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Letter to the Editor| Volume 398, P16-18, March 15, 2019

Anti-neurofascin-155 antibody-positive neuromyelitis optica spectrum disorders

Published:January 16, 2019DOI:https://doi.org/10.1016/j.jns.2019.01.024
      Neuromyelitis optica spectrum disorders (NMOSD) is currently recognised as an inflammatory central nervous system (CNS) disorder that most frequently involves the spinal cord and optic nerve. Many studies have provided sufficient evidence for the importance of the AQP4 antibody in the pathogenesis of NMOSD [
      • Jarius S.
      • Aboul-Enein F.
      • Waters P.
      • et al.
      Antibody to aquaporin-4 in the long-term course of neuromyelitis optica.
      ,
      • Papadopoulos M.C.
      • Verkman A.S.
      Aquaporin 4 and neuromyelitis optica.
      ]. In addition, other autoantibodies such as the AQP-1 and myelin oligodendrocyte glycoprotein (MOG) antibodies have also been found in NMOSD patients and have significant effects in the immune process of the disease [
      • Jasiak-Zatonska M.
      • Kalinowska-Lyszczarz A.
      • Michalak S.
      • Kozubski W.
      The immunology of neuromyelitis optica-current knowledge, clinical implications, controversies and future perspectives.
      ]. Neurofascin-155 (NF155) is a protein expressed in both CNS and peripheral nervous system (PNS) myelin sheath. Studies have shown that the NF155 antibody plays an important role in chronic inflammatory demyelinating polyradiculopathy (CIDP) and combined central and peripheral demyelination disease [
      • Querol L.
      • Nogales-Gadea G.
      • Rojas-Garcia R.
      • et al.
      Neurofascin IgG4 antibodies in CIDP associate with disabling tremor and poor response to IVIg.
      ,
      • Kawamura N.
      • Yamasaki R.
      • Yonekawa T.
      • et al.
      Anti-neurofascin antibody in patients with combined central and peripheral demyelination.
      ]. In contrast, there have so far been no previous reports of concurrent NF155 and AQP4 antibody involvement in NMOSD. We herein present the cases of two patients with seropositive NMOSD, who carried of the NF155 antibody, which are mainly IgG1 and IgG2 subclasses.

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