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analysis of newly target auto antigens in autoimmune encephalitis

Research Project

Project/Area Number 25461286
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurology
Research InstitutionKagoshima University

Principal Investigator

Watanabe Osamu  鹿児島大学, 医歯学域 医学部・歯学部附属病院, 講師 (30511802)

Co-Investigator(Kenkyū-buntansha) KISHIDA Shosei  鹿児島大学, 学術研究院 医歯学域医学系, 教授 (50274064)
Takashima Hiroshi  鹿児島大学, 学術研究院 医歯学域医学系, 教授 (80372803)
Co-Investigator(Renkei-kenkyūsha) Fukata Masaki  大学共同利用機関法人 自然科学研究機構, 生理学研究所, 教授 (00335027)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords標的抗原解析 / イオンチャネル / 自己抗体 / LGI1 / AMPA受容体 / VGKC / 自己免疫性脳炎 / 新規標的抗原
Outline of Final Research Achievements

We established a potential molecular mechanism for the pathogenic role of antibodies to leucine-rich, glioma inactivated 1 (LGI1), which are found in patients with limbic encephalitis (an acquired autoimmune condition presenting with memory loss, temporal lobe seizures and personality change, associated with swelling and inflammation of the medial temporal lobe, with a good response to immunotherapies). LGI1 is a secreted protein that binds to both a disintegrin and metalloproteinase domain 23 (ADAM23) presynaptically, where it is a component of a ‘voltage-gated potassium channel (VGKC) complex’, and ADAM22 postsynaptically, where it interacts with AMPA receptors.
We show that the LGI1 antibodies from patients with limbic encephalitis interfere with the LGI1/ADAM22 interaction, leading to a loss of postsynaptic AMPA receptors. This is a novel finding, which begins to establish a mechanism of action for the LGI1 antibodies.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (36 results)

All 2016 2015 2014 2013

All Journal Article (16 results) (of which Acknowledgement Compliant: 4 results,  Peer Reviewed: 7 results,  Open Access: 4 results) Presentation (13 results) (of which Int'l Joint Research: 1 results,  Invited: 9 results) Book (7 results)

  • [Journal Article] 抗VGKC複合体抗体辺縁系脳炎2015

    • Author(s)
      渡邊 修
    • Journal Title

      日本臨牀(増刊号)免疫性神経疾患

      Volume: 1085 Pages: 613-618

    • Related Report
      2015 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] Isaacs症候群2015

    • Author(s)
      有村公良、渡邊 修
    • Journal Title

      日本臨牀(増刊号)免疫性神経疾患

      Volume: 1085 Pages: 801-805

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Morvan症候群2015

    • Author(s)
      有村公良、渡邊 修
    • Journal Title

      日本臨牀(増刊号)免疫性神経疾患

      Volume: 1085 Pages: 806-810

    • Related Report
      2015 Annual Research Report
  • [Journal Article] A case of autoimmune epilepsy associated with anti- leucine-rich glioma inactivated subunit 12015

    • Author(s)
      Yoshiko Murata, Osamu Watanabe, Go Taniguchi, Daichi Sone, Mao Fujioka, Mitustoshi Okazaki, Eiji Nakagawa, Yutaka Watanabe, Maskat Watanabe
    • Journal Title

      Epilepsy and Behavior Case Reports

      Volume: 4 Pages: 91-93

    • DOI

      10.1016/j.ebcr.2015.08.004

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] New type of encephalomyelitis responsive to trimethoprim/sulfamethoxazole treatment in Japan2015

    • Author(s)
      Yusuke Sakiyama, Naoaki Kanda, Yujiro Higuchi, Michiyoshi Yoshimura,Hiroyuki Wakaguri, Yoshiharu Takata, Osamu Watanabe, Junhui Yuan, Yuichi Tashiro, Ryuji Saigo, Satoshi Nozuma, Akiko Yoshimura, Shiho Arishima, Hiroshi Takashima,
    • Journal Title

      Neurol Neuroimmunol Neuroinflamm

      Volume: 2 Issue: 5 Pages: 1-9

    • DOI

      10.1212/nxi.0000000000000143

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 抗VGKC複合体抗体2015

    • Author(s)
      渡邊 修
    • Journal Title

      Clinical Neuroscience

      Volume: 33 Pages: 40-44

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Identification and characterization of GABAA receptor autoantibodies in autoimmune encephalitis2014

    • Author(s)
      Ohkawa T, Satake S, Yokoi N, Miyazaki Y, Ohshita T, Sobue G, Takashima H, Watanabe O, *Fukata Y, *Fukata M (*corresponding author).
    • Journal Title

