Identification of pyruvate kinase as an antigen associated with Tourette syndrome.

Abstract:

:Immune responses to beta-hemolytic streptococcal infections are hypothesized to trigger tic disorders and early-onset obsessive-compulsive disorder (OCD) in some pediatric populations. Here we identify the M1 isoform of the glycolytic enzyme, pyruvate kinase (PK) as an autoimmune target in Tourette syndrome and associated disorders. Antibodies to PK reacted strongly with surface antigens of infectious strains of streptococcus, and antibodies to streptococcal M proteins reacted with PK. Moreover, immunoreactivity to PK in patients with exacerbated symptoms who had recently acquired a streptococcal infection was 7-fold higher compared to patients with exacerbated symptoms and no evidence of a streptococcal infection. These data suggest that PK can function as an autoimmune target and that this immunoreactivity may be associated with Tourette syndrome, OCD, and associated disorders.

journal_name

J Neuroimmunol

authors

Kansy JW,Katsovich L,McIver KS,Pick J,Zabriskie JB,Lombroso PJ,Leckman JF,Bibb JA

doi

10.1016/j.jneuroim.2006.08.007

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

165-76

issue

1-2

eissn

0165-5728

issn

1872-8421

pii

S0165-5728(06)00315-8

journal_volume

181

pub_type

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