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Immunopathological characterization of ovarian teratomas associated with anti-N-methyl-D-aspartate receptor encephalitis.


ABSTRACT: Encephalitis with anti-NMDAR antibodies (NMDAR-E) is a severe autoimmune neurological disorder, defined by a clinical presentation of encephalitis and the presence of IgG targeting the GluN1 subunit of NMDA receptors in the CSF. An underlying ovarian teratoma is commonly associated with this autoimmune disease suggesting a role of the tumor in immunopathogenesis. In this study, we characterized the salient histopathological features of 27 ovarian teratomas associated with NMDAR-E (3 immature and 24 mature teratomas) and 40 controls without associated encephalitis. All but one NMDAR-E-associated teratomas contained a nervous tissue component, while less than 40% of control teratomas did (p?

SUBMITTER: Chefdeville A 

PROVIDER: S-EPMC6410529 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Immunopathological characterization of ovarian teratomas associated with anti-N-methyl-D-aspartate receptor encephalitis.

Chefdeville Aude A   Treilleux Isabelle I   Mayeur Marie-Eve ME   Couillault Coline C   Picard Géraldine G   Bost Chloé C   Mokhtari Karima K   Vasiljevic Alexandre A   Meyronet David D   Rogemond Véronique V   Psimaras Dimitri D   Dubois Bertrand B   Honnorat Jérôme J   Desestret Virginie V  

Acta neuropathologica communications 20190311 1


Encephalitis with anti-NMDAR antibodies (NMDAR-E) is a severe autoimmune neurological disorder, defined by a clinical presentation of encephalitis and the presence of IgG targeting the GluN1 subunit of NMDA receptors in the CSF. An underlying ovarian teratoma is commonly associated with this autoimmune disease suggesting a role of the tumor in immunopathogenesis. In this study, we characterized the salient histopathological features of 27 ovarian teratomas associated with NMDAR-E (3 immature and  ...[more]

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