PMID- 24318406 OWN - NLM STAT- MEDLINE DCOM- 20140505 LR - 20220409 IS - 1531-8249 (Electronic) IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 75 IP - 2 DP - 2014 Feb TI - Herpes simplex virus encephalitis is a trigger of brain autoimmunity. PG - 317-23 LID - 10.1002/ana.24083 [doi] AB - In 5 prospectively diagnosed patients with relapsing post-herpes simplex encephalitis (HSE), N-methyl-D-aspartate receptor (NMDAR) antibodies were identified. Antibody synthesis started 1 to 4 weeks after HSE, preceding the neurological relapse. Three of 5 patients improved postimmunotherapy, 1 spontaneously, and 1 has started to improve. Two additional patients with NMDAR antibodies, 9 with unknown neuronal surface antibodies, and 1 with NMDAR and unknown antibodies, were identified during retrospective assessment of 34 HSE patients; the frequency of autoantibodies increased over time (serum, p=0.004; cerebrospinal fluid, p=0.04). The 3 retrospectively identified NMDAR antibody-positive patients also had evidence of relapsing post-HSE. Overall, these findings indicate that HSE triggers NMDAR antibodies and potentially other brain autoimmunity. CI - (c) 2014 American Neurological Association. FAU - Armangue, Thais AU - Armangue T AD - August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Neurology Service, Hospital Clinic, University of Barcelona, Barcelona, Spain; Department of Pediatric Neurology, Materno-Infantil Vall d'Hebron Hospital, Autonomous University of Barcelona, Barcelona, Spain. FAU - Leypoldt, Frank AU - Leypoldt F FAU - Malaga, Ignacio AU - Malaga I FAU - Raspall-Chaure, Miquel AU - Raspall-Chaure M FAU - Marti, Itxaso AU - Marti I FAU - Nichter, Charles AU - Nichter C FAU - Pugh, John AU - Pugh J FAU - Vicente-Rasoamalala, Monica AU - Vicente-Rasoamalala M FAU - Lafuente-Hidalgo, Miguel AU - Lafuente-Hidalgo M FAU - Macaya, Alfons AU - Macaya A FAU - Ke, Michael AU - Ke M FAU - Titulaer, Maarten J AU - Titulaer MJ FAU - Hoftberger, Romana AU - Hoftberger R FAU - Sheriff, Heather AU - Sheriff H FAU - Glaser, Carol AU - Glaser C FAU - Dalmau, Josep AU - Dalmau J LA - eng GR - R01 NS077851/NS/NINDS NIH HHS/United States GR - R01NS077851/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140225 PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM MH - Animals MH - Autoimmunity/*physiology MH - Brain/*physiopathology MH - Child, Preschool MH - Encephalitis, Herpes Simplex/blood/cerebrospinal fluid/*pathology MH - Female MH - HEK293 Cells MH - Humans MH - Infant MH - Male MH - Prospective Studies MH - Rats MH - Receptors, N-Methyl-D-Aspartate/blood MH - Retrospective Studies MH - Transfection MH - Young Adult PMC - PMC3961499 MID - NIHMS548631 EDAT- 2013/12/10 06:00 MHDA- 2014/05/06 06:00 PMCR- 2015/02/25 CRDT- 2013/12/10 06:00 PHST- 2013/08/27 00:00 [received] PHST- 2013/11/26 00:00 [revised] PHST- 2013/11/29 00:00 [accepted] PHST- 2013/12/10 06:00 [entrez] PHST- 2013/12/10 06:00 [pubmed] PHST- 2014/05/06 06:00 [medline] PHST- 2015/02/25 00:00 [pmc-release] AID - 10.1002/ana.24083 [doi] PST - ppublish SO - Ann Neurol. 2014 Feb;75(2):317-23. doi: 10.1002/ana.24083. Epub 2014 Feb 25.