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TitleStructural and functional mechanisms of anti-NMDAR autoimmune encephalitis.
Journal, issue, pagesNat Struct Mol Biol, Year 2024
Publish dateSep 3, 2024
AuthorsKevin Michalski / Taha Abdulla / Sam Kleeman / Lars Schmidl / Ricardo Gómez / Noriko Simorowski / Francesca Vallese / Harald Prüss / Manfred Heckmann / Christian Geis / Hiro Furukawa /
PubMed AbstractAutoantibodies against neuronal membrane proteins can manifest in autoimmune encephalitis, inducing seizures, cognitive dysfunction and psychosis. Anti-N-methyl-D-aspartate receptor (NMDAR) ...Autoantibodies against neuronal membrane proteins can manifest in autoimmune encephalitis, inducing seizures, cognitive dysfunction and psychosis. Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is the most dominant autoimmune encephalitis; however, insights into how autoantibodies recognize and alter receptor functions remain limited. Here we determined structures of human and rat NMDARs bound to three distinct patient-derived antibodies using single-particle electron cryo-microscopy. These antibodies bind different regions within the amino-terminal domain of the GluN1 subunit. Through electrophysiology, we show that all three autoantibodies acutely and directly reduced NMDAR channel functions in primary neurons. Antibodies show different stoichiometry of binding and antibody-receptor complex formation, which in one antibody, 003-102, also results in reduced synaptic localization of NMDARs. These studies demonstrate mechanisms of diverse epitope recognition and direct channel regulation of anti-NMDAR autoantibodies underlying autoimmune encephalitis.
External linksNat Struct Mol Biol / PubMed:39227719
MethodsEM (single particle)
Resolution3.69 - 4.42 Å
Structure data

EMDB-43530, PDB-8vuh:
Human GluN1-2A IgG 003-102 splayed conformation
Method: EM (single particle) / Resolution: 4.42 Å

EMDB-43531, PDB-8vuj:
Human GluN1-2A with Fab 003-102
Method: EM (single particle) / Resolution: 3.92 Å

EMDB-43532, PDB-8vul:
Human GluN1-2A with Fab 003-102 Local refinement of ATD
Method: EM (single particle) / Resolution: 3.83 Å

EMDB-43534, PDB-8vun:
Human GluN1-2A With Fab 008-218
Method: EM (single particle) / Resolution: 4.01 Å

EMDB-43536, PDB-8vuq:
Human GluN1-2A with Fab 008-218 Local refinement of ATD
Method: EM (single particle) / Resolution: 3.85 Å

EMDB-43537, PDB-8vur:
Human GluN1-2A with IgG 003-102 WT conformation
Method: EM (single particle) / Resolution: 3.84 Å

EMDB-43538, PDB-8vus:
Human GluN1-2A with IgG 007-168
Method: EM (single particle) / Resolution: 3.99 Å

EMDB-43539, PDB-8vut:
Human GluN1-2A with IgG 008-218
Method: EM (single particle) / Resolution: 3.7 Å

EMDB-43540, PDB-8vuu:
Human GluN1-2B with Fab 007-168
Method: EM (single particle) / Resolution: 4.05 Å

EMDB-43541, PDB-8vuv:
Human GluN1-2B with Fab 007-168 Local refinement of ATD
Method: EM (single particle) / Resolution: 3.69 Å

EMDB-43544, PDB-8vuy:
Rat GluN1-2B with Fab 003-102
Method: EM (single particle) / Resolution: 3.81 Å

EMDB-43559, PDB-8vvh:
rat GluN1a-2B Fab 003-102 local refinement
Method: EM (single particle) / Resolution: 3.95 Å

Source
  • homo sapiens (human)
  • rattus norvegicus (Norway rat)
KeywordsMEMBRANE/IMMUNE SYSTEM / Receptor / antibody / ion channel / MEMBRANE-IMMUNE SYSTEM complex / MEMBRANE PROTEIN/IMMUNE SYSTEM / Channel / heterotetramer / MEMBRANE PROTEIN-IMMUNE SYSTEM complex / MEMBRANE PROTEIN

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