机构:[1]Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China,首都医科大学附属北京同仁医院临床科室神经内科[2]Medical Research Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China,首都医科大学附属北京同仁医院首都医科大学附属同仁医院[3]Center for Bioinformatics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing, China
Objective: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is the most common type of autoimmune encephalitis. This study focuses on finding new biomarkers to evaluate the clinical condition and provide new directions for treatment. Methods: A total of 44 cytokines/chemokines in the cerebrospinal fluid of 10 non-paraneoplastic patients and nine controls were measured. We selected some of the cytokines/chemokines that significantly increased in patients. Six selected cytokines/chemokines, including IL-10, CXCL10, CCL22, CCL3, IL-7, TNF-alpha, and three previously reported (IL-2, IL-6, and IL-17A), were measured in seven other patients who provided repeat samples. We compared their levels and explored correlations with severity of disease and antibody titers. Results: The levels of Th1 axis (CXCL10, TNF-alpha, IFN-gamma, CCL3), Th2 axis (CCL1, CCL8, CCL17, CCL22), Treg axis (IL-10), Th17 axis (IL-7), and B cell axis (CXCL13) cytokines, as well as IL-12 p40 and IL-16, were significantly higher in patients compared to those in controls. The level of IL-2 was significantly decreased at the intermediate stage of treatment compared with that before treatment. The severity of disease is positively correlated with levels of CXCL10, CCL3, IL-10, CCL22, and IL-6. The level of CCL3 in the high antibody titer group was greater than that in the low antibody titer group. Conclusion: The pathogenesis of anti-NMDAR encephalitis involves T cell and B cell cytokines. T cells likely assist B cells to produce antibodies. IL-2, CXCL10, CCL3, IL-10, CCL22, and IL-6 may represent new biomarkers in anti-NMDAR encephalitis. Given the lack of research on IL-10, CCL3, and CCL22 in this disease, it will be informative to explore their potential role in pathogenesis in larger studies.
基金:
National Natural Science Foundation of China (NSFC) [81771313, 81870950]; Youth Program of the National Natural Science Foundation of China [81301029]; Beijing Municipal Natural Science FoundationBeijing Natural Science Foundation [19G11041, 7182077]; Beijing Hospitals Authority Youth Program [QML20150206]; Key Research and Development Plan of the Ministry of Science and Technology of the People's Republic of China [2016YFC0904502]; Beijing Science and Technology Project Capital Characteristics [Z171100001017039]; Key Projects of Medical Development in Capital [2014-11101]; Beijing Tongren Hospital, Capital Medical University, Key Medical Development Plan [TRYY-KYJJ-2017-054]
第一作者机构:[1]Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China,
共同第一作者:
通讯作者:
通讯机构:[1]Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China,[2]Medical Research Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China,
推荐引用方式(GB/T 7714):
Liu Jingwen,Liu Lei,Kang Wenting,et al.Cytokines/Chemokines: Potential Biomarkers for Non-paraneoplastic Anti-N-Methyl-D-Aspartate Receptor Encephalitis[J].FRONTIERS IN NEUROLOGY.2020,11:doi:10.3389/fneur.2020.582296.
APA:
Liu, Jingwen,Liu, Lei,Kang, Wenting,Peng, Gongxin,Yu, Di...&Wang, Jiawei.(2020).Cytokines/Chemokines: Potential Biomarkers for Non-paraneoplastic Anti-N-Methyl-D-Aspartate Receptor Encephalitis.FRONTIERS IN NEUROLOGY,11,
MLA:
Liu, Jingwen,et al."Cytokines/Chemokines: Potential Biomarkers for Non-paraneoplastic Anti-N-Methyl-D-Aspartate Receptor Encephalitis".FRONTIERS IN NEUROLOGY 11.(2020)