神经元自身抗体及其不同检测方法在自身免疫性 脑炎中的价值研究进展
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The value of neuronal autoantibodies and its detection methods in autoimmune encephalitis
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    摘要:

    神经元自身抗体是自身免疫性脑炎诊断的关键,免疫组织化学法/ 间接免疫荧光法、啮齿 类动物离体海马神经元的免疫细胞化学法、免疫印迹法等是目前常用的抗体检测方法,血清及脑脊液 样本在不同亚型的自身免疫性脑炎中抗体检测的敏感性不同。神经元自身抗体滴度与肿瘤的发生相关, 但与预后的相关性仍存在争议。近年来关于常见自身免疫性脑炎亚型相关抗体的致病作用得到进一步 的阐明。现简要概括经典副肿瘤综合征相关性脑炎的同时,着重阐述新型自身免疫性脑炎,阐明不同 抗体检测方法的利弊及样本的敏感性,分析抗体滴度与预后的相关性,并介绍部分常见类型自身免疫 性脑炎相关抗体致病作用的研究进展,以对临床诊治以及患者的预后提供帮助。

    Abstract:

    Neuronal autoantibodies are the key to the diagnosis of autoimmune encephalitis. Immunohistochemistry/indirect immunofluorescence, immunocytochemistry of dissociated rodent hippocampal neurons and immunoblotting are the commonly used antibody detection methods. The sensitivity of antibody detection in serum and cerebrospinal fluid samples varies in different subtypes of autoimmune encephalitis. Neuronal autoantibody titers correlate with tumorigenesis, but the correlation with prognosis remains controversial. The pathogenic role of antibodies associated with common autoimmune encephalitis subtypes has been further elucidated in recent years. In this paper, we briefly summarize the classical paraneoplastic syndrome-associated encephalitis, while focusing on the new autoimmune encephalitis, elucidate the advantages and disadvantages of different antibody detection methods and the sensitivity of samples, analyze the correlation between antibody titers and prognosis, and introduce the progress of research on the pathogenic role of antibodies associated with some common types of autoimmune encephalitis, in order to help clinical diagnosis and treatment as well as patient prognosis.

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刘玉莹 刘军艳 张黎明.神经元自身抗体及其不同检测方法在自身免疫性 脑炎中的价值研究进展[J].神经疾病与精神卫生,2021,21(4):
DOI :10.3969/j. issn.1009-6574.2021.04.013.

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  • 在线发布日期: 2021-05-14