Unknown

Dataset Information

0

Peripherin-IgG association with neurologic and endocrine autoimmunity.


ABSTRACT: Peripherin-IgG has been reported a pertinent autoantibody in non-obese type 1 diabetic (NOD) mice. However, it has not previously been recognized in any human disease. In blinded evaluation of serum for markers of neurological autoimmunity in a high-volume diagnostic laboratory, we incidentally identified 26 patients (61% female) with an IgG that bound selectively to neural elements in enteric ganglia, sympathetic nerve trunks and discrete nerve tracts in mid-brain and hind-brain. The target antigen was identified as peripherin, a 55kDa - type III intermediate filament protein. Review of clinical histories revealed that 54% of seropositive patients had dysautonomia (predominantly gastrointestinal dysmotility), 30% had neuropathies with varied sensory symptoms and 35% had clinical or serological evidence of endocrinopathy (type 1 diabetes, thyroiditis or premature ovarian failure). Collectively, 73% had autonomic dysfunction or endocrinopathy. None of 173 healthy subjects was seropositive. Subsequent western blot evaluation of archival sera from patients with small fiber/autonomic neuropathies (with or without endocrinopathy) revealed a 33% seropositivity rate for peripherin-IgG. Our further demonstration that peripherin-immunoreactive autonomic fibers in pancreas, thyroid and ovary are juxtaposed to endocrine epithelium, complement our clinical observations in suggesting that neuronal elements may be a pertinent initial target for immune attack in multiple forms of endocrine autoimmunity (intermolecular epitope spreading). It remains to be determined whether or not peripherin-IgG is predictive for development of small fiber neuropathy (autonomic or somatic).

SUBMITTER: Chamberlain JL 

PROVIDER: S-EPMC2902873 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature

altmetric image

Publications

Peripherin-IgG association with neurologic and endocrine autoimmunity.

Chamberlain Jayne L JL   Pittock Sean J SJ   Oprescu Anna-Maria AM   Dege Carissa C   Apiwattanakul Metha M   Kryzer Thomas J TJ   Lennon Vanda A VA  

Journal of autoimmunity 20100112 4


Peripherin-IgG has been reported a pertinent autoantibody in non-obese type 1 diabetic (NOD) mice. However, it has not previously been recognized in any human disease. In blinded evaluation of serum for markers of neurological autoimmunity in a high-volume diagnostic laboratory, we incidentally identified 26 patients (61% female) with an IgG that bound selectively to neural elements in enteric ganglia, sympathetic nerve trunks and discrete nerve tracts in mid-brain and hind-brain. The target ant  ...[more]

Similar Datasets

| S-EPMC6711657 | biostudies-literature
| S-EPMC6452031 | biostudies-literature
| S-EPMC4802632 | biostudies-literature
| S-EPMC7641326 | biostudies-literature
| S-EPMC4850685 | biostudies-literature
| S-EPMC7910540 | biostudies-literature
| S-EPMC9845691 | biostudies-literature
| S-EPMC2585848 | biostudies-other
| S-EPMC7537387 | biostudies-literature
| S-EPMC10951560 | biostudies-literature