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Paraneoplastic Cerebellar Degeneration With P/Q-VGCC vs Yo Autoantibodies.

Michael WinklehnerJan BauerVerena EndmayrCarmen SchwaigerGerda RickenMasakatsu MotomuraShunsuke YoshimuraHiroshi ShintakuKinya IshikawaYukio TsuuraTakahiro IizukaTakanori YokotaTakashi IriokaRomana Höftberger
Published 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.
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