Cerebrospinal fluid aquaporin-4 antibody levels in neuromyelitis optica attacks.

Abstract:

:To elucidate immunopathogenetic roles of aquaporin-4 antibodies in the cerebrospinal fluid (CSF) of neuromyelitis optica spectrum disorders (NMOSD), we analyzed aquaporin-4 antibody titers, cellular and inflammatory markers in the CSF collected from 11 aquaporin-4 antibody seropositive patients. The CSF aquaporin-4 antibody levels during attacks (but not in sera) closely correlated with pleocytosis, inflammatory cytokines including interleukin-6 that can regulate antibody-producing plasmablasts, and glial fibrillary acidic protein levels in the CSF. The amount of aquaporin-4 antibodies present in the central nervous system may have therapeutic implications, as it is associated with astrocyte injury and inflammatory responses during NMOSD attacks.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Sato DK,Callegaro D,de Haidar Jorge FM,Nakashima I,Nishiyama S,Takahashi T,Simm RF,Apostolos-Pereira SL,Misu T,Steinman L,Aoki M,Fujihara K

doi

10.1002/ana.24208

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

305-9

issue

2

eissn

0364-5134

issn

1531-8249

journal_volume

76

pub_type

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