Evidence map›Paper›PMID 39749658›Full record

ArticleCNS neuroscience & therapeutics2025

Metabolic Characterization of Cerebrospinal Fluid for Patients With Autoimmune Encephalitis: A Preliminary Study.

Xiaolong Li, Xiaoxiao Qin, Yuan Xie, Lingyun Wang, Jinwen Wang, Shushen Ji, Huihui Jiang, Qun Wang

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiaolong LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID 0009-0003-9160-4589
Xiaoxiao QinDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yuan XieDepartment of Neurology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, China.
Lingyun WangZhangjiang Center for Translational Medicine, Shanghai Biotecan Pharmaceuticals co. Ltd., Shanghai, China.
Jinwen WangZhangjiang Center for Translational Medicine, Shanghai Biotecan Pharmaceuticals co. Ltd., Shanghai, China.
Shushen JiZhangjiang Center for Translational Medicine, Shanghai Biotecan Pharmaceuticals co. Ltd., Shanghai, China.
Huihui JiangZhangjiang Center for Translational Medicine, Shanghai Biotecan Pharmaceuticals co. Ltd., Shanghai, China.ORCID 0000-0002-9445-3734
Qun WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-5946-2918

Funding

Capital Health Research and Development of Special grants 2024-1-2041Innovative Research Program of Xiangyang No.1 People's Hospital XYY2023MS08Natural Science Foundation of Beijing Municipality 7232045Natural Science Foundation of Beijing Municipality Z200024The National Key R&D Program of China grant 2022YFC2503800
6 · The paper itself

Abstract

backgroundMetabolomics offers promise in uncovering potential biomarkers and understanding the pathophysiology of autoimmune encephalitis (AE), which is a cluster of disorders with the host immune system targeting self-antigens expressed in the central nervous system (CNS). In this research, our objective was to explore metabolic characterization in cerebrospinal fluid (CSF) from individuals with AE, aiming to shed light on the pathophysiology of AE.

methodsA targeted approach was applied using an ultra-performance liquid chromatography coupled to tandem mass spectrometry (UPLC-MS/MS) system to study CSF metabolites in patients with AE (n = 18), and control subjects without neurological diseases (n = 17).

resultsA total of 21 potential biomarkers were acquired by getting the intersection of the differential metabolites from univariate statistics and multidimensional statistics between the AE (cell-based assay panel, CBA-panel) group and the control group. Specifically, the levels of pyruvic acid and oxoglutaric acid were notably elevated in the AE(CBA-panel) group compared to those in the control group, indicating that the dysregulated TCA cycle may play a pivotal role in the progression of AE(CBA-panel). Interestingly, 27 potential biomarkers were acquired by getting the intersection of the differential metabolites from univariate statistics and multidimensional statistics between the anti-N-methyl-D-aspartate receptor encephalitis (NMDARE) group and the control group, suggesting that the disparities between patients with greater homogeneity and the controls are amplified. In addition, seven differential metabolites were identified by the univariate statistics between the AE (tissue-based assay, TBA) group and the control group, including alpha-linolenic acid and gamma-linolenic acid, suggesting that dysregulated biosynthesis of unsaturated fatty acids and alpha-linolenic acid metabolism might be crucial in the AE(TBA) disease course.

conclusionCollectively, distinct metabolic profiles were evident in the CSF of the AE group compared to the control group, notably involving metabolites associated with mitochondrial dysfunction, which helped to elucidate the pathophysiology of AE.

Indexed as

BiomarkersEncephalitisAdultAgedChromatography, High Pressure LiquidFemaleHashimoto DiseaseHumansMaleMetabolomicsMiddle AgedTandem Mass SpectrometryYoung AdultBiomarkersautoimmune encephalitisbiomarkercerebrospinal fluidmetabolomicspathophysiology

Identifiers

PMID39749658
PMCPMC11696248

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