Anti‐basal ganglia antibodies in PANDAS
Identifieur interne : 000275 ( Istex/Corpus ); précédent : 000274; suivant : 000276Anti‐basal ganglia antibodies in PANDAS
Auteurs : Harvey S. Singer ; Christopher R. Loiselle ; Olivia Lee ; Karen Minzer ; Susan Swedo ; Franz H. GrusSource :
- Movement Disorders [ 0885-3185 ] ; 2004-04.
English descriptors
Abstract
An autoimmune‐mediated mechanism involving molecular mimicry has been proposed for a variety of pediatric movement disorders that occur after a streptococcal infection. In this study, anti‐basal ganglia antibodies (ABGA) were measured in 15 children with the diagnosis of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) and compared with those in 15 controls. ELISA and Western immunoblotting (WB) methods were used to detect ABGA against supernatant (S1), pellet (P2), and synaptosomal preparations from adult postmortem caudate, putamen, and globus pallidus. ELISA optical density values did not differ between PANDAS patients and controls across all preparations. Immunoblotting identified multiple bands in all subjects with no differences in the number of bands or their total density. Discriminant analysis, used to assess mean binding patterns, showed that PANDAS patients differed from controls only for the caudate S1 fraction (Wilks' λ = 0.0236, P < 0.0002), with PANDAS‐primarily tic subjects providing the greatest discrimination. Among the epitopes contributing to differences between PANDAS and control in the caudate S1 fraction, mean binding to the epitope at 183 kDa was the most different between groups. In conclusion, ELISA measurements do not differentiate between PANDAS and controls, suggesting a lack of major antibody changes in this disorder. Further immunoblot analyses using a caudate supernatant fraction are required to completely exclude the possibility of minor antibody repertoire differences in PANDAS subjects, especially in those who primarily have tics. © 2004 Movement Disorder Society
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DOI: 10.1002/mds.20052
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<front><div type="abstract" xml:lang="en">An autoimmune‐mediated mechanism involving molecular mimicry has been proposed for a variety of pediatric movement disorders that occur after a streptococcal infection. In this study, anti‐basal ganglia antibodies (ABGA) were measured in 15 children with the diagnosis of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) and compared with those in 15 controls. ELISA and Western immunoblotting (WB) methods were used to detect ABGA against supernatant (S1), pellet (P2), and synaptosomal preparations from adult postmortem caudate, putamen, and globus pallidus. ELISA optical density values did not differ between PANDAS patients and controls across all preparations. Immunoblotting identified multiple bands in all subjects with no differences in the number of bands or their total density. Discriminant analysis, used to assess mean binding patterns, showed that PANDAS patients differed from controls only for the caudate S1 fraction (Wilks' λ = 0.0236, P < 0.0002), with PANDAS‐primarily tic subjects providing the greatest discrimination. Among the epitopes contributing to differences between PANDAS and control in the caudate S1 fraction, mean binding to the epitope at 183 kDa was the most different between groups. In conclusion, ELISA measurements do not differentiate between PANDAS and controls, suggesting a lack of major antibody changes in this disorder. Further immunoblot analyses using a caudate supernatant fraction are required to completely exclude the possibility of minor antibody repertoire differences in PANDAS subjects, especially in those who primarily have tics. © 2004 Movement Disorder Society</div>
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<affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore,, Maryland, USA</unparsedAffiliation>
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<affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Pediatrics and Developmental Neuropsychiatry Branch, National Institute of Mental Health, Bethesda, Maryland, USA</unparsedAffiliation>
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<keyword xml:id="kwd2">anti‐basal ganglia antibodies</keyword>
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<keyword xml:id="kwd4">Western blot</keyword>
<keyword xml:id="kwd5">discriminant analysis</keyword>
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<fundingInfo><fundingAgency>Tourette Syndrome Association</fundingAgency>
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<fundingInfo><fundingAgency>National Institutes of Health</fundingAgency>
<fundingNumber>RO1 NS37706</fundingNumber>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p>An autoimmune‐mediated mechanism involving molecular mimicry has been proposed for a variety of pediatric movement disorders that occur after a streptococcal infection. In this study, anti‐basal ganglia antibodies (ABGA) were measured in 15 children with the diagnosis of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) and compared with those in 15 controls. ELISA and Western immunoblotting (WB) methods were used to detect ABGA against supernatant (S1), pellet (P2), and synaptosomal preparations from adult postmortem caudate, putamen, and globus pallidus. ELISA optical density values did not differ between PANDAS patients and controls across all preparations. Immunoblotting identified multiple bands in all subjects with no differences in the number of bands or their total density. Discriminant analysis, used to assess mean binding patterns, showed that PANDAS patients differed from controls only for the caudate S1 fraction (Wilks' λ = 0.0236, <i>P</i>
