PMID- 33643189 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210303 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 12 DP - 2021 TI - The Effect on the Kidney in Patients With Anti-N-methyl D-aspartate Receptor Antibody Encephalitis. PG - 601495 LID - 10.3389/fneur.2021.601495 [doi] LID - 601495 AB - Objectives: The function of the N-methyl-D-aspartate receptor (NMDAR) in the kidney has been studied. However, the effect on the kidney from anti-NAMDAR antibody encephalitis has not been investigated thus far. Methods: Case data were collected from 82 patients with anti-NMDAR antibody encephalitis and 166 age- and sex-matched healthy controls (HCs). Clinical characteristics, urinalysis [including urine pH and urine specific gravity (SG)], serum creatinine (Scr), and estimated glomerular filtration rate (eGFR) based on Cr levels were evaluated. Results: At initial admission, urine pH levels and urine SG levels in anti-NMDAR antibody encephalitis patients were significantly higher and lower, respectively, than HCs (both p < 0.001). There were no significant differences in Scr and eGFR between anti-NMDAR antibody encephalitis patients and HCs. Urine pH levels in patients with anti-NMDAR antibody <1:32 were significantly lower than those in patients with anti-NMDAR antibody >/=1:32 (p = 0.029). Urine pH levels were significantly lower (p = 0.004) and urine SG levels were significantly higher (p = 0.027) in a follow-up evaluation 3 months after treatment. Conclusions: The changes in urinalysis occur in patients with anti-NMDAR antibody encephalitis. The pathophysiological changes in anti-NMDAR antibody encephalitis were not limited to the CNS. CI - Copyright (c) 2021 Liu, Gu, Liu, Liu, Xu, Fan, Peng and Jiang. FAU - Liu, Lizhi AU - Liu L AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Department of Neurology, Huizhou Hospital of Traditional Chinese Medicine, Huizhou, China. FAU - Gu, Meifeng AU - Gu M AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Liu, Jia AU - Liu J AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Liu, Qing AU - Liu Q AD - Department of Neurology, Huizhou Hospital of Traditional Chinese Medicine, Huizhou, China. FAU - Xu, Xiaofeng AU - Xu X AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Fan, Rong AU - Fan R AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Peng, Fuhua AU - Peng F AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Jiang, Ying AU - Jiang Y AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. LA - eng PT - Journal Article DEP - 20210212 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC7907499 OTO - NOTNLM OT - anti-N-methyl-D-aspartate receptor encephalitis OT - estimated glomerular filtration rate (eGFR) OT - renal function OT - urinalysis OT - urine pH OT - urine specific gravity (USG) COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/03/02 06:00 MHDA- 2021/03/02 06:01 PMCR- 2021/02/12 CRDT- 2021/03/01 05:36 PHST- 2020/09/01 00:00 [received] PHST- 2021/01/15 00:00 [accepted] PHST- 2021/03/01 05:36 [entrez] PHST- 2021/03/02 06:00 [pubmed] PHST- 2021/03/02 06:01 [medline] PHST- 2021/02/12 00:00 [pmc-release] AID - 10.3389/fneur.2021.601495 [doi] PST - epublish SO - Front Neurol. 2021 Feb 12;12:601495. doi: 10.3389/fneur.2021.601495. eCollection 2021.