Frontiers in Immunology (Oct 2021)

Comprehensive B-Cell Immune Repertoire Analysis of Anti-NMDAR Encephalitis and Anti-LGI1 Encephalitis

  • Jingjing Feng,
  • Jingjing Feng,
  • Siyuan Fan,
  • Yinwei Sun,
  • Yinwei Sun,
  • Haitao Ren,
  • Hongzhi Guan,
  • Jing Wang,
  • Jing Wang

DOI
https://doi.org/10.3389/fimmu.2021.717598
Journal volume & issue
Vol. 12

Abstract

Read online

Anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) and anti-leucine-rich glioma-inactivated 1 encephalitis (anti-LGI1E) are the two most common types of antibody-mediated autoimmune encephalitis. We performed a comprehensive analysis of the B-cell immune repertoire in patients with anti-NMDARE (n = 7) and anti-LGI1E (n = 10) and healthy controls (n = 4). The results revealed the presence of many common clones between patients with these two types of autoimmune encephalitis, which were mostly class-switched. Additionally, many differences were found among the anti-NMDARE, anti-LGI1E, and healthy control groups, including the diversity of the B-cell immune repertoire and gene usage preference. These findings suggest that the same adaptive immune responses occur in patients with anti-NMDARE and anti-LGI1E, which deserves further exploration.

Keywords