Open Access
CC BY 4.0 · Arq Neuropsiquiatr 2025; 83(04): s00451805073
DOI: 10.1055/s-0045-1805073
Review Article

Immune-mediated insights into clinical and specific autoantibodies in acute and chronic immune-mediated nodo-paranodopathies

Authors

  • Marcus Vinícius Magno Gonçalves

    1   Universidade da Região de Joinville, Curso de Medicina, Departamento de Neurologia, Joinville SC, Brazil.
  • Pedro José Tomaselli

    2   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.
  • Wilson Marques Junior

    2   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.
    3   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Instituto Nacional de Ciência e Tecnologia Translacional em Medicina (INCT-TM), Ribeirão Preto SP, Brazil.
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Abstract

The recognition of the molecular structures, namely the node of Ranvier and the axonal regions surrounding it (the paranode and juxtaparanode), as the primary target for specific autoantibodies has introduced a new site for neurological location (microtopographic structures), in contrast to the prevailing understanding, in which lesions to neural macrostructures (roots, nerves, and/or plexus) were the focus of semiologists and electrophysiologists for topographic, syndromic, and nosological diagnoses. Therefore, there was a need to understand and characterize the components of these neural microstructures that are grouped in small regions within the nerve to optimize clinical and therapeutic reasoning.

Authors' Contributions

All authors contributed to the conceptualization and design of the work, data acquisition, analysis and/or interpretation of data, and writing or review of the manuscript. All authors approved the final version of the manuscript and agree to be responsible for all aspects of the work.


Editor-in-Chief: Hélio A. G. Teive.


Associate Editor: Francisco Gondim.




Publikationsverlauf

Eingereicht: 22. Oktober 2024

Angenommen: 26. Dezember 2024

Artikel online veröffentlicht:
19. März 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Marcus Vinícius Magno Gonçalves, Pedro José Tomaselli, Wilson Marques Junior. Immune-mediated insights into clinical and specific autoantibodies in acute and chronic immune-mediated nodo-paranodopathies. Arq Neuropsiquiatr 2025; 83: s00451805073.
DOI: 10.1055/s-0045-1805073