Neuroinflammation in <scp>GAD65</scp> Antibody‐Associated Epilepsy Measured Using [ <scp> <sup>18</sup> F </scp> ] <scp>DPA</scp> ‐714 <scp>PET</scp> / <scp>MRI</scp>

The timing for initiating immunotherapy in patients with glutamic acid decarboxylase 65 (GAD65) antibody-associated epilepsy is a challenge. We used the translocator protein radioligand [<sup>18</sup>F]DPA-714 and PET to evaluate brain microglial activation. [<sup>18</sup>F]DPA-714 PET brain images of 11 patients with GAD65 antibody-associated epilepsy and seven controls were analyzed. Patients with acute symptomatic seizures presented higher [<sup>18</sup>F]DPA-714 SUVR in the hippocampus than did controls and patients with chronic temporal lobe epilepsy. Our findings highlight that [<sup>18</sup>F]DPA-714 PET/MRI represents a useful tool to assess neuroinflammation in patients with GAD65 antibody-associated epilepsy.

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Publication Details

Journal
Annals of Clinical and Translational Neurology
Published
2026-01-22
DOI
https://doi.org/10.1002/acn3.70324
Primary Topic
Autoimmune Neurological Disorders and Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Neuroinflammation in GAD65 Antibody‐Associated Epilepsy Measured Using [ 18 F ] DPA ‐714 PET / MRI

Xintong Guo, Guanzhong Ni, Yue Liu, Yicong Liu et al.
Annals of Clinical and Translational Neurology
Autoimmune Neurological Disorders and Treatments
article

Neuroinflammation in GAD65 Antibody‐Associated Epilepsy Measured Using [ 18 F ] DPA ‐714 PET / MRI

Xintong Guo, Guanzhong Ni, Yue Liu, Yicong Liu, Ziyi Chen, Jie Chen, Ningning Wang, Yuying Zhang, Heyu Zhang, Jinming Zhang
article en

Abstract

The timing for initiating immunotherapy in patients with glutamic acid decarboxylase 65 (GAD65) antibody-associated epilepsy is a challenge. We used the translocator protein radioligand [<sup>18</sup>F]DPA-714 and PET to evaluate brain microglial activation. [<sup>18</sup>F]DPA-714 PET brain images of 11 patients with GAD65 antibody-associated epilepsy and seven controls were analyzed. Patients with acute symptomatic seizures presented higher [<sup>18</sup>F]DPA-714 SUVR in the hippocampus than did controls and patients with chronic temporal lobe epilepsy. Our findings highlight that [<sup>18</sup>F]DPA-714 PET/MRI represents a useful tool to assess neuroinflammation in patients with GAD65 antibody-associated epilepsy.

Annals of Clinical and Translational Neurology
Sun Yat-sen University (CN), The First Affiliated Hospital, Sun Yat-sen University (CN)
National Natural Science Foundation of China, National Key Research and Development Program of China
Good health and well-being
Openalex Percentile: Top 81%
Autoimmune Neurological Disorders and Treatments
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