      J Neurosci

      Volume: 34 Issue: 24 Pages: 8151-8163

    • DOI

      10.1523/jneurosci.4415-13.2014

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Persistent frequent subclinical seizures and memory impairment after clinical remission in smoldering limbic encephalitis2014

    • Author(s)
      Kyoko Kanazawa, Riki Matsumoto, Akihiro Shimotake, Masako Kinoshita, Akiko Otsuka, Osamu Watanabe, Keiko Tanaka, Ryosuke Takahashi, Akio Ikeda
    • Journal Title

      Epileptic Disord

      Volume: 16 Issue: 3 Pages: 312-317

    • DOI

      10.1684/epd.2014.0664

    • NAID

      120005619788

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Antibodies to epilepsy-related LGI1 in limbic encephalitis neutralize LGI1-ADAM22 interaction and reduce synaptic AMPA receptors.2013

    • Author(s)
      Ohkawa T, Fukata Y, Yamasaki M, Miyazaki T, Yokoi N, Takashima H, Watanabe M, Watanabe O, Fukata M
    • Journal Title

      J Neurosci,

      Volume: 33 Issue: 46 Pages: 18161-18174

    • DOI

      10.1523/jneurosci.3506-13.2013

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Anti-voltage-gated potassium channel antibody is associated with chronic autonomic and sensory neuropathy.2013

    • Author(s)
      Kaneko K, Tano O, Kikuchi A, Hasegawa T, Tateyama M, Yoshioka M, Saito H, Watanabe O, Takeda A, Aoki M.
    • Journal Title

      J Neurol

      Volume: 260 Issue: 1 Pages: 315-317

    • DOI

      10.1007/s00415-012-6730-0

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] VGKC関連抗体2013

    • Author(s)
      渡邊 修
    • Journal Title

      Brain and Nerve

      Volume: 65 Pages: 401-411

    • Related Report
      2013 Research-status Report
  • [Journal Article] 抗VGKC複合体抗体と免疫性神経疾患2013

    • Author(s)
      渡邊 修
    • Journal Title

      日本臨床

      Volume: 71 Pages: 915-920

    • Related Report
      2013 Research-status Report
  • [Journal Article] 抗VGKC複合体抗体関連症候群2013

    • Author(s)
      渡邊 修
    • Journal Title

      最新医学

      Volume: 68 Pages: 147-152

    • NAID

      40019739937

    • Related Report
      2013 Research-status Report
  • [Journal Article] 「VGKC抗体」と神経疾患2013

    • Author(s)
      渡邊 修
    • Journal Title

      神経内科

      Volume: 79 Pages: 319-326

    • Related Report
      2013 Research-status Report
  • [Journal Article] 自己免疫性脳炎の広がりとその進歩2013

    • Author(s)
      渡邊 修
    • Journal Title

      心身医学

      Volume: 53 Pages: 913-920

    • Related Report
      2013 Research-status Report
  • [Journal Article] VGKC複合体抗体関連疾患とアフェレシス2013

    • Author(s)
      渡邊 修
    • Journal Title

      日本アフェレシス学会雑誌

      Volume: 32 Pages: 185-190

    • NAID

      110009661552

    • Related Report
      2013 Research-status Report
  • [Presentation] A proposal : Isaacs’ syndrome (acquired neuromyotonia) diagnositic criteria2015

    • Author(s)
      Osamu Watanabe, Kimiyoshi Arimura, Satoshi Nozuma, Kumiko Michizono, Eiji Matsuura, Hiroshi Takashima
    • Organizer
      第22回 世界神経学会
    • Place of Presentation
      サンティアゴ(チリ)
    • Year and Date
      2015-11-05
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] VGKC複合体抗体が関連する脳炎・脳症~LGI-1抗体脳炎とMorvan症候群~2015

    • Author(s)
      渡邊 修
    • Organizer
      第20回 日本神経感染症学会
    • Place of Presentation
      ホテルメルパルク長野(長野県長野市)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 筋緊張症候群と自己抗体2015

    • Author(s)
      渡邊 修
    • Organizer
      第7階 日本神経免疫学会
    • Place of Presentation
      長良川国際会議場(岐阜県岐阜市)
    • Year and Date
      2015-09-15
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] シンポジウムⅤ Caspr-2抗体陽性CNS疾患:Morvan症候群の血清学的・臨床的特徴2014

    • Author(s)
      渡邊 修
    • Organizer
      第48回 日本てんかん学会
    • Place of Presentation
      東京都
    • Year and Date
      2014-10-03
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Neuroimmunology Cutting Edge Symposium: Immune-mediated channelopathy in neuroimmunological diseases2014

