Paraneoplastic Cerebellar Degeneration With P/Q-VGCC vs Yo Autoantibodies.
Michael WinklehnerJan BauerVerena EndmayrCarmen SchwaigerGerda RickenMasakatsu MotomuraShunsuke YoshimuraHiroshi ShintakuKinya IshikawaYukio TsuuraTakahiro IizukaTakanori YokotaTakashi IriokaRomana HöftbergerPublished in: Neurology(R) neuroimmunology & neuroinflammation (2022)
Anti-Yo-PCD showed characteristic features of a T cell-mediated pathology, whereas this was not observed in 1 case of anti-P/Q-VGCC-PCD. Our findings support a pathogenic role of anti-P/Q-VGCC autoantibodies in causing neuronal dysfunction, probably due to altered synaptic transmission resulting in calcium dysregulation and subsequent PC death. Because disease progression may lead to irreversible PC loss, anti-P/Q-VGCC-PCD patients could benefit from early oncologic and immunologic therapies.