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2013 ; 31
(ä): 345-85
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Brain-reactive antibodies and disease
#MMPMID23516983
Diamond B
; Honig G
; Mader S
; Brimberg L
; Volpe BT
Annu Rev Immunol
2013[]; 31
(ä): 345-85
PMID23516983
show ga
Autoimmune diseases currently affect 5-7% of the world's population; in most
diseases there are circulating autoantibodies. Brain-reactive antibodies are
present in approximately 2-3% of the general population but do not usually
contribute to brain pathology. These antibodies penetrate brain tissue only early
in development or under pathologic conditions. This restriction on their
pathogenicity and the lack of correlation between serum titers and brain
pathology have, no doubt, contributed to a delayed appreciation of the
contribution of autoantibodies in diseases of the central nervous system.
Nonetheless, it is increasingly clear that antibodies can cause damage in the
brain and likely initiate or aggravate multiple neurologic conditions;
brain-reactive antibodies contribute to symptomatology in autoimmune disease,
infectious disease, and malignancy.