Abstract
Paraneoplastic sensory neuronopathy (PSN) has been shown to harbor characteristic
anti-neuronal autoantibody ‘anti-Hu’ in their sera and cerebrospinal fluid. Creation
of animal models exhibiting clinical or pathological features seen in PSN by means
of passive transfer of anti-Hu positive IgG has not been achieved. Although, anti-Hu
antibody was shown to induce neuronal cell lysis in vitro, this result has not been
reproduced so far. Since prominent T cell infiltration are seen in the central nervous
system and posterior spinal ganglion of the patients with anti-Hu syndrome, we studied
cytotoxic T cell (CTL) activity in peripheral mononuclear cells from a patient with
PSN harboring anti-Hu antibody. The activated CD8+ T cells from the patient’s venous
blood were shown to lyse her own fibroblasts which were incubated with interferon-γ
to induce HLA class I molecules on their surface and the recombinant HuD protein was
injected into the cells by microinjector. This is the first report showing the existence
of CTL in a patient with PSN.
Keywords
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Article info
Publication history
Accepted:
January 12,
1999
Received in revised form:
December 9,
1998
Received:
March 12,
1998
Identification
Copyright
© 1999 Elsevier Science B.V. Published by Elsevier Inc. All rights reserved.