PMID- 31540204 OWN - NLM STAT- MEDLINE DCOM- 20200210 LR - 20200319 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 20 IP - 18 DP - 2019 Sep 13 TI - Relevance of Surface Neuronal Protein Autoantibodies as Biomarkers in Seizure-Associated Disorders. LID - 10.3390/ijms20184529 [doi] LID - 4529 AB - The detection of neuronal surface protein autoantibody-related disorders has contributed to several changes in our understanding of central nervous system autoimmunity. The clinical presentation of these disorders may be associated (or not) with tumors, and often patients develop an inexplicable onset of epilepsy, catatonic or autistic features, or memory and cognitive dysfunctions. The autoantigens in such cases have critical roles in synaptic transmission and plasticity, memory function, and process learning. For months, patients with such antibodies may be comatose or encephalopathic and yet completely recover with palliative care and immunotherapies. This paper reviews several targets of neuronal antibodies as biomarkers in seizure disorders, focusing mainly on autoantibodies, which target the extracellular domains of membrane proteins, namely leucine-rich glioma-inactivated-1 (LGI1), contactin-associated protein-like 2 (CASPR2), the N-methyl-D-aspartate receptor (NMDAR), gamma-aminobutyric acid receptor-B (GABA(B)R), the glycine receptor (GlyR), and a-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPARs). In order to restore health status, limit hospitalization, and optimize results, testing these antibodies should be done locally, using internationally certified procedures for a precise and rapid diagnosis, with the possibility of initiating therapy as soon as possible. FAU - Stanciu, Gabriela Dumitrita AU - Stanciu GD AUID- ORCID: 0000-0003-4440-9628 AD - Grigore T. Popa University of Medicine and Pharmacy, Center for Advanced Research and Development in Experimental Medicine (CEMEX), 16 Universitatii street, Iasi 700115, Romania. gabriela-dumitrita.s@umfiasi.ro. FAU - Bild, Veronica AU - Bild V AD - Grigore T. Popa University of Medicine and Pharmacy, Center for Advanced Research and Development in Experimental Medicine (CEMEX), 16 Universitatii street, Iasi 700115, Romania. veronica.bild@gmail.com. AD - Grigore T. Popa University of Medicine and Pharmacy, Pharmacodynamics and Clinical Pharmacy Department, 16 Universitatii street, Iasi 700115, Romania. veronica.bild@gmail.com. FAU - Ababei, Daniela Carmen AU - Ababei DC AD - Grigore T. Popa University of Medicine and Pharmacy, Pharmacodynamics and Clinical Pharmacy Department, 16 Universitatii street, Iasi 700115, Romania. dana.ababei@gmail.com. FAU - Rusu, Razvan Nicolae AU - Rusu RN AD - Grigore T. Popa University of Medicine and Pharmacy, Pharmacodynamics and Clinical Pharmacy Department, 16 Universitatii street, Iasi 700115, Romania. razvan.nicolae.rusu@gmail.com. FAU - Beschea Chiriac, Sorin Ioan AU - Beschea Chiriac SI AD - University of Agricultural Sciences and Veterinary Medicine "Ion Ionescu de la Brad", Faculty of Veterinary Medicine, 8 M. Sadoveanu Alley, Iasi 700489, Romania. sbeschea@yahoo.com. FAU - Rezus, Elena AU - Rezus E AD - Grigore T. Popa University of Medicine and Pharmacy, Department of Rheumatology and Physiotherapy, 16 Universitatii Street, Iasi 700115, Romania. elena.rezus@umfiasi.ro. FAU - Luca, Andrei AU - Luca A AUID- ORCID: 0000-0002-3628-4637 AD - Grigore T. Popa University of Medicine and Pharmacy, Center for Advanced Research and Development in Experimental Medicine (CEMEX), 16 Universitatii street, Iasi 700115, Romania. andrei.g.luca@umfiasi.ro. AD - Grigore T. Popa University of Medicine and Pharmacy, Pneumology Department, 16 Universitatii Street, Iasi 700115, Romania. andrei.g.luca@umfiasi.ro. LA - eng PT - Journal Article PT - Review DEP - 20190913 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Nerve Tissue Proteins) SB - IM MH - Autoantibodies/*metabolism MH - Biomarkers/metabolism MH - Early Diagnosis MH - Female MH - Humans MH - Immunomodulation MH - Male MH - Nerve Tissue Proteins/*immunology MH - Seizures/*diagnosis/immunology/therapy PMC - PMC6769659 OTO - NOTNLM OT - autoantibodies OT - biomarkers OT - diagnostic OT - immunomodulatory therapy OT - neuronal surface proteins OT - seizure disorders COIS- The authors declare no conflicts of interest. EDAT- 2019/09/22 06:00 MHDA- 2020/02/11 06:00 PMCR- 2019/09/01 CRDT- 2019/09/22 06:00 PHST- 2019/08/05 00:00 [received] PHST- 2019/09/10 00:00 [revised] PHST- 2019/09/12 00:00 [accepted] PHST- 2019/09/22 06:00 [entrez] PHST- 2019/09/22 06:00 [pubmed] PHST- 2020/02/11 06:00 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - ijms20184529 [pii] AID - ijms-20-04529 [pii] AID - 10.3390/ijms20184529 [doi] PST - epublish SO - Int J Mol Sci. 2019 Sep 13;20(18):4529. doi: 10.3390/ijms20184529.