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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1991-7-5
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pubmed:abstractText |
The serum and cerebrospinal fluid (CSF) of 8 women with ataxia, 6 of whom also had eye movement abnormalities believed to be opsoclonus, were found to contain a highly specific antineuronal antibody we call anti-Ri. Seven of the 8 women also had or developed cancer: carcinoma of the breast in 5, adenocarcinoma in an axillary lymph node in 1, and carcinoma of the fallopian tube in 1. Four patients presented with the neurological disorder; the cancer was diagnosed first in the other 4. Immunohistochemical studies using serum or CSF from all 8 patients revealed a highly specific antibody interaction with central nervous system neuronal nuclei but not with glial or other cells; the titer ranged from 1:5,000 to 1:320,000 in serum and from 1:2,000 to 1:16,000 in CSF. Biotinylated IgG from the patients' serum reacted with the tumors of 3 of 4 patients with anti-Ri antibody but not with breast cancers from patients without anti-Ri antibody. Immunoblots against cerebral cortex neuronal extracts identified protein antigens of 55-kd and 80-kd relative molecular mass. Serum titers by immunoblot ranged from 1:500 to more than 1:40,000 and CSF titers, from 1:10 to 1:2,000. The relative amount of anti-Ri was always higher in CSF than in serum. The antibody was not present in sera from normal individuals; patients with breast cancer without opsoclonus; other patients with opsoclonus; or patients with other paraneoplastic syndromes related to breast, ovarian, or small-cell lung cancer. We conclude that the presence of anti-Ri antibody identifies a subset of patients with paraneoplastic ataxia and eye movement disorders (opsoclonus) who usually suffer from breast or other gynecological cancer; the antibody when present is a useful marker for an underlying malignancy.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0364-5134
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
241-51
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:2042940-Aged,
pubmed-meshheading:2042940-Antibodies, Anti-Idiotypic,
pubmed-meshheading:2042940-Antibodies, Neoplasm,
pubmed-meshheading:2042940-Blotting, Western,
pubmed-meshheading:2042940-Breast Neoplasms,
pubmed-meshheading:2042940-Cerebral Cortex,
pubmed-meshheading:2042940-Eye Movements,
pubmed-meshheading:2042940-Female,
pubmed-meshheading:2042940-Humans,
pubmed-meshheading:2042940-Immunohistochemistry,
pubmed-meshheading:2042940-Middle Aged,
pubmed-meshheading:2042940-Neurons,
pubmed-meshheading:2042940-Paraneoplastic Syndromes
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pubmed:year |
1991
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pubmed:articleTitle |
Anti-Ri: an antibody associated with paraneoplastic opsoclonus and breast cancer.
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pubmed:affiliation |
Department of Neurology, Neuro-Oncology Memorial Sloan-Kettering Cancer Center, New York, NY.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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