< 0.0002), with PANDAS‐primarily tic subjects providing the greatest discrimination. Among the epitopes contributing to differences between PANDAS and control in the caudate S1 fraction, mean binding to the epitope at 183 kDa was the most different between groups. In conclusion, ELISA measurements do not differentiate between PANDAS and controls, suggesting a lack of major antibody changes in this disorder. Further immunoblot analyses using a caudate supernatant fraction are required to completely exclude the possibility of minor antibody repertoire differences in PANDAS subjects, especially in those who primarily have tics. © 2004 Movement Disorder Society</p>
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<!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Anti‐basal ganglia antibodies in PANDAS</title>
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<titleInfo type="abbreviated" lang="en"><title>ABGA in PANDAS</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Anti‐basal ganglia antibodies in PANDAS</title>
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<name type="personal"><namePart type="given">Harvey S.</namePart>
<namePart type="family">Singer</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
<affiliation>Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore,, Maryland, USA</affiliation>
<description>Correspondence: Division of Pediatric Neurology, Johns Hopkins Hospital, Jefferson Street Building 124, 600 N. Wolfe St., Baltimore, MD 21287‐1000</description>
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<name type="personal"><namePart type="given">Christopher R.</namePart>
<namePart type="family">Loiselle</namePart>
<namePart type="termsOfAddress">BS</namePart>
<affiliation>Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
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<name type="personal"><namePart type="given">Olivia</namePart>
<namePart type="family">Lee</namePart>
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<affiliation>Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
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<name type="personal"><namePart type="given">Karen</namePart>
<namePart type="family">Minzer</namePart>
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<affiliation>Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</affiliation>
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<name type="personal"><namePart type="given">Susan</namePart>
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<affiliation>Pediatrics and Developmental Neuropsychiatry Branch, National Institute of Mental Health, Bethesda, Maryland, USA</affiliation>
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<name type="personal"><namePart type="given">Franz H.</namePart>
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<affiliation>Department of Ophthalmology, Universitäts‐Augenklinik, Mainz, Germany</affiliation>
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<abstract lang="en">An autoimmune‐mediated mechanism involving molecular mimicry has been proposed for a variety of pediatric movement disorders that occur after a streptococcal infection. In this study, anti‐basal ganglia antibodies (ABGA) were measured in 15 children with the diagnosis of pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) and compared with those in 15 controls. ELISA and Western immunoblotting (WB) methods were used to detect ABGA against supernatant (S1), pellet (P2), and synaptosomal preparations from adult postmortem caudate, putamen, and globus pallidus. ELISA optical density values did not differ between PANDAS patients and controls across all preparations. Immunoblotting identified multiple bands in all subjects with no differences in the number of bands or their total density. Discriminant analysis, used to assess mean binding patterns, showed that PANDAS patients differed from controls only for the caudate S1 fraction (Wilks' λ = 0.0236, P < 0.0002), with PANDAS‐primarily tic subjects providing the greatest discrimination. Among the epitopes contributing to differences between PANDAS and control in the caudate S1 fraction, mean binding to the epitope at 183 kDa was the most different between groups. In conclusion, ELISA measurements do not differentiate between PANDAS and controls, suggesting a lack of major antibody changes in this disorder. Further immunoblot analyses using a caudate supernatant fraction are required to completely exclude the possibility of minor antibody repertoire differences in PANDAS subjects, especially in those who primarily have tics. © 2004 Movement Disorder Society</abstract>
<note type="funding">Tourette Syndrome Association</note>
<note type="funding">National Institutes of Health - No. RO1 NS37706; </note>
<subject lang="en"><genre>Keywords</genre>
<topic>PANDAS</topic>
<topic>anti‐basal ganglia antibodies</topic>
<topic>ELISA</topic>
<topic>Western blot</topic>
<topic>discriminant analysis</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<titleInfo type="abbreviated"><title>Mov. Disord.</title>
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<topic>Research Article</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2004</date>
<detail type="volume"><caption>vol.</caption>
<number>19</number>
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<detail type="issue"><caption>no.</caption>
<number>4</number>
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<extent unit="pages"><start>406</start>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2004 Movement Disorder Society</accessCondition>
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