliver Riedel, Jörg B. Schulz, Petra Neuser, Simon Baudrexel, Wolfgang Lieb, Annika Spottke, Brit Mollenhauer, Ruediger Hilker-Roggendorf, Dagmar Steppat, Claudia Schulte, Gregor Kuhlenbäumer, Ullrich Wüllner, Karsten Witt, Joanna Miller, Lukas Tittmann, and Andre Franke
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0301 basic medicine ,medicine.medical_specialty ,Neurology ,Cognitive Neuroscience ,Medizin ,Disease ,NMDA antibody ,lcsh:RC346-429 ,Pathogenesis ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,0302 clinical medicine ,Cognitive impairment ,NMDA IgA/IgM antibodies ,Parkinson disease ,ddc:570 ,medicine ,Dementia ,ddc:610 ,lcsh:Neurology. Diseases of the nervous system ,Autoimmune encephalitis ,business.industry ,Research ,Autoantibody ,Glutamate receptor ,medicine.disease ,3. Good health ,030104 developmental biology ,nervous system ,Immunology ,NMDA receptor ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
Background IgG-class autoantibodies to N-Methyl-D-Aspartate (NMDA)-type glutamate receptors define a novel entity of autoimmune encephalitis. Studies examining the prevalence of NMDA IgA/IgM antibodies in patients with Parkinson disease with/without dementia produced conflicting results. We measured NMDA antibodies in a large, well phenotyped sample of Parkinson patients without and with cognitive impairment (n = 296) and controls (n = 295) free of neuropsychiatric disease. Detailed phenotyping and large numbers allowed statistically meaningful correlation of antibody status with diagnostic subgroups as well as quantitative indicators of disease severity and cognitive impairment. Methods NMDA antibodies were analysed in the serum of patients and controls using well established validated assays. We used anti-NMDA antibody positivity as the main independent variable and correlated it with disease status and phenotypic characteristics. Results The frequency of NMDA IgA/IgM antibodies was lower in Parkinson patients (13%) than in controls (22%) and higher than in previous studies in both groups. NMDA IgA/IgM antibodies were neither significantly associated with diagnostic subclasses of Parkinson disease according to cognitive impairment, nor with quantitative indicators of disease severity and cognitive impairment. A positive NMDA antibody status was positively correlated with age in controls but not in Parkinson patients. Conclusion It is unlikely albeit not impossible that NMDA antibodies play a significant role in the pathogenesis or progression of Parkinson disease e.g. to Parkinson disease with dementia, while NMDA IgG antibodies define a separate disease of its own. Electronic supplementary material The online version of this article (10.1186/s40035-019-0153-0) contains supplementary material, which is available to authorized users.
- Published
- 2019
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