Disrupted surface cross-talk between NMDA and Ephrin-B2 receptors in anti-NMDA encephalitis
Abstract
Autoimmune synaptic encephalitides are recently described human brain diseases leading to psychiatric and neurological syndromes through inappropriate brain-autoantibody interactions. The most frequent synaptic autoimmune encephalitis is associated with autoantibodies against extracellular domains of the glutamatergic N-methyl-d-aspartate receptor, with patients developing psychotic and neurological symptoms in an autoantibody titre-dependent manner. Although N-methyl-d-aspartate receptors are the primary target of these antibodies, the cellular and molecular pathway(s) that rapidly lead to N-methyl-d-aspartate receptor dysfunction remain poorly understood. In this report, we used a unique combination of high-resolution nanoparticle and bulk live imaging approaches to demonstrate that anti-N-methyl-d-aspartate receptor autoantibodies from patients with encephalitis strongly alter, in a time-dependent manner, the surface content and trafficking of GluN2-NMDA receptor subtypes. Autoantibodies laterally displaced surface GluN2A-NMDA receptors out of synapses and completely blocked synaptic plasticity. This loss of extrasynaptic and synaptic N-methyl-d-aspartate receptor is prevented both in vitro and in vivo, by the activation of EPHB2 receptors. Indeed, the anti-N-methyl-d-aspartate receptor autoantibodies weaken the interaction between the extracellular domains of the N-methyl-d-aspartate and Ephrin-B2 receptors. Together, we demonstrate that the anti-N-methyl-d-aspartate rece…
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Experiments where patients' antibodies were added to cultures of hippocampal neurons or infused into the hippocampus of rodents showed specific antibody-mediated internalization of NMDAR and alteration of the mechanisms of synaptic plasticity.
“Experiments where patients’ antibodies were added to cultures of hippocampal neurons or infused into the hippocampus of rodents showed specific antibody-mediated internalization of NMDAR and alteration of the mechanisms of synaptic plasticity.9, 10”
From Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study (2013) · cites this paper as [10]
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“, 2009), secreted proteases (Lesept, Chevilley, & Jezequel, 2016), growth factors (De Rossi, Harde, & Dupuis, 2016), cell surface receptors (Ladepeche et al., 2013; Mikasova et al., 2012) and hormones (Potier et al.”
Background
- Authors
- Mikasova, L., De Rossi, P., Bouchet, D., Georges, F., Rogemond, V., Didelot, A., Meissirel, C., Honnorat, J., & Groc, L.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Lyon 1 Université (FR)
- ORCID
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-04-27
- Volume
- 135
- Issue
- 5
- Pages
- 1606-1621
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W2105127406
- Cited by
- 341
- References
- 7
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 30 · 2023: 28 · 2022: 19 · 2021: 25 · 2020: 32 · 2019: 21 · 2018: 26 · 2017: 28 · 2016: 31 · 2015: 27 · 2014: 26 · 2013: 19 · 2012: 2
- FWCI
- 15.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Autoimmune Neurological Disorders and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Neurology › Peripheral Neuropathies and Disorders
- Keywords
- anti-NMDA receptor encephalitis, NMDA receptor antibodies, ephrin-B2, EphB2, synaptic plasticity, glutamatergic synapses
- MeSH terms
- Adult, Aged, Animals, Biophysics, Calcium, Cell Membrane, Cells, Cultured, Child, Child, Preschool, Electric Stimulation, Embryo, Mammalian, Encephalitis, Enzyme-Linked Immunosorbent Assay, Female, Hippocampus, Humans, Immunoglobulin G, Male, Middle Aged, Neurons, Tetrodotoxin, Tosyl Compounds, Receptors, N-Methyl-D-Aspartate, Long-Term Potentiation, Patch-Clamp Techniques, Excitatory Amino Acid Agents, Receptor Cross-Talk, Protein Subunits, Protein Transport, Sodium Channel Blockers, Receptors, Eph Family, Ephrins, Photobleaching, Immunoprecipitation, Mice, Rats, Young Adult
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