PMID- 27112685 OWN - NLM STAT- MEDLINE DCOM- 20170209 LR - 20170209 IS - 0072-9752 (Print) IS - 0072-9752 (Linking) VI - 133 DP - 2016 TI - Autoimmune sleep disorders. PG - 317-26 LID - B978-0-444-63432-0.00018-9 [pii] LID - 10.1016/B978-0-444-63432-0.00018-9 [doi] AB - A number of autoantibodies, some paraneoplastic, are associated with sleep disorders. Morvan syndrome and limbic encephalitis, associated with voltage-gated potassium channel-complex antibodies, principally against CASPR2 and LGI1, can result in profound insomnia and rapid eye movement sleep behavior disorder (RBD). Patients with aquaporin-4 antibodies and neuromyelitis optica may develop narcolepsy in association with other evidence of hypothalamic dysfunction, sometimes as the initial presentation. Central sleep apnea and central neurogenic hypoventilation are found in patients with anti-N-methyl-d-aspartate receptor antibody encephalitis, and obstructive sleep apnea, stridor, and hypoventilation are prominent features of a novel tauopathy associated with IgLON5 antibodies. In addition, paraneoplastic diseases may involve the hypothalamus and cause sleep disorders, particularly narcolepsy and RBD in those with Ma1 and Ma2 antibodies. Patients with antineuronal nuclear autoantibodies type 2 may develop stridor. Several lines of evidence suggest that narcolepsy is an autoimmune disorder. There is a strong relationship with the human leukocyte antigen (HLA) DQB1*06:02 haplotype and polymorphisms in the T-cell receptor alpha locus and purinergic receptor P2Y11 genes. Patients with recent-onset narcolepsy may have high titers of antistreptococcal or other antibodies, although none has yet been shown to be disease-specific but, supporting an immune basis, recent evidence indicates that narcolepsy in children can be precipitated by one type of vaccination against the 2009-2010 H1N1 influenza pandemic. CI - (c) 2016 Elsevier B.V. All rights reserved. FAU - Silber, Michael H AU - Silber MH AD - Center for Sleep Medicine and Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN, USA. Electronic address: msilber@mayo.edu. LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Handb Clin Neurol JT - Handbook of clinical neurology JID - 0166161 RN - 0 (Autoantibodies) SB - IM MH - Autoantibodies/immunology MH - Autoimmune Diseases/*complications MH - Humans MH - Sleep Wake Disorders/*complications OTO - NOTNLM OT - H1N1 vaccination OT - HLA DQB1*06:02 OT - IgLON5 antibodies OT - Ma antibodies OT - Morvan syndrome OT - N-methyl-d-aspartate receptor antibodies OT - REM sleep behavior disorder OT - aquaporin-4 antibodies OT - hypocretin-1 OT - narcolepsy OT - voltage-gated potassium channel-complex antibodies EDAT- 2016/04/27 06:00 MHDA- 2017/02/10 06:00 CRDT- 2016/04/27 06:00 PHST- 2016/04/27 06:00 [entrez] PHST- 2016/04/27 06:00 [pubmed] PHST- 2017/02/10 06:00 [medline] AID - B978-0-444-63432-0.00018-9 [pii] AID - 10.1016/B978-0-444-63432-0.00018-9 [doi] PST - ppublish SO - Handb Clin Neurol. 2016;133:317-26. doi: 10.1016/B978-0-444-63432-0.00018-9.