PMID- 21371524 OWN - NLM STAT- MEDLINE DCOM- 20110815 LR - 20151119 IS - 1872-7972 (Electronic) IS - 0304-3940 (Linking) VI - 494 IP - 1 DP - 2011 Apr 20 TI - Usefulness of serum S100B as a marker for the acute phase of aquaporin-4 autoimmune syndrome. PG - 86-8 LID - 10.1016/j.neulet.2011.02.063 [doi] AB - The aquaporin-4 (AQP4) water channel antibody is used in the diagnosis of neuromyelitis optica (NMO) due to its high sensitivity and high specificity. However, some patients are reported to have neither optic neuritis nor myelitis despite being positive for the AQP4-autoantibody (AQP4-Ab). Therefore, recent reports suggest that such patients should be diagnosed as having 'AQP4-autoimmune syndrome'. In this study, we quantified the levels of glial fibrillar acidic protein (GFAP) and S100B by enzyme-linked immunosorbent assay (ELISA) in CSF and serum samples simultaneously obtained in the acute phase of ten AQP4-autoantibody (AQP4Ab)-positive and seven AQP4Ab-negative patients. Serum levels of S100B were significantly higher in the acute phase of the AQP4Ab-positive patients (2.92+/-1.22pg/ml) than in the AQP4Ab-negative patients (0.559+/-0.180pg/ml, p=0.0250), while serum levels of GFAP were not different between the two groups (AQP4Ab-positive vs. AQP4Ab-negative: 0.120+/-0.113ng/ml vs. 0.00609+/-0.00609ng/ml, p=0.193). Furthermore, the CSF and serum levels of S100B had a significant positive correlation in AQP4Ab-positive patients (n=10, r=0.673, p=0.0390). Our results raise the possibility that serum levels of S100B, but not GFAP, examined in the acute phase of the disease might be a useful biomarker for the relapse of AQP4 autoimmune syndrome. CI - Copyright (c) 2011 Elsevier Ireland Ltd. All rights reserved. FAU - Fujii, Chihiro AU - Fujii C AD - Department of Neurology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto 602-8566, Japan. chihiro0612tsu@yahoo.co.jp FAU - Tokuda, Takahiko AU - Tokuda T FAU - Ishigami, Noriko AU - Ishigami N FAU - Mizuno, Toshiki AU - Mizuno T FAU - Nakagawa, Masanori AU - Nakagawa M LA - eng PT - Journal Article DEP - 20110301 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (Nerve Growth Factors) RN - 0 (S100 Calcium Binding Protein beta Subunit) RN - 0 (S100 Proteins) RN - 0 (S100B protein, human) SB - IM MH - Adult MH - Aged MH - Aquaporin 4/*immunology MH - Autoantibodies/blood/immunology MH - Autoimmune Diseases/*blood/cerebrospinal fluid/immunology MH - Biomarkers/blood/cerebrospinal fluid MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glial Fibrillary Acidic Protein/blood/cerebrospinal fluid/immunology MH - Humans MH - Male MH - Middle Aged MH - Nerve Growth Factors/*blood/cerebrospinal fluid/immunology MH - S100 Calcium Binding Protein beta Subunit MH - S100 Proteins/*blood/cerebrospinal fluid/immunology EDAT- 2011/03/05 06:00 MHDA- 2011/08/16 06:00 CRDT- 2011/03/05 06:00 PHST- 2010/12/20 00:00 [received] PHST- 2011/02/21 00:00 [revised] PHST- 2011/02/23 00:00 [accepted] PHST- 2011/03/05 06:00 [entrez] PHST- 2011/03/05 06:00 [pubmed] PHST- 2011/08/16 06:00 [medline] AID - S0304-3940(11)00254-0 [pii] AID - 10.1016/j.neulet.2011.02.063 [doi] PST - ppublish SO - Neurosci Lett. 2011 Apr 20;494(1):86-8. doi: 10.1016/j.neulet.2011.02.063. Epub 2011 Mar 1.