Is narcolepsy a classical autoimmune disease?

Narcolepsy is a neurological disorder characterized by excessive daytime sleepiness. It is caused by the loss of orexin producing neurons in the lateral hypothalamus. Current evidences suggest an autoimmune mediated process causing the specific loss of orexin neurons. The high association of the dis...

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Bibliographic Details
Authors: Arango, María-Teresa, Kivity, Shaye, Shoenfeld, Yehuda
Format: article
Status:Published version
Publication Date:2015
Country:Colombia
Institution:Universidad del Rosario
Repository:Repositorio EdocUR - U. Rosario
Language:English
OAI Identifier:oai:repository.urosario.edu.co:10336/22798
Online Access:https://doi.org/10.1016/j.phrs.2014.10.005
https://repository.urosario.edu.co/handle/10336/22798
Access Level:Open access
Keyword:Alpha tocopherol
As03 vaccine
Autoantibody
Autoantigen
Cathepsin g
Dna methyltransferase 1
Hla dqa1 antigen
Hla dqb1 antigen
Influenza vaccine
Interleukin 4
Trib2 antibody
Tumor necrosis factor alpha
Unclassified drug
Virus vaccine
Autoimmune disease
Autoimmunity
Cd4+ t lymphocyte
Dna polymorphism
Environmental factor
High risk patient
Human
Immune response
Immunopathogenesis
Influenza
Narcolepsy
Nonhuman
Priority journal
Review
Streptococcus infection
T lymphocyte
Th1 cell
Th2 cell
Vaccination
Animal
Autoimmune diseases
Genetics
Immunology
Influenza a virus (h1n1)
Animals
Autoantibodies
Autoantigens
Humans
Influenza vaccines
Adjuvant
Asia syndrome
H1n1
Infections
human
h1n1 subtype
Influenza a virus
Description
Summary:Narcolepsy is a neurological disorder characterized by excessive daytime sleepiness. It is caused by the loss of orexin producing neurons in the lateral hypothalamus. Current evidences suggest an autoimmune mediated process causing the specific loss of orexin neurons. The high association of the disease with the HLA DQB1?06:02, as well as the link with environmental factors and are important clues supporting this theory. Recently, the association between the occurrence of the disease and vaccination campaign after the 2009 H1N1 pandemic highlighted the importance to increase the knowledge in the Pandora box of the vaccines. This review discusses the last finding regarding the pathogenesis of the disease and its relationship with the H1N1 vaccines. © 2014 Elsevier Ltd. All rights reserved.