Abstract
Purpose
To explore the presence of serum anti-retinal antibodies (ARAs) in the Chinese patients with presumed autoimmune retinopathy (AIR).
Methods
Twenty-three Chinese patients with presumed AIR, disease controls including 40 RP patients, 22 bilateral uveitis patients, 18 acute zonal outer occult retinopathy (AZOOR) patients, and 30 healthy donors were included. Serum samples of all the subjects were obtained and analyzed for the presence of four ARAs including recoverin, α-enolase, carbonic anhydraseII (CAII), and collapsin response-mediated protein (CRMP)-5 by Western bolt assay.
Results
ARAs were present in the serum of either presumed AIR patients, disease control, or healthy donors. One or more ARAs were present in the 78.2% of presumed AIR while they were indicated in the 35.0% of RP patients (p < 0.01) and 33.3% of healthy donors (p < 0.01). The prevalence of ARAs in the bilateral uveitis and AZOOR was 63.3% and 100% respectively. Positive rate of α-enolase antibody present in the presumed AIR, disease control, and healthy donors was 73.9%, 47.5%, and 33.3% respectively. Positive rate of CAII antibody present above groups was 52.1%, 50%, and 33.3% respectively. Recoverin antibody seemed to be specifically present in the serum of patients with cancer-associated retinopathy.
Conclusion
Presence of serum ARAs including recoverin, α-enolase, CAII, or CRMP-5 in the Chinese patients with presumed AIR occurred significantly more often than RP patients and healthy donors. Seropositivity of ARAs had diagnostic value for the presumed AIR but mere presence was not sufficient for the diagnosis due to identification of them in the healthy controls and other retinal diseases.
Similar content being viewed by others
References
Grange L, Dalal M, Nussenblatt RB, Sen HN (2014) Autoimmune retinopathy. Am J Ophthalmol 157:266–272
Adamus G, Ren G, Weleber RG (2004) Autoantibodies against retinal proteins in paraneoplastic and autoimmune retinopathy. BMC Ophthalmol 4:5
Heckenlively JR, Ferreyra HA (2008) Autoimmune retinopathy: a review and summary. Semin Immunopathol 30:127–134
Adamus G (2018) Are anti-retinal autoantibodies a cause or a consequence of retinal degeneration in autoimmune retinopathies? Front Immunol 9:765
Hooks JJ, Tso MO, Detrick B (2001) Retinopathies associated with antiretinal antibodies. Clin Diagn Lab Immunol 8:853–858
Shimazaki K, Jirawuthiworavong GV, Heckenlively JR, Gordon LG (2008) Frequency of anti-retinal antibodies in normal human serum. J Neuroophthalmol 28:5–11
Rahimy E, Sarraf D (2013) Paraneoplastic and non-paraneoplastic retinopathy and optic neuropathy: evaluation and management. Surv Ophthalmol 58:430–438
Heckenlively JR, Fawzi AA, Oversier J, Jordan BL, Aptsiauri N (2000) Autoimmune retinopathy patients with antirecoverin immunoreactivity and panretinal degeneration. Arch Ophthalmol 118:1525–1533
Adamus G, Webb S, Shiraga S, Duvoisin RM (2006) Anti-recoverin antibodies induce an increase in intracellular calcium, leading to apoptosis in retinal cells. J Autoimmun 26:146–153
Abraham S, Sudharshan S, Bhende M, Ganesh SK, Gopal S (2017) Antiretinal antibody—proven autoimmune retinopathy. Indian J Ophthalmol 65:416–420
Magrys A, Anekonda T, Ren G, Adamus G (2007) The role of anti-alpha-enolase autoantibodies in pathogenicity of autoimmune-mediated retinopathy. J Clin Immunol 27:181–192
Adamus G, Karren L (2009) Autoimmunity against carbonic anhydrase II affects retinal cell functions in autoimmune retinopathy. J Autoimmun 32:133–139
Gordon LK (2015) Paraneoplastic syndromes in neuro-ophthalmology. J Neuro Ophthalmol 35:306–314
Yu Z, Kryzer TJ, Griesmann GE, Benarroch EE, Lennon VA (2001) CRMP-5 neuronal autoantibody: marker of lung cancer and thymoma-related autoimmunity. Ann Neurol 49:146–154
Sawyer RA, Selhorst JB, Zimmerman LE, Hoyt WF (1976) Blindness caused by photoreceptor degeneration as a remote effect of cancer. Am J Ophthalmol 81:606–613
Adamus G (2009) Autoantibody targets and their cancer relationship in the pathogenicity of paraneoplastic retinopathy. Autoimmun Rev 8:410–414
Weleber RG, Watzke RC, Shults WT, Trzupek KM, Heckenlively JR, Egan RA, Adam G (2005) Clinical and electrophysiologic characterization of paraneoplastic and autoimmune retinopathies associated with antienolase antibodies. Am J Ophthalmol 139:780–794
Ganesh SK, Ahmed AS (2017) Autoimmune retinopathy: a case report from India. Oman J Ophthalmol 10:40–43
Choi EY, Kim M, Adamus G, Koh HJ, Lee SC (2016) Non-paraneoplastic autoimmune retinopathy: the first case report in Korea. Yonsei Med J 57:527–531
Saito W, Kase S, Ohguro H, Ishida S (2013) Autoimmune retinopathy associated with colonic adenoma. Graefes Arch Clin Exp Ophthalmol 25:1447–1449
Fox AR, Gordon LK, Heckenlively JR et al (2016) Consensus on the diagnosis and management of nonparaneoplastic autoimmune retinopathy using a modified Delphi approach. Am J Ophthalmol 168:183–190
Ten Berge JC, Schreurs MW, Vermeer J, Meester-Smoor MA, Rothova A (2016) Prevalence and clinical impact of antiretinal antibodies in uveitis. Acta Ophthalmol 94:282–288
Saito M, Saito W, Kanda A, Ohguro H, Ishida S (2014) A case of paraneoplastic optic neuropathy and outer retinitis positive for autoantibodies against collapsin response mediator protein-5, recoverin, and α-enolase. BMC Ophthalmol 14:5
Huang HB, Wei SH, Li Y et al (2013) Clinical characteristics of paraneoplastic retinopathy and optic neuropathy. Zhonghua Yan Ke Za Zhi 49:507–513
Qian CX, Wang A, DeMill DL, Jayasundera T, Branham K, Abalem MF, Khan N, Heckenlively JR (2017) Prevalence of antiretinal antibodies in acute zonal occult outer retinopathy: a comprehensive review of 25 cases. Am J Ophthalmol 176:210–218
Forooghian F (2017) Prevalence of Antiretinal antibodies in acute zonal occult outer retinopathy: a comprehensive review of 25 cases. Am J Ophthalmol 179:210–211
Funding
This work was supported by Beijing Municipal Health System High-level Professionals training Program 2015.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Zeng, Hy., Liu, Q., Peng, Xy. et al. Detection of serum anti-retinal antibodies in the Chinese patients with presumed autoimmune retinopathy. Graefes Arch Clin Exp Ophthalmol 257, 1759–1764 (2019). https://doi.org/10.1007/s00417-019-04359-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-019-04359-2