Processing of MOG is affected by post-translational modification in virus infected non-human primate B cells

one had VGKC-complex antibodies (1767 pM). The remaining 19 patients all had N1 sequential sample available and hippocampal NSAb reactivity was seen in 17/19. 5/17 patients showedNSAbs in all their samples,which rose in intensity (n= 3) or remained at similar intensity (n= 2) over time. 6/17 patients had serum with negative, and subsequently, positive NSAb reactivity, 4/17 went from positive to negative reactivity and 2/17 went from negative to positive and then returned to negative reactivity, both over 3 months. Interestingly, patients with JEV showed that they showed large punctae along cell bodies and dendrites, comparedwith the fine speckled punctae seen with the known antigenic targets such as the NMDAR, LGI1 or CASPR2. NSAbs often coexisted with reactivity towards known antigenic targets including the VGKC-complex (n= 7), NMDAR (n= 4), CASPR2 (n= 4), LGI1 (n= 1) and GABAAR (n= 1). Antibodies against GAD, GABABR, AMPAR, D2R and NMDAR IgA/M/E were detected in 0/34 patients, and 0/16 available CSFs showed anyNSAbs. Interestingly, therewas a trend towards the poorest functional outcomes in the patients without any antibodies (p= 0.05). Conclusion: Patients with JEV commonly harbour NSAbs, many of which target unidentified antigens. This expands the described association of HSV with NSAbs, and generates questions about inflammatory mechanisms and the use of immunotherapies in patients with viral encephalitis.