PMID- 36065447 OWN - NLM STAT- MEDLINE DCOM- 20220908 LR - 20220914 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Paraneoplastic anti-N-methyl-D-aspartate receptor encephalitis associated with small cell lung cancer and cytotoxic T-cell-mediated pathology: Case report. PG - 952868 LID - 10.3389/fimmu.2022.952868 [doi] LID - 952868 AB - Anti-N-methyl-D-aspartate receptor (NMDAR) antibody encephalitis is caused by a reversible inhibition of ion channel actions by autoantibodies and is associated with a relatively good prognosis. Pathological findings of NMDAR encephalitis usually do not show neurophagorous nodules, but rare or mild inflammatory infiltration. We report a patient of small cell lung cancer (SCLC)-related paraneoplastic encephalitis with NMDAR antibodies, a cytotoxic T-cell-mediated pathology of the brain, and a rapid clinical course. This case highlights that the neuropathological diversity of NMDAR encephalitis may be even broader than previously thought and that NMDAR antibodies may also be found in various pathological conditions with a vigorous immune response. CI - Copyright (c) 2022 Akanuma, Iizuka, Abe, Yoshida, Matsuda, Sugimoto, Hashimoto and Kanai. FAU - Akanuma, Haruna AU - Akanuma H AD - Department of Neurology, Fukushima Medical University School of Medicine, Fukushima, Japan. FAU - Iizuka, Takahiro AU - Iizuka T AD - Department of Neurology, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Abe, Dan AU - Abe D AD - Department of Neurology, Fukushima Medical University School of Medicine, Fukushima, Japan. FAU - Yoshida, Kenji AU - Yoshida K AD - Department of Neurology, Fukushima Medical University School of Medicine, Fukushima, Japan. FAU - Matsuda, Nozomu AU - Matsuda N AD - Department of Neurology, Fukushima Medical University School of Medicine, Fukushima, Japan. FAU - Sugimoto, Kotaro AU - Sugimoto K AD - Department of Pathology, Fukushima Medical University School of Medicine, Fukushima, Japan. FAU - Hashimoto, Yuko AU - Hashimoto Y AD - Department of Pathology, Fukushima Medical University School of Medicine, Fukushima, Japan. FAU - Kanai, Kazuaki AU - Kanai K AD - Department of Neurology, Fukushima Medical University School of Medicine, Fukushima, Japan. LA - eng PT - Case Reports DEP - 20220819 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Autoantibodies) RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM MH - *Anti-N-Methyl-D-Aspartate Receptor Encephalitis/complications/etiology MH - Autoantibodies MH - Humans MH - *Lung Neoplasms/complications MH - Receptors, N-Methyl-D-Aspartate MH - *Small Cell Lung Carcinoma/complications MH - T-Lymphocytes, Cytotoxic PMC - PMC9440277 OTO - NOTNLM OT - Anti-N-methyl-d-aspartate receptor antibodies OT - cytotoxic T-cells OT - paraneoplastic encephalitis OT - pathology OT - small cell lung cancer 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- 2022/09/07 06:00 MHDA- 2022/09/09 06:00 PMCR- 2022/01/01 CRDT- 2022/09/06 01:51 PHST- 2022/05/25 00:00 [received] PHST- 2022/07/25 00:00 [accepted] PHST- 2022/09/06 01:51 [entrez] PHST- 2022/09/07 06:00 [pubmed] PHST- 2022/09/09 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.952868 [doi] PST - epublish SO - Front Immunol. 2022 Aug 19;13:952868. doi: 10.3389/fimmu.2022.952868. eCollection 2022.