There are many types of cerebellar ataxia, including ataxiadue to congenital or metabolic disorders and a paraneoplasticform in patients with gynecologic cancer, breast cancer, lungcancer, or Hodgkin's disease.1 This paraneoplastic syndromeis the only type of cerebellar ataxia associated with autoantibodiesagainst neuronal antigens. Often, the neuronal antigens areaberrantly expressed by the tumor cells.2,3,4 The antineuronalautoantibodies are believed to cause cerebellar ataxia, butthis is unproved.5,6 In Hodgkin's disease, the lymphoma precedesthe ataxia by months to years in 80 percent of patients, andataxia often occurs during a prolonged complete remission.4Among patients with . . . [Full Text of this Article]
Case Reports
Patient 1
Patient 2
Methods
Samples
Immunohistochemical Analysis
Cell Labeling and Assay for Inositol Phosphates
Absorption Experiments
Transfer Experiments
Expression of mGluR1 in Tumor Samples
Results
Discussion
Source Information
From the Departments of Neuro-Oncology (P.S.S., B.D.L., W.M., M.C., C.V.) and Pathology (S.H.-L.), Daniel den Hoed Cancer Center, University Hospital Rotterdam, the Netherlands; the Departments of Immunology (B.D.L.) and Anatomy (M.C., D.J., C.D.Z.), Erasmus University Rotterdam, the Netherlands; the Departments of Morphologic Brain Science (A.K., R.S.) and Biologic Sciences (N.S., S.N.), Faculty of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan; and the Laboratory of Cerebral Structure, National Institute for Physiologic Sciences, Myodaiji, Okazaki, Japan (A.K., R.S.). Drs. Sillevis Smitt and Kinoshita contributed equally to the article.
Address reprint requests to Dr. Sillevis Smitt at the Department of Neuro-Oncology, Daniel den Hoed Cancer Center, P.O. Box 5201, 3008 AE Rotterdam, the Netherlands, or at sillevis@neuh.azr.nl.
References
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Fletcher, P.
(2009). A woman with ataxia. BMJ
338: b180-b180
[Full Text]
Belmeguenai, A., Botta, P., Weber, J. T., Carta, M., De Ruiter, M., De Zeeuw, C. I., Valenzuela, C. F., Hansel, C.
(2008). Alcohol Impairs Long-Term Depression at the Cerebellar Parallel Fiber-Purkinje Cell Synapse. J. Neurophysiol.
100: 3167-3174
[Abstract][Full Text]
Ferraguti, F., Crepaldi, L., Nicoletti, F.
(2008). Metabotropic Glutamate 1 Receptor: Current Concepts and Perspectives. Pharmacol. Rev.
60: 536-581
[Abstract][Full Text]
Pleasure, D.
(2008). Diagnostic and Pathogenic Significance of Glutamate Receptor Autoantibodies. Arch Neurol
65: 589-592
[Abstract][Full Text]
Liao, Y. J., Safa, P., Chen, Y.-R., Sobel, R. A., Boyden, E. S., Tsien, R. W.
(2008). Anti-Ca2+ channel antibody attenuates Ca2+ currents and mimics cerebellar ataxia in vivo. Proc. Natl. Acad. Sci. USA
105: 2705-2710
[Abstract][Full Text]
Matus, S., Burgos, P. V., Bravo-Zehnder, M., Kraft, R., Porras, O. H., Farias, P., Barros, L. F., Torrealba, F., Massardo, L., Jacobelli, S., Gonzalez, A.
(2007). Antiribosomal-P autoantibodies from psychiatric lupus target a novel neuronal surface protein causing calcium influx and apoptosis. JEM
204: 3221-3234
[Abstract][Full Text]
Dalmau, J., Gonzalez, R. G., Lerwill, M. F.
(2007). Case 4-2007 -- A 56-Year-Old Woman with Rapidly Progressive Vertigo and Ataxia. NEJM
356: 612-620
[Full Text]
Zuliani, L., Sabater, L., Saiz, A., Baiges, J. J., Giometto, B., Graus, F.
(2007). Homer 3 autoimmunity in subacute idiopathic cerebellar ataxia. Neurology
68: 239-240
[Full Text]
Canepari, M., Ogden, D.
(2006). Kinetic, pharmacological and activity-dependent separation of two Ca2+ signalling pathways mediated by type 1 metabotropic glutamate receptors in rat Purkinje neurones. J. Physiol.
573: 65-82
[Abstract][Full Text]
de Beukelaar, J. W., Smitt, P. A. S.
(2006). Managing paraneoplastic neurological disorders.. The Oncologist
11: 292-305
[Abstract][Full Text]
Levine, J. M., Bergman, R. L., Coates, J. R., Shelton, G. D.
