Paraneoplastic Neuromyelitis Optica Spectrum Disorder Related to Glucose-regulated Protein 78 (GRP78) Autoantibodies in a Patient with Lynch Syndrome-associated Colorectal Cancer

Neuromyelitis optica spectrum disorders have been previously reported in a paraneoplastic context, although there is no clear consensus on their pathogenesis. We herein report a case of aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder in a 64-year-old woman with colorectal cancer...

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Veröffentlicht in:Internal Medicine 2023/06/01, Vol.62(11), pp.1653-1657
Hauptverfasser: Minomo, Shogo, Ichijo, Masahiko, Shimizu, Fumitaka, Sato, Ryota, Kanda, Takashi, Takai, Yoshiki, Misu, Tatsuro, Sakurai, Yoshiki, Amino, Takeshi, Kamata, Tomoyuki
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container_end_page 1657
container_issue 11
container_start_page 1653
container_title Internal Medicine
container_volume 62
creator Minomo, Shogo
Ichijo, Masahiko
Shimizu, Fumitaka
Sato, Ryota
Kanda, Takashi
Takai, Yoshiki
Misu, Tatsuro
Sakurai, Yoshiki
Amino, Takeshi
Kamata, Tomoyuki
description Neuromyelitis optica spectrum disorders have been previously reported in a paraneoplastic context, although there is no clear consensus on their pathogenesis. We herein report a case of aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder in a 64-year-old woman with colorectal cancer. She underwent tumor resection, resulting in serum aquaporin-4 antibody titers subsequently becoming negative. Serum samples were also positive for glucose-regulated protein 78 antibody, which has recently been suggested to be a novel factor in the disruption of the blood-brain barrier. Serological and pathological investigations in this case highlight the role and involvement of aquaporin-4 and glucose-regulated protein 78 antibodies in paraneoplastic conditions.
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subjects AQP4
Aquaporin 4
Autoantibodies
Blood-brain barrier
Case Report
Case reports
colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms, Hereditary Nonpolyposis - complications
Endoplasmic Reticulum Chaperone BiP
Female
Glucose
GRP78
Humans
Internal medicine
Lynch syndrome
Middle Aged
Neuromyelitis
Neuromyelitis Optica
paraneoplastic syndrome
title Paraneoplastic Neuromyelitis Optica Spectrum Disorder Related to Glucose-regulated Protein 78 (GRP78) Autoantibodies in a Patient with Lynch Syndrome-associated Colorectal Cancer
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