PMID- 31156383 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 1662-5099 (Print) IS - 1662-5099 (Electronic) IS - 1662-5099 (Linking) VI - 12 DP - 2019 TI - Elevated Serum and Cerebrospinal Fluid CD138 in Patients With Anti-N-Methyl-d-Aspartate Receptor Encephalitis. PG - 116 LID - 10.3389/fnmol.2019.00116 [doi] LID - 116 AB - BACKGROUND: CD138 (also known as syndecan-1) is an important component of endothelial cell glycocalyx, and it is reportedly involved in negative regulation of various inflammatory processes. The clinical implications of circulating and cerebrospinal fluid (CSF) soluble CD138 (sCD138) in patients with Anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis remain unclear. OBJECTIVE: The aim of the current study was to investigate associations between serum and CSF sCD138 levels in anti-NMDAR encephalitis patients. METHODS: The participants enrolled in the study included 27 with anti-NMDAR encephalitis, 11 with viral meningoencephalitis, and 22 controls. At acute stage and 3 to 6-month follow-up time-points, sCD138, tumor necrosis factor-alpha, matrix metalloproteinase-2, and matrix metalloproteinase-9 in serum and CSF were measured in all participants via enzyme-linked immunosorbent assays. RESULTS: Serum and CSF levels of sCD138 were significantly increased in patients with anti-NMDAR encephalitis. Furthermore, after 3-6 months of follow-up CSF sCD138 levels were significantly decreased in anti-NMDAR encephalitis patients. Changes in sCD138 levels were significantly associated with amelioration of modified Rankin Scale scores in patients with anti-NMDAR encephalitis. CONCLUSION: In anti-NMDAR encephalitis patients, high circulating, and CSF sCD138 is associated with inflammation and poor clinical prognosis. The present study suggests that sCD138 may be an informative biomarker of inflammation in anti-NMDAR encephalitis. FAU - Zhu, Jiajia AU - Zhu J AD - Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Li, Yongqi AU - Li Y AD - Department of Otolaryngology Head and Neck Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. FAU - Zheng, Dong AU - Zheng D AD - Department of Neurology, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China. FAU - Wang, Zhanhang AU - Wang Z AD - Department of Neurology, 999 Brain Hospital, Guangzhou, China. FAU - Pan, Suyue AU - Pan S AD - Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Yin, Jia AU - Yin J AD - Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Wang, Honghao AU - Wang H AD - Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China. LA - eng PT - Journal Article DEP - 20190516 PL - Switzerland TA - Front Mol Neurosci JT - Frontiers in molecular neuroscience JID - 101477914 PMC - PMC6532527 OTO - NOTNLM OT - CD138 OT - anti-NMDAR encephalitis OT - cerebrospinal fluid OT - cytokine OT - modified Rankin Scale OT - syndecan-1 EDAT- 2019/06/04 06:00 MHDA- 2019/06/04 06:01 PMCR- 2019/01/01 CRDT- 2019/06/04 06:00 PHST- 2018/12/28 00:00 [received] PHST- 2019/04/24 00:00 [accepted] PHST- 2019/06/04 06:00 [entrez] PHST- 2019/06/04 06:00 [pubmed] PHST- 2019/06/04 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fnmol.2019.00116 [doi] PST - epublish SO - Front Mol Neurosci. 2019 May 16;12:116. doi: 10.3389/fnmol.2019.00116. eCollection 2019.