KOLČAVA, Jan, Jiří LITZMAN, Josef BEDNAŘÍK, Jakub STULÍK and Pavel ŠTOURAČ. Neurological manifestation of immune system dysregulation resulting from CTLA-4 receptor mutation: a case report. MULTIPLE SCLEROSIS AND RELATED DISORDERS. OXFORD: ELSEVIER SCI LTD, 2020, vol. 45, October 2020, p. 1-4. ISSN 2211-0348. Available from: https://dx.doi.org/10.1016/j.msard.2020.102313.
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Basic information
Original name Neurological manifestation of immune system dysregulation resulting from CTLA-4 receptor mutation: a case report
Name in Czech Neurologická manifestace dysregulace imunitního systému při mutaci CTLA-4: kazuistika
Authors KOLČAVA, Jan (203 Czech Republic, belonging to the institution), Jiří LITZMAN (203 Czech Republic, belonging to the institution), Josef BEDNAŘÍK (203 Czech Republic, belonging to the institution), Jakub STULÍK (203 Czech Republic) and Pavel ŠTOURAČ (203 Czech Republic, guarantor, belonging to the institution).
Edition MULTIPLE SCLEROSIS AND RELATED DISORDERS, OXFORD, ELSEVIER SCI LTD, 2020, 2211-0348.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30103 Neurosciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.339
RIV identification code RIV/00216224:14110/20:00116076
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.msard.2020.102313
UT WoS 000582230900002
Keywords in English CTLA-4 antigen; T-lymphocytes; Autoimmunity; Genetic diseases; Demyelinating diseases
Tags 14110114, 14110221, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 13/5/2021 07:44.
Abstract
This contribution reports the case of a young female patient with a cytotoxic T-lymphocyte antigen 4 (CTLA-4) heterozygous missense mutation giving rise to a broad range of autoimmune diseases, including central nervous system inflammation presenting as disseminated intramedullary and infiltrating brain lesions on MRI. Multiple sclerosis was one of the diagnoses considered. CTLA-4 is a negative immune regulator essential for the function of regulatory T-cells, themselves responsible for maintaining self-tolerance and immune homeostasis. Heterozygous germline mutations in CTLA-4 may lead to an autosomal dominant immune dysregulation syndrome with highly variable phenotype, including various immunodeficiency and autoimmune diseases, along with neurological manifestations.
Links
MUNI/A/1325/2019, interní kód MUName: Diagnostika a patofyziologie neuropatické bolesti (Acronym: PNB)
Investor: Masaryk University, Category A
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