PMID- 20614847 OWN - NLM STAT- MEDLINE DCOM- 20100730 LR - 20211020 IS - 0161-8105 (Print) IS - 1550-9109 (Electronic) IS - 0161-8105 (Linking) VI - 33 IP - 7 DP - 2010 Jul TI - Anti-Tribbles homolog 2 autoantibodies in Japanese patients with narcolepsy. PG - 875-8 AB - STUDY OBJECTIVES: Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and cataplexy. The association with human leukocyte antigen (HLA)-DQB1*0602 and T-cell receptor alpha locus suggests that autoimmunity plays a role in narcolepsy. A recent study reported an increased prevalence of autoantibodies against Tribbles homolog 2 (TRIB2) in patients with narcolepsy. To replicate this finding, we examined anti-TRIB2 autoantibodies in Japanese patients with narcolepsy. DESIGN: We examined anti-TRIB2 autoantibodies against a full-length [35S]-labeled TRIB2 antigen in Japanese patients with narcolepsy-cataplexy (n = 88), narcolepsy without cataplexy (n = 18), and idiopathic hypersomnia with long sleep time (n = 11). The results were compared to Japanese healthy controls (n = 87). Thirty-seven healthy control subjects were positive for HLA-DRB1*1501-DQB1*0602. We also examined autoantibodies against another Tribbles homolog, TRIB3, as an experimental control. MEASUREMENTS AND RESULTS: Autoantibodies against TRIB2 were found in 26.1% of patients with narcolepsy-cataplexy, a significantly higher prevalence than the 2.3% in healthy controls. We found that anti-TRIB3 autoantibodies were rare in patients with narcolepsy and showed no association with anti-TRIB2 indices. No significant correlation was found between anti-TRIB2 positivity and clinical information. CONCLUSIONS: We confirmed the higher prevalence and specificity of anti-TRIB2 autoantibodies in Japanese patients with narcolepsy-cataplexy. This suggests a subgroup within narcolepsy-cataplexy might be affected by an anti-TRIB2 autoantibody-mediated autoimmune mechanism. FAU - Toyoda, Hiromi AU - Toyoda H AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Tanaka, Susumu AU - Tanaka S FAU - Miyagawa, Taku AU - Miyagawa T FAU - Honda, Yutaka AU - Honda Y FAU - Tokunaga, Katsushi AU - Tokunaga K FAU - Honda, Makoto AU - Honda M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Sleep JT - Sleep JID - 7809084 RN - 0 (Autoantibodies) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - EC 2.7.11.17 (Calcium-Calmodulin-Dependent Protein Kinases) RN - EC 2.7.11.17 (TRIB2 protein, human) SB - IM CIN - Sleep. 2010 Jul;33(7):857-8. PMID: 20614841 MH - Adult MH - Autoantibodies/*immunology MH - Autoimmunity/*immunology MH - Calcium-Calmodulin-Dependent Protein Kinases MH - Female MH - Humans MH - Intracellular Signaling Peptides and Proteins/*immunology MH - Japan MH - Male MH - Narcolepsy/*immunology MH - Radioligand Assay/methods PMC - PMC2894429 EDAT- 2010/07/10 06:00 MHDA- 2010/07/31 06:00 PMCR- 2011/01/01 CRDT- 2010/07/10 06:00 PHST- 2010/07/10 06:00 [entrez] PHST- 2010/07/10 06:00 [pubmed] PHST- 2010/07/31 06:00 [medline] PHST- 2011/01/01 00:00 [pmc-release] AID - 10.1093/sleep/33.7.875 [doi] PST - ppublish SO - Sleep. 2010 Jul;33(7):875-8. doi: 10.1093/sleep/33.7.875.