Evidence map›Paper›PMID 37217310›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2023

Anti-LGI1 Encephalitis With Co-occurring IgLON5 Antibodies: Clinical Features and Human Leukocyte Antigen Haplotypes.

Pierre Schiff, Sergio Muñiz-Castrillo, Le Duy Do, Maria Livia Fantini, Eve Chanson, Veronique Rogemond, Jerome Honnorat, Louis Poncet-Megemont

Open access · goldAbstract readCase Reports
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors at 1 institution in 3 countries.

Pierre SchiffFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.
Sergio Muñiz-CastrilloFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.ORCID 0000-0001-5958-3288
Le Duy DoFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.ORCID 0000-0001-7664-533X
Maria Livia FantiniFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.
Eve ChansonFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.
Veronique RogemondFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.ORCID 0000-0003-2098-920X
Jerome HonnoratFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France.
Louis Poncet-MegemontFrom the Neurology Department (P.S., M.L.F., E.C., L.P.-M.), University Hospital of Clermont-Ferrand; French Reference Center for Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis (S.M.-C., L.D.D., V.R., J.H.), Hospices Civils de Lyon; MeLiS - UCBL-CNRS UMR 5284 - INSERM U1314 (S.M.-C., L.D.D., V.R., J.H.), Université Claude Bernard Lyon 1, France; Stanford Center for Sleep Sciences and Medicine (S.M.-C.), Stanford University, Palo Alto, CA; Sleep and EEG (M.L.F.), Neurophysiology Unit, University Hospital and UMR 6602- Université Clermont Auvergne, CNRS, Institute Pascal; and UMR 1107 Inserm (L.P.-M.), Neuro-Dol, Clermont-Ferrand, France. lponcet-megemont@chu-clermontferrand.fr.
Université Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAutoimmune encephalitis (AE) with antibodies against LGI1 and IgLON5 are clinically distinctive but share some particularities such as a strong association with specific human leukocyte antigen (HLA) class II alleles.

methodsWe clinically describe a patient with double positivity for LGI1 and IgLON5 antibodies. In addition, we conducted specific immunodepletion with the patient's serum and HLA typing and investigated the presence of serum IgLON5 antibodies in a cohort of 23 anti-LGI1 patients carrying the HLA predisposing for anti-IgLON5 encephalitis.

resultsA 70-year-old woman with a history of lymphoepithelial thymoma presented with subacute cognitive impairment and seizures. Investigations included MRI and EEG showing medial temporal involvement, increased CSF protein content, and polysomnography with REM and non-REM motor activity, along with obstructive apnea. Neural antibody testing revealed both LGI1 and IgLON5 antibodies in serum and CSF, and serum immunodepletion ruled out cross-reactivity. The patient carried DRB1*07:01 and DQA1*01:01∼DQB1*05:01, but no other IgLON5-positive case was identified in a cohort of anti-LGI1 patients carrying DQA1*01∼DQB1*05. Nearly full therapeutic response was obtained after intensified immunosuppressive treatment. DISCUSSION: We present a case of anti-LGI1 encephalitis with concomitant IgLON5 antibodies. Co-occurring IgLON5 antibodies in anti-LGI1 encephalitis are exceptional, but may appear in genetically predisposed individuals.

Indexed as

AutoantibodiesEncephalitisAgedFemaleHaplotypesHistocompatibility Antigens Class IIHLA AntigensHumansProteinsAutoantibodiesHistocompatibility Antigens Class IIHLA AntigensProteins

Identifiers

PMID37217310
PMCPMC10238150
OpenAlexW4377294767

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