Autoimmunity to Gephyrin in Stiff-Man Syndrome

Stiff-Man syndrome (SMS) is a rare disease of the central nervous system (CNS) characterized by chronic rigidity, spasms, and autoimmunity directed against synaptic antigens, most often the GABA-synthesizing enzyme glutamic acid decarboxylase (GAD). In a subset of cases, SMS has an autoimmune parane...

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Veröffentlicht in:Neuron (Cambridge, Mass.) Mass.), 2000-05, Vol.26 (2), p.307-312
Hauptverfasser: Butler, Margaret Husta, Hayashi, Akito, Ohkoshi, Norio, Villmann, Carmen, Becker, Cord-Michael, Feng, Guoping, De Camilli, Pietro, Solimena, Michele
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container_end_page 312
container_issue 2
container_start_page 307
container_title Neuron (Cambridge, Mass.)
container_volume 26
creator Butler, Margaret Husta
Hayashi, Akito
Ohkoshi, Norio
Villmann, Carmen
Becker, Cord-Michael
Feng, Guoping
De Camilli, Pietro
Solimena, Michele
description Stiff-Man syndrome (SMS) is a rare disease of the central nervous system (CNS) characterized by chronic rigidity, spasms, and autoimmunity directed against synaptic antigens, most often the GABA-synthesizing enzyme glutamic acid decarboxylase (GAD). In a subset of cases, SMS has an autoimmune paraneoplastic origin. We report here the identification of high-titer autoantibodies directed against gephyrin in a patient with clinical features of SMS and mediastinal cancer. Gephyrin is a cytosolic protein selectively concentrated at the postsynaptic membrane of inhibitory synapses, where it is associated with GABA A and glycine receptors. Our findings provide new evidence for a close link between autoimmunity directed against components of inhibitory synapses and neurological conditions characterized by chronic rigidity and spasms.
doi_str_mv 10.1016/S0896-6273(00)81165-4
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subjects Animals
Autoantibodies - analysis
Autoimmunity
Carrier Proteins - immunology
CHO Cells
Cricetinae
gephyrin
Humans
Male
Mediastinal Neoplasms - complications
Membrane Proteins - immunology
Middle Aged
Molecular Sequence Data
stiff man syndrome
Stiff-Person Syndrome - complications
Stiff-Person Syndrome - immunology
Stiff-Person Syndrome - physiopathology
title Autoimmunity to Gephyrin in Stiff-Man Syndrome
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