ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
Clinical and immunological features of auto-immune nodopathies.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWe aimed to evaluate the detection rates of antibodies against nodal-paranodal junction proteins in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), and to analyze the clinical, laboratory, and neuroelectrophysiological characteristics of antibody-positive patients.
methodsA total of 45 patients with CIDP were enrolled. Serum samples were collected, and cell-based assay (CBA) was used to detect IgG against human neurofascin-155 (NF155), neurofascin-186 (NF186), contactin-1 (CNTN1), contactin-2 (CNTN2) and contactin-associated protein 1 (CASPR1).
resultsSix patients (13.3%) had IgG against NF155, 2 (4.4%) against CASPR1, 2 (4.4%) against NF186 and 1 (2.2%) against CNTN1. Seropositive patients had elevated cerebrospinal fluid (CSF) protein, higher CSF cells than seronegative patients. Patients seropositive for NF155-IgG exhibited an earlier disease onset and demonstrated higher prevalence of limb tremors and sensory ataxia compared to their seronegative counterparts. Among 11 seropositive patients, intravenous immunoglobins (IVIG) achieved good response in 1/7 (14.3%) cases. Rituximab showed good response in 6/8 (75.0%) cases.
conclusionsAuto-immune nodopathies represent a distinct clinical entity from CIDP.
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