Immunology of paraneoplastic syndromes: Overview Conference Paper


Author: Posner, J. B.
Title: Immunology of paraneoplastic syndromes: Overview
Conference Title: 10th International Conference on Myasthenia Gravis and Related Disorders
Abstract: Cancers that cause disturbances of organs or tissues remote from the site of the tumor or its metastases are called paraneoplastic syndromes. The nervous system can be affected at virtually any site, including the neuromuscular junction (e.g., Lambert-Eaton myasthenic syndrome, myasthenia gravis). Paraneoplastic syndromes affecting the central nervous system are characterized by (1) high titers of antibodies that react with both the cancer and the affected portion of the nervous system, (2) specifically reacting T cells in the blood and cerebrospinal fluid, and (3) autopsy evidence of neuronal destruction, inflammatory infiltrates, and antibody penetration. Clinically, paraneoplastic syndromes affecting the central nervous system are usually subacute in onset, rapid in evolution, and cause severe damage, but generally stabilize after several months with or without treatment. Immune suppression does not appear to be particularly effective in treating these disorders. Treatment of the underlying cancer sometimes ameliorates symptoms.
Keywords: clinical feature; conference paper; cancer incidence; neoplasms; t lymphocyte; animals; disease association; cancer immunotherapy; incidence; immunoglobulin; plasmapheresis; disease severity; cerebrospinal fluid; cancer cytodiagnosis; brain metastasis; autoimmunity; inflammatory infiltrate; autopsy; eaton lambert syndrome; myasthenia gravis; paraneoplastic syndrome; thymoma; onset age; thymus neoplasms; autoantibodies; thymus cancer; antibody titer; immunopathogenesis; nerve cell necrosis; nervous system diseases; neuromuscular synapse; antigen antibody reaction; paraneoplastic syndromes; paraneoplastic; cancer; humans; human; allotype suppression
Journal Title Annals of the New York Academy of Sciences
Volume: 998
Conference Dates: 2002 May 29-Jun 1
Conference Location: Key Biscayne, FL
ISBN: 0077-8923
Publisher: John Wiley & Sons  
Date Published: 2003-09-01
Start Page: 178
End Page: 186
Language: English
DOI: 10.1196/annals.1254.018
PUBMED: 14592873
PROVIDER: scopus
DOI/URL:
Notes: Chapter in "Myasthenia Gravis and Related Disorders: Biomchemical Basis for Disease of the Neuromuscular Junction" (ISBN: 9781573313964) -- Export Date: 25 September 2014 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Jerome B Posner
    211 Posner
Related MSK Work