Journal of the Neurological Sciences
Volume 208, Issue 1 , Pages 51-56 , 15 April 2003

Dual impairment of GABAA- and GABAB-receptor-mediated synaptic responses by autoantibodies to glutamic acid decarboxylase

  • Hiroshi Mitoma

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +81-3-5391-9355; fax: +81-3-5391-9355.
    • Mitoma Neurological Clinic, 1-2-10 Minami-Ikebukuro, Toshima, Tokyo, Japan
  • ,
  • Kazuyuki Ishida

      Affiliations

    • Department of Neurology and Neurological Science, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Tokyo, Japan
  • ,
  • Masami Shizuka-Ikeda

      Affiliations

    • Department of Neurology, Gunma University, Gunma, Japan
  • ,
  • Hidehiro Mizusawa

      Affiliations

    • Department of Neurology and Neurological Science, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Tokyo, Japan

Received 25 April 2002 ,Accepted 28 October 2002.

References 

  1. Solimena M, DeCamilli P. Autoimmunity to glutamic acid decarboxylase (GAD) in stiff-man syndrome and insulin-dependent diabetes mellitus. Trends Neurosci. 1991;14:452–457
  2. Ellis TM, Atkinson MA. The clinical significance of an autoimmune response against glutamic acid decarboxylase. Nat. Med. 1996;2:148–153
  3. Grimaldi LME, Martino G, Braghi S, Quattrini A, Furlan R, Bosi E, et al.  Heterogeneity of autoantibodies in stiff-man syndrome. Ann. Neurol. 1993;34:57–64
  4. Kim J, Namchuk M, Bugawan T, Fu Q, Jaffe M, Shi Y, et al.  Higher autoantibody levels and recognition of a linear NH2-terminal epitope in the autoantigen GAD-65 distinguish stiff-man syndrome from insulin-dependent diabetes mellitus. J. Exp. Med. 1994;180:595–606
  5. Daw K, Ujihara N, Atkinson M, Powers AC. Glutamic acid decarboxylase autoantibodies in stiff-man syndrome and insulin-dependent diabetes mellitus exhibit similarities and differences in epitope recognition. J. Immunol. 1996;156:818–825
  6. Dinkel K, Meinck H-M, Jury KM, Karges W, Richter W. Inhibition of γ-aminobutyric acid synthesis by glutamic acid decarboxylase autoantibodies in stiff-man syndrome. Ann. Neurol. 1998;44:194–201
  7. Honnorat J, Trouillas P, Thivolet C, Aguera M, Belin MF. Autoantibodies to glutamate decarboxylase in a patient with cerebellar cortical atrophy, peripheral neuropathy, and slow eye movements. Arch. Neurol. 1995;52:462–468
  8. Giometto B, Miotto D, Faresin F, Argentiero V, Scaravilli T, Tavolato B. Anti-GABAergic neuron autoantibodies in a patient with stiff-man syndrome and ataxia. J. Neurol. Sci. 1996;143:57–59
  9. Saiz A, Arpa J, Sagasta A, Casamitjana R, Zarranz JJ, Tolosa E, et al.  Autoantibodies to glutamic acid decarboxylase in three patients with cerebellar ataxia, late-onset insulin-dependent diabetes mellitus, and polyendocrine autoimmunity. Neurology. 1997;49:1026–1030
  10. Abele M, Weller M, Mescheriakov S, Bürk K, Dichgans J, Klockgether T. Cerebellar ataxia with glutamic acid decarboxylase autoantibodies. Neurology. 1999;52:857–859
  11. Ishida K, Mitoma H, Song S-Y, Uchihara T, Inaba A, Eguchi S, et al.  Selective suppression of cerebellar GABAergic transmission by an autoantibody to glutamic acid decarboxylase. Ann. Neurol. 1999;46:263–267
  12. Mitoma H, Song S-Y, Ishida K, Ymakuni T, Kobayashi T, Mizusawa H. Presynaptic impairment of cerebellar inhibitory synapses by an autoantibody to glutamate decarboxylase. J. Neurol. Sci. 2000;175:40–44
  13. Takenoshita H, Shizuka-Ikeda M, Mitoma H, Song S-Y, Harigaya Y, Igeta Y, et al.  Presynaptic inhibition of cerebellar GABAergic transmission by glutamate decarboxylase autoantibodies in progressive cerebellar ataxia. J. Neurol. Neurosurg. Psychiatry. 2001;70:386–389
  14. Honnorat J, Saiz A, Giometto B, Vincent A, Brieva L, Andres C, et al.  Cerebellar ataxia with anti-glutamic acid decarboxylase antibodies. Study of 14 patients. Arch. Neurol. 2001;58:225–230
  15. Isaacson JS, Solis J, Nicoll RA. Local and diffuse synaptic actions of GABA in the hippocampus. Neuron. 1993;10:165–175
  16. Mitoma H, Konishi S. Monoaminergic long-term facilitation of GABA-mediated inhibitory transmission at cerebellar synapses. Neuroscience. 1999;88:871–883
  17. Konishi S, Mitoma H, Ishida M, Shinozaki H. Cerebellar GABAergic transmission reciprocally regulated by monoaminergic receptor-operated facilitation and metabotropic glutamate receptor-operated inhibition. Pharmacol. Rev. Commun. 1996;8:169–172
  18. Nakanishi S. Molecular diversity of glutamate receptors and implication for brain function. Science. 1992;258:597–603
  19. Scutter ED. Cerebellar long-term depression might normalize excitation of Purkinje cells: a hypothesis. Trends Neurosci. 1995;18:291–295

PII: S0022-510X(02)00423-9

doi: 10.1016/S0022-510X(02)00423-9

Journal of the Neurological Sciences
Volume 208, Issue 1 , Pages 51-56 , 15 April 2003