Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus

This study aimed to characterise both neuronal autoantibodies and levels of interferon α, two proposed causative agents in neuropsychiatric systemic lupus erythematosus (NPSLE). Cerebrospinal fluid (CSF) and plasma from 35 patients with systemic lupus erythematosus (SLE; 15 with NPSLE) showed no ant...

Full description

Bibliographic Details
Main Authors: Varley, JA, Andersson, M, Grant, E, Berretta, A, Zandi, MS, Bondet, V, Duffy, D, Hunt, D, Piehl, F, Waters, P, Irani, SR
Format: Journal article
Language:English
Published: Wiley 2020
_version_ 1797077432834981888
author Varley, JA
Andersson, M
Grant, E
Berretta, A
Zandi, MS
Bondet, V
Duffy, D
Hunt, D
Piehl, F
Waters, P
Irani, SR
author_facet Varley, JA
Andersson, M
Grant, E
Berretta, A
Zandi, MS
Bondet, V
Duffy, D
Hunt, D
Piehl, F
Waters, P
Irani, SR
author_sort Varley, JA
collection OXFORD
description This study aimed to characterise both neuronal autoantibodies and levels of interferon α, two proposed causative agents in neuropsychiatric systemic lupus erythematosus (NPSLE). Cerebrospinal fluid (CSF) and plasma from 35 patients with systemic lupus erythematosus (SLE; 15 with NPSLE) showed no antibodies against natively expressed N‐methyl‐D‐aspartate receptors (NMDARs), or the surface of live hippocampal neurons. By comparison to controls (n = 104), patients with SLE had antibodies that bound to a peptide representing the extracellular domain of NMDARs (p < 0.0001), however, binding was retained against both rearranged peptides and no peptide (r = 0.85 and r = 0.79, respectively, p < 0.0001). In summary, neuronal‐surface reactive antibodies were not detected in NPSLE. Further, while interferon α levels were higher in SLE (p < 0.0001), they lacked specificity for NPSLE. Our findings mandate a search for novel biomarkers in this condition. ANN NEUROL 2020
first_indexed 2024-03-07T00:17:55Z
format Journal article
id oxford-uuid:7b7e17b0-8fc0-4c98-8f54-e3b6169e6e3b
institution University of Oxford
language English
last_indexed 2024-03-07T00:17:55Z
publishDate 2020
publisher Wiley
record_format dspace
spelling oxford-uuid:7b7e17b0-8fc0-4c98-8f54-e3b6169e6e3b2022-03-26T20:51:03ZAbsence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7b7e17b0-8fc0-4c98-8f54-e3b6169e6e3bEnglishSymplectic ElementsWiley2020Varley, JAAndersson, MGrant, EBerretta, AZandi, MSBondet, VDuffy, DHunt, DPiehl, FWaters, PIrani, SRThis study aimed to characterise both neuronal autoantibodies and levels of interferon α, two proposed causative agents in neuropsychiatric systemic lupus erythematosus (NPSLE). Cerebrospinal fluid (CSF) and plasma from 35 patients with systemic lupus erythematosus (SLE; 15 with NPSLE) showed no antibodies against natively expressed N‐methyl‐D‐aspartate receptors (NMDARs), or the surface of live hippocampal neurons. By comparison to controls (n = 104), patients with SLE had antibodies that bound to a peptide representing the extracellular domain of NMDARs (p < 0.0001), however, binding was retained against both rearranged peptides and no peptide (r = 0.85 and r = 0.79, respectively, p < 0.0001). In summary, neuronal‐surface reactive antibodies were not detected in NPSLE. Further, while interferon α levels were higher in SLE (p < 0.0001), they lacked specificity for NPSLE. Our findings mandate a search for novel biomarkers in this condition. ANN NEUROL 2020
spellingShingle Varley, JA
Andersson, M
Grant, E
Berretta, A
Zandi, MS
Bondet, V
Duffy, D
Hunt, D
Piehl, F
Waters, P
Irani, SR
Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
title Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
title_full Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
title_fullStr Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
title_full_unstemmed Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
title_short Absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
title_sort absence of neuronal autoantibodies in neuropsychiatric systemic lupus erythematosus
work_keys_str_mv AT varleyja absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT anderssonm absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT grante absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT berrettaa absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT zandims absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT bondetv absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT duffyd absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT huntd absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT piehlf absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT watersp absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus
AT iranisr absenceofneuronalautoantibodiesinneuropsychiatricsystemiclupuserythematosus