(2005). Myasthenia Gravis and Hypothyroidism in a Dog With Meningomyelitis. Journal of the American Animal Hospital Association
41: 247-251
[Abstract][Full Text]
Graus, F, Delattre, J Y, Antoine, J C, Dalmau, J, Giometto, B, Grisold, W, Honnorat, J, Smitt, P S., Vedeler, C., Verschuuren, J J G M, Vincent, A, Voltz, R
(2004). Recommended diagnostic criteria for paraneoplastic neurological syndromes. J. Neurol. Neurosurg. Psychiatry
75: 1135-1140
[Abstract][Full Text]
Canepari, M., Auger, C., Ogden, D.
(2004). Ca2+ Ion Permeability and Single-Channel Properties of the Metabotropic Slow EPSC of Rat Purkinje Neurons. J. Neurosci.
24: 3563-3573
[Abstract][Full Text]
Darnell, R. B., Posner, J. B.
(2003). Paraneoplastic Syndromes Involving the Nervous System. NEJM
349: 1543-1554
[Full Text]
Kitano, J., Nishida, M., Itsukaichi, Y., Minami, I., Ogawa, M., Hirano, T., Mori, Y., Nakanishi, S.
(2003). Direct Interaction and Functional Coupling between Metabotropic Glutamate Receptor Subtype 1 and Voltage-sensitive Cav2.1 Ca2+ Channel. J. Biol. Chem.
278: 25101-25108
[Abstract][Full Text]
Shams'ili, S., Grefkens, J., de Leeuw, B., van den Bent, M., Hooijkaas, H., van der Holt, B., Vecht, C., Sillevis Smitt, P.
(2003). Paraneoplastic cerebellar degeneration associated with antineuronal antibodies: analysis of 50 patients. Brain
126: 1409-1418
[Abstract][Full Text]
Canepari, M., Ogden, D.
(2003). Evidence for Protein Tyrosine Phosphatase, Tyrosine Kinase, and G-Protein Regulation of the Parallel Fiber Metabotropic Slow EPSC of Rat Cerebellar Purkinje Neurons. J. Neurosci.
23: 4066-4071
[Abstract][Full Text]
Bernal, F., Shams'ili, S., Rojas, I., Sanchez-Valle, R., Saiz, A., Dalmau, J., Honnorat, J., Sillevis Smitt, P., Graus, F.
(2003). Anti-Tr antibodies as markers of paraneoplastic cerebellar degeneration and Hodgkin's disease. Neurology
60: 230-234
[Abstract][Full Text]
Matsumoto, S, Kusuhara, T, Nakajima, M, Ouma, S, Takahashi, M, Yamada, T
(2002). Acute attacks and brain stem signs in a patient with glutamic acid decarboxylase autoantibodies. J. Neurol. Neurosurg. Psychiatry
73: 345-346
[Full Text]
Jennekens, F. G. I., Kater, L.
(2002). The central nervous system in systemic lupus erythematosus. Part 2. Pathogenetic mechanisms of clinical syndromes: a literature investigation. Rheumatology (Oxford)
41: 619-630
[Abstract][Full Text]
Kitano, J., Kimura, K., Yamazaki, Y., Soda, T., Shigemoto, R., Nakajima, Y., Nakanishi, S.
(2002). Tamalin, a PDZ Domain-Containing Protein, Links a Protein Complex Formation of Group 1 Metabotropic Glutamate Receptors and the Guanine Nucleotide Exchange Factor Cytohesins. J. Neurosci.
22: 1280-1289
[Abstract][Full Text]
Canepari, M., Papageorgiou, G., Corrie, J. E T, Watkins, C., Ogden, D.
(2001). The conductance underlying the parallel fibre slow EPSP in rat cerebellar Purkinje neurones studied with photolytic release of L-glutamate. J. Physiol.
533: 765-772
[Abstract][Full Text]
SALLESE, M., SALVATORE, L., DURBANO, E., SALA, G., STORTO, M., LAUNEY, T., NICOLETTI, F., KNÖPFEL, T., DE BLASI, A.
(2000). The G-protein-coupled receptor kinase GRK4 mediates homologous desensitization of metabotropic glutamate receptor 1. FASEB J.
14: 2569-2580
[Abstract][Full Text]
Ichise, T., Kano, M., Hashimoto, K., Yanagihara, D., Nakao, K., Shigemoto, R., Katsuki, M., Aiba, A.
(2000). mGluR1 in Cerebellar Purkinje Cells Essential for Long-Term Depression, Synapse Elimination, and Motor Coordination. Science
288: 1832-1835
[Abstract][Full Text]
(2000). Newly Discovered Autoantibody Affects the CNS by Blocking a Glutamate Receptor. JWatch Neurology
2000: 18-18
[Full Text]
Nishi, M., Hinds, H., Lu, H.-P., Kawata, M., Hayashi, Y.
(2001). Motoneuron-Specific Expression of NR3B, a Novel NMDA-Type Glutamate Receptor Subunit That Works in a Dominant-Negative Manner. J. Neurosci.
21: RC185-RC185
[Abstract][Full Text]