PMID- 27577085 OWN - NLM STAT- MEDLINE DCOM- 20171009 LR - 20200623 IS - 1742-2094 (Electronic) IS - 1742-2094 (Linking) VI - 13 IP - 1 DP - 2016 Aug 30 TI - Mapping autoantigen epitopes: molecular insights into autoantibody-associated disorders of the nervous system. PG - 219 LID - 10.1186/s12974-016-0678-4 [doi] LID - 219 AB - BACKGROUND: Our knowledge of autoantibody-associated diseases of the central (CNS) and peripheral (PNS) nervous systems has expanded greatly over the recent years. A number of extracellular and intracellular autoantigens have been identified, and there is no doubt that this field will continue to expand as more autoantigens are discovered as a result of improved clinical awareness and methodological practice. In recent years, interest has shifted to uncover the target epitopes of these autoantibodies. MAIN BODY: The purpose of this review is to discuss the mapping of the epitope targets of autoantibodies in CNS and PNS antibody-mediated disorders, such as N-methyl-D-aspartate receptor (NMDAR), alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR), leucine-rich glioma-inactivated protein 1 (Lgi1), contactin-associated protein-like 2 (Caspr2), myelin oligodendrocyte glycoprotein (MOG), aquaporin-4 (AQP4), 65 kDa glutamic acid decarboxylase (GAD65), acetylcholine receptor (AChR), muscle-specific kinase (MuSK), voltage-gated calcium channel (VGCC), neurofascin (NF), and contactin. We also address the methods used to analyze these epitopes, the relevance of their determination, and how this knowledge can inform studies on autoantibody pathogenicity. Furthermore, we discuss triggers of autoimmunity, such as molecular mimicry, ectopic antigen expression, epitope spreading, and potential mechanisms for the rising number of double autoantibody-positive patients. CONCLUSIONS: Molecular insights into specificity and role of autoantibodies will likely improve diagnosis and treatment of CNS and PNS neuroimmune diseases. FAU - Sinmaz, Nese AU - Sinmaz N AD - Brain Autoimmunity Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Locked Bag 4001, Westmead, NSW, 2145, Australia. FAU - Nguyen, Tina AU - Nguyen T AD - Brain Autoimmunity Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Locked Bag 4001, Westmead, NSW, 2145, Australia. FAU - Tea, Fiona AU - Tea F AD - Brain Autoimmunity Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Locked Bag 4001, Westmead, NSW, 2145, Australia. FAU - Dale, Russell C AU - Dale RC AD - Brain Autoimmunity Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Locked Bag 4001, Westmead, NSW, 2145, Australia. AD - Discipline of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, Australia. FAU - Brilot, Fabienne AU - Brilot F AUID- ORCID: 0000-0002-7025-2276 AD - Brain Autoimmunity Group, Institute for Neuroscience and Muscle Research, The Kids Research Institute at the Children's Hospital at Westmead, University of Sydney, Locked Bag 4001, Westmead, NSW, 2145, Australia. fabienne.brilot@sydney.edu.au. AD - Discipline of Child and Adolescent Health, Sydney Medical School, University of Sydney, Sydney, Australia. fabienne.brilot@sydney.edu.au. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160830 PL - England TA - J Neuroinflammation JT - Journal of neuroinflammation JID - 101222974 RN - 0 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (Epitopes) SB - IM MH - Animals MH - Autoantibodies/*immunology/metabolism MH - Autoantigens/*immunology/metabolism MH - Autoimmune Diseases of the Nervous System/*immunology/metabolism MH - Epitope Mapping/*methods MH - Epitopes/*immunology/metabolism MH - Humans MH - Nervous System Autoimmune Disease, Experimental/immunology/metabolism PMC - PMC5006540 OTO - NOTNLM OT - Autoantibody OT - CNS disorders OT - Epitope mapping OT - Epitope spreading OT - PNS disorders EDAT- 2016/09/01 06:00 MHDA- 2017/10/11 06:00 PMCR- 2016/08/30 CRDT- 2016/09/01 06:00 PHST- 2016/05/11 00:00 [received] PHST- 2016/08/17 00:00 [accepted] PHST- 2016/09/01 06:00 [entrez] PHST- 2016/09/01 06:00 [pubmed] PHST- 2017/10/11 06:00 [medline] PHST- 2016/08/30 00:00 [pmc-release] AID - 10.1186/s12974-016-0678-4 [pii] AID - 678 [pii] AID - 10.1186/s12974-016-0678-4 [doi] PST - epublish SO - J Neuroinflammation. 2016 Aug 30;13(1):219. doi: 10.1186/s12974-016-0678-4.