1. Neurologic disorders associated with anti-glutamic acid decarboxylase antibodies: A comparison of anti-GAD antibody titers and time-dependent changes between neurologic disease and type I diabetes mellitus
- Author
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Yuiko Inaba, Chiharu Tsutsumi, Toshiaki Hanafusa, Masamichi Date, Takafumi Hosokawa, Kiichi Unoda, Fumiharu Kimura, Hideto Nakajima, Yoshitsugu Nakamura, and Haruko Kitaoka
- Subjects
0301 basic medicine ,Adult ,Male ,endocrine system diseases ,medicine.medical_treatment ,Immunology ,Glutamate decarboxylase ,Autoantigens ,03 medical and health sciences ,Epilepsy ,0302 clinical medicine ,Autoimmune Diseases of the Nervous System ,Immunology and Allergy ,Medicine ,Humans ,Aged ,Autoantibodies ,Cerebellar ataxia ,biology ,business.industry ,Glutamate Decarboxylase ,Limbic encephalitis ,nutritional and metabolic diseases ,Immunotherapy ,Middle Aged ,medicine.disease ,Titer ,030104 developmental biology ,Diabetes Mellitus, Type 1 ,Neurology ,biology.protein ,Female ,Neurology (clinical) ,medicine.symptom ,Antibody ,business ,030217 neurology & neurosurgery ,Stiff person syndrome - Abstract
To determine clinical features of neurologic disorders associated with anti-glutamic acid decarboxylase antibodies (anti-GAD-Ab), we examined titers and time-dependent changes of anti-GAD-Ab. Six patients, stiff person syndrome (2), cerebellar ataxia (1), limbic encephalitis (1), epilepsy (1), brainstem encephalitis (1), were compared with 87 type I diabetes mellitus (T1DM) patients without neurologic disorders. Anti-GAD-Ab titers and index were higher in neurologic disorders than in T1DM, suggesting intrathecal antibody synthesis. Anti-GAD-Ab titers in T1DM decreased over time, whereas they remained high in neurologic disorders. Immunotherapy improved neurological disorders and anti-GAD-Ab titers and index provide clinically meaningful information about their diagnostic accuracy.
- Published
- 2017