Plasticity-related gene 5: A novel surface autoantigen in paraneoplastic cerebellar degeneration

Publication date

2015-09-24

Authors

van Coevorden - Hameete, MarleenISNI 0000000506009636
de Graaff, EstherISNI 0000000396182779
Titulaer, Maarten J
Hulsenboom, Esther
Sabater, Lidia
Hoogenraad, Casper CISNI 0000000396512854
Sillevis Smitt, Peter A

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Abstract

Paraneoplastic cerebellar degeneration (PCD) is one of the most frequent paraneoplastic syndromes affecting the CNS. It is associated with antibodies targeting intracellular neuronal antigens (Hu, Yo, Ri, CV2/CRMP5), which are not thought to be directly pathogenic, and surface antigens (DNER, mGluR1, VGCC), which are potentially pathogenic.1,2 However, in many patients the immunologic target remains unidentified, resulting in diagnostic and therapeutic challenges. We report a patient with PCD and a squamous cell lung carcinoma with antibodies to a novel neuronal surface antigen, plasticity-related gene 5 (PRG5).

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van Coevorden-Hameete, M H, de Graaff, E, Titulaer, M J, Hulsenboom, E, Sabater, L, Hoogenraad, C C & Sillevis Smitt, P A 2015, 'Plasticity-related gene 5 : A novel surface autoantigen in paraneoplastic cerebellar degeneration', Neurology® neuroimmunology & neuroinflammation, vol. 2, no. 5, e156. https://doi.org/10.1212/NXI.0000000000000156