Biomarkers of neuroaxonal and astrocytic pathology in autoimmune encephalitis

Overall, acute AE is characterized by elevated markers of neuronal and astrocytic pathology. Low levels of sNfL in chronic AE, regardless of current function, suggest that ongoing neuroaxonal injury is unlikely. However, elevated sGFAP in AE patients with ongoing sequalae, most notably cognitive dysfunction, suggest there may be ongoing changes that contribute to the chronic AE disease course.

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Publication Details

Journal
Brain Behavior and Immunity
Published
2025-12-06
DOI
https://doi.org/10.1016/j.bbi.2025.106206
Primary Topic
Autoimmune Neurological Disorders and Treatments
Type
article
Field-Weighted Citation Impact
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article

Biomarkers of neuroaxonal and astrocytic pathology in autoimmune encephalitis

Richard Macdonell, Charles Benjamin Malpas, Andrew Duncan, Terence John O'Brien et al.
Brain Behavior and Immunity
Autoimmune Neurological Disorders and Treatments
article

Biomarkers of neuroaxonal and astrocytic pathology in autoimmune encephalitis

Richard Macdonell, Charles Benjamin Malpas, Andrew Duncan, Terence John O'Brien, Udaya Seneviratne, Robb Wesselingh, Yi Chao Foong, Tomáš Kalinčík, Ernest Butler, Liora ter Horst, Katherine Ko, Mastura Monif, Amy G. Brodtmann, Christina Kazzi, David Gillis, Anneke van der Walt, Nabil Seery, Genevieve Skinner, Cassie Nesbitt, Tracie Tan, Stefan Blum, Sarah Griffith, Todd A. Hardy, Mirasol Forcadela, Stuart J. McDonald, Wendyl D’Souza, Amy J. Halliday, Hannah Ford, Paul G. Sanfilippo, Sudarshini Ramanathan, William T. O’Brien, Stephen Reddel, Jennifer Macintyre, Tiffany Rushen, Katherine Buzzard, Helmut Butzkueven
article en

Abstract

Overall, acute AE is characterized by elevated markers of neuronal and astrocytic pathology. Low levels of sNfL in chronic AE, regardless of current function, suggest that ongoing neuroaxonal injury is unlikely. However, elevated sGFAP in AE patients with ongoing sequalae, most notably cognitive dysfunction, suggest there may be ongoing changes that contribute to the chronic AE disease course.

Brain Behavior and ImmunityVol. 132
Concord Hospital (US), The Royal Melbourne Hospital (AU), The University of Melbourne (AU), Geelong Hospital (AU), Concord Repatriation General Hospital (AU), Princess Alexandra Hospital (AU), Royal Hobart Hospital (AU), St Vincent's Hospital Melbourne (AU), Eastern Health (AU), Peninsula Health (AU), Monash Health (AU), Austin Health (AU), Monash University (AU)
Openalex Percentile: Top 47%
Autoimmune Neurological Disorders and Treatments
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