PMID- 26559389 OWN - NLM STAT- MEDLINE DCOM- 20180326 LR - 20220331 IS - 1744-8360 (Electronic) IS - 1473-7175 (Linking) VI - 15 IP - 12 DP - 2015 TI - Immune therapy in autoimmune encephalitis: a systematic review. PG - 1391-419 LID - 10.1586/14737175.2015.1115720 [doi] AB - We have reviewed the literature of immune therapy in autoimmune encephalitis associated with antibodies to cell surface antigens including N-methyl-D-aspartate receptor (NMDAR), leucine-rich, glioma-inactivated protein-1 (LGI1), contactin-associated protein-2 (Caspr2), the alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR), gamma-aminobutyric acid-A receptor (GABAAR), gamma-aminobutyric acid-B receptor (GABABR), Glycine R and other rarer antigens. Most studies are retrospective cohorts, and there are no randomised controlled trials. Most clinicians use first-line therapy (steroids, intravenous immunoglobulin, plasma exchange), and if severe or refractory, second-line therapy (rituximab, cyclophosphamide). When present, tumours should be removed. There are common therapeutic themes emerging. Firstly, patients given immune therapy do better and relapse less than patients given no treatment. Secondly, patients given early treatment do better. And thirdly, when patients fail first-line therapy, second-line therapy improves outcomes and reduces relapses. Given the retrospective uncontrolled data, the literature has inherent bias, including severity and reporting bias. FAU - Nosadini, Margherita AU - Nosadini M AD - a Neuroimmunology Group, Institute for Neuroscience and Muscle Research , Kids Research Institute at the Children's Hospital at Westmead, University of Sydney , Westmead , Australia. AD - b Paediatric Neurology Unit, Department of Paediatrics , University of Padua , Padua , Italy. FAU - Mohammad, Shekeeb S AU - Mohammad SS AD - a Neuroimmunology Group, Institute for Neuroscience and Muscle Research , Kids Research Institute at the Children's Hospital at Westmead, University of Sydney , Westmead , Australia. FAU - Ramanathan, Sudarshini AU - Ramanathan S AD - a Neuroimmunology Group, Institute for Neuroscience and Muscle Research , Kids Research Institute at the Children's Hospital at Westmead, University of Sydney , Westmead , Australia. AD - c Department of Neurology , Westmead Hospital , Sydney , Australia. FAU - Brilot, Fabienne AU - Brilot F AD - a Neuroimmunology Group, Institute for Neuroscience and Muscle Research , Kids Research Institute at the Children's Hospital at Westmead, University of Sydney , Westmead , Australia. FAU - Dale, Russell C AU - Dale RC AD - a Neuroimmunology Group, Institute for Neuroscience and Muscle Research , Kids Research Institute at the Children's Hospital at Westmead, University of Sydney , Westmead , Australia. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20151124 PL - England TA - Expert Rev Neurother JT - Expert review of neurotherapeutics JID - 101129944 RN - Hashimoto's encephalitis SB - IM MH - Encephalitis/*therapy MH - Hashimoto Disease/*therapy MH - Humans MH - *Immunotherapy MH - Retrospective Studies OTO - NOTNLM OT - AMPAR OT - Autoimmune encephalitis OT - Caspr2 OT - LGI1 OT - NMDAR OT - antibodies to neuronal cell surface antigens OT - immune therapy OT - limbic encephalitis OT - treatment EDAT- 2015/11/13 06:00 MHDA- 2018/03/27 06:00 CRDT- 2015/11/13 06:00 PHST- 2015/11/13 06:00 [entrez] PHST- 2015/11/13 06:00 [pubmed] PHST- 2018/03/27 06:00 [medline] AID - 10.1586/14737175.2015.1115720 [doi] PST - ppublish SO - Expert Rev Neurother. 2015;15(12):1391-419. doi: 10.1586/14737175.2015.1115720. Epub 2015 Nov 24.