    • Author(s)
      Osamu Watanabe
    • Organizer
      Neuro 2014 (第37回 日本神経科学会・国際会議)
    • Place of Presentation
      Yokohama, Japan
    • Year and Date
      2014-09-13
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] シンポジウムⅢ Autoimmune channelopathies-update- 抗VGKC複合体抗体に関する最近の話題~神経自己抗体によるチャネル・受容体生涯のメカニズム~2014

    • Author(s)
      渡邊 修
    • Organizer
      第26回 日本神経免疫学会学術集会
    • Place of Presentation
      金沢市
    • Year and Date
      2014-09-05
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] シンポジウム:自己免疫性脳炎の最近の知見 抗VGKC複合体抗体関連脳炎の最近の治験2014

    • Author(s)
      渡邊 修
    • Organizer
      第55回 日本神経学会総会・学術集会
    • Place of Presentation
      福岡市
    • Year and Date
      2014-05-22
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Symposium : 自己免疫性脳炎の最近の知見抗VGKC複合体抗体関連脳炎の最近の知見2014

    • Author(s)
      渡邊 修
    • Organizer
      第55回日本神経学会総会
    • Place of Presentation
      福岡
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Two cases of POEMS syndrome: initially misdiagnosed as CIDP2013

    • Author(s)
      Osamu Watanabe, Kimiyoshi Arimura, Tomonori Nakamura, Yumiko Arimura, Yukie Inamori, Yoshiharu Takata, Kumiko Michizono, Eiji Matsuura, Hiroshi Takashima
    • Organizer
      20th World Congress of Neurology
    • Place of Presentation
      Austria, Vienna
    • Related Report
      2013 Research-status Report
  • [Presentation] Isaacs症候群診断基準の提案2013

    • Author(s)
      渡邊 修、髙田良治、道園久美子、松浦英治、髙嶋 博、深田正紀、有村公良
    • Organizer
      第54回日本神経学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] シンポジウム免疫性神経疾患の新しい展開:脳から自律神経障害まで Isaacs症候群とその周辺疾患2013

    • Author(s)
      渡邊 修
    • Organizer
      第54回日本神経学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] POEMS症候群の神経伝導検査所見:初期診断がCIDPであった2症例2013

    • Author(s)
      渡邊 修、有村公良、中村友紀、稲森由恵、髙田良治、 有村由美子、道園久美子、松浦英治、髙嶋 博
    • Organizer
      第43回 日本臨床神経生理学会
    • Place of Presentation
      高知
    • Related Report
      2013 Research-status Report
  • [Presentation] シンポジウム難治性神経筋疾患におけるアフェレシス療法 VGKC複合体抗体関連疾患におけるアフェレシス療法の有用性:up-to-date2013

    • Author(s)
      渡邊 修
    • Organizer
      渡邊 修
    • Place of Presentation
      軽井沢
    • Related Report
      2013 Research-status Report
    • Invited
  • [Book] 免疫性神経疾患(アクチュアル 脳・神経疾患の臨床シリーズ)2016

    • Author(s)
      渡邊 修
    • Total Pages
      9
    • Publisher
      中山書店
    • Related Report
      2015 Annual Research Report
  • [Book] 抗VGKC複合体抗体が関連する症候群 Annual Review 2015 神経2015

    • Author(s)
      渡邊 修
    • Total Pages
      7
    • Publisher
      中外医学社
    • Related Report
      2015 Annual Research Report
  • [Book] 免疫症候群(第2版)Ⅰ2015

    • Author(s)
      渡邊 修
    • Total Pages
      15
    • Publisher
      日本臨牀
    • Related Report
      2015 Annual Research Report
  • [Book] Annual Review 2015 神経(編:鈴木則宏、祖父江 元、荒木信夫、宇川義一、川原信隆)2015

    • Author(s)
      渡邊 修
    • Publisher
      中外医学社
    • Related Report
      2014 Research-status Report
  • [Book] 神経症候群(第二版)Ⅱ2014

    • Author(s)
      渡邊 修
    • Publisher
      日本臨牀
    • Related Report
      2014 Research-status Report
  • [Book] 改訂第8版 内科学書Vol.62013

    • Author(s)
      渡邊 修
    • Publisher
      中山書店
    • Related Report
      2013 Research-status Report
  • [Book] 免疫性神経疾患ハンドブック2013

    • Author(s)
      渡邊 修
    • Publisher
      南江堂
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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