Epidemiology of neuronal surface antibody-mediated autoimmune encephalitis and antibody-based diagnostics

J Neuroimmunol. 2021 Aug 15:357:577598. doi: 10.1016/j.jneuroim.2021.577598. Epub 2021 May 1.

Abstract

Epidemiologic data on neuronal surface antibody (NSAb)-associated autoimmune encephalitides (NSAE) are scarce and heterogeneous. We review our 13-year-long biobank-data collection and provide the incidence of NSAE in two Italian provinces (approx. Population of 1,400,000) over a 5-year period (July 2013-June 2018). NSAbs were diagnosed in 75 out of 1179 tested patients (6.4%). The most common NSAbs were anti-LGI1 (30 cases), followed by NMDAR (24). Eleven cases of NSAE were diagnosed in Treviso and Trento provinces with an estimated incidence of 1.54 per 1,000,000 population (LGI1-encephalitis 0.84; C.I. 0.38-1.88). LGI1-E is the most frequent NSAE among adults.

Keywords: Autoimmune encephalitis; Epidemiology; Incidence; LGI1; NMDAR; Neuronal surface antibodies.

MeSH terms

  • Aged
  • Autoantibodies / immunology*
  • Autoantigens / immunology*
  • Female
  • Humans
  • Incidence
  • Italy / epidemiology
  • Limbic Encephalitis / epidemiology*
  • Limbic Encephalitis / immunology*
  • Male
  • Middle Aged
  • Neurons / immunology*
  • Young Adult

Substances

  • Autoantibodies
  • Autoantigens