eprintid: 19352 rev_number: 17 eprint_status: archive userid: 1589 dir: disk0/00/01/93/52 datestamp: 2015-11-25 10:39:09 lastmod: 2024-07-02 02:28:33 status_changed: 2015-11-25 10:39:09 type: article metadata_visibility: show creators_name: Jarius, Sven creators_name: Scharf, Madeleine creators_name: Begemann, Nora creators_name: Stöcker, Winfried creators_name: Probst, Christian creators_name: Serysheva, Irina I. creators_name: Nagel, Sigrun creators_name: Graus, Francesc creators_name: Psimaras, Dimitri creators_name: Wildemann, Brigitte creators_name: Komorowski, Lars title: Antibodies to the inositol 1,4,5-trisphosphate receptor type 1 (ITPR1) in cerebellar ataxia subjects: ddc-570 subjects: ddc-610 divisions: i-911100 abstract: We report on a serum autoantibody associated with cerebellar ataxia. Immunohistochemical studies of sera from four patients referred for autoantibody testing revealed binding of high-titer (up to 1:5,000) IgG antibodies, mainly IgG1, to the molecular layer, Purkinje cell layer, and white matter on mouse, rat, porcine, and monkey cerebellum sections. The antibody bound to PC somata, dendrites, and axons, resulting in a binding pattern similar to that reported for anti-Ca/anti-ARHGAP26, but did not react with recombinant ARHGAP26. Extensive control studies were performed to rule out a broad panel of previously described paraneoplastic and non-paraneoplastic anti-neural autoantibodies. The characteristic binding pattern as well as double staining experiments suggested inositol 1,4,5-trisphosphate receptor type 1 (ITPR1) as the target antigen. Verification of the antigen included specific neutralization of the tissue reaction following preadsorption with ITPR1 (but not ARHGAP26) and a dot-blot assay with purified ITPR1 protein. By contrast, anti-ARHGAP26-positive sera did not bind to ITPR1. In a parallel approach, a combination of histoimmunoprecipitation and mass spectrometry also identified ITPR1 as the target antigen. Finally, a recombinant cell-based immunofluorescence assay using HEK293 cells expressing ITPR1 and ARHGAP26, respectively, confirmed the identification of ITPR1. Mutations of ITPR1 have previously been implicated in spinocerebellar ataxia with and without cognitive decline. Our findings suggest a role of autoimmunity against ITPR1 in the pathogenesis of autoimmune cerebellitis and extend the panel of diagnostic markers for this disease. date: 2014 publisher: BioMed Central id_scheme: DOI ppn_swb: 165355634X own_urn: urn:nbn:de:bsz:16-heidok-193524 language: eng bibsort: JARIUSSVENANTIBODIES2014 full_text_status: public publication: Journal of neuroinflammation: JNI volume: 11 number: 206 place_of_pub: London pagerange: 1-12 issn: 1742-2094 citation: Jarius, Sven ; Scharf, Madeleine ; Begemann, Nora ; Stöcker, Winfried ; Probst, Christian ; Serysheva, Irina I. ; Nagel, Sigrun ; Graus, Francesc ; Psimaras, Dimitri ; Wildemann, Brigitte ; Komorowski, Lars (2014) Antibodies to the inositol 1,4,5-trisphosphate receptor type 1 (ITPR1) in cerebellar ataxia. Journal of neuroinflammation: JNI, 11 (206). pp. 1-12. ISSN 1742-2094 document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/19352/1/12974_2014_Article_206.pdf