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Table 4 Results from a systematic review of studies included in the review

From: What is the significance of onconeural antibodies for psychiatric symptomatology? A systematic review

Source

Country-period

Sites (design)

Study population

Nr. of individuals with IgG onc. Abs./ in study

Patients with tumors

Age (y, median/

*mean); % female

Abs studied

Onc. Abs. studied

Analytic method

Psychiatric reference standard (ICD-10, DSM-IV and IIIR)

Prevalence psychiatric symptoms in study/onc. Ab. pos. Pat.

Psychiatric symptoms reported in onc. Ab. pos. Pat.

Hammack et al. 1990 [25]

US (NY) -?

S (r)

PCD

16/32

27/32

?; 50

Anti-Purk. cell Abs

Anti-Purk. cell Abs

IIF

None

28%/38%

Depr., psychosis

Dalmau et al. 1992 [26]

US (NY) – 83-90

3 (r)

Hu-ass par. enc. myel./ sens neur.

71/71

62/71

60; 55

Hu

Hu

WB, Im.hi.

None

21%/21%

Depr., anxiety, mem. Loss, hall.

Peterson et al. 1992 [27]

US -? -91

M (r)

Yo-pos pat

55/55

52/55

61; 100

Yo

Yo

WB, Im.hi.

None

18%/18%

Emo. lab., mem. Def.

Alamowitch et al. 1997 [28]

? - 87-94

S (r)

LE and SCLC

8/16

16/16

?; 13

Hu

Hu

Im.bl, Im.hi.

None

88%/88%

Depr., anx., pers. ch, hall.

Black et al. 1998 [29]

US (Roch) -?

S (c)

OCD pat

0/13

?

36; 46

14

Yo, Hu, Ri, Amph

IIF

DSM-IIIR

100%/−

-

Voltz et al. 1999 [31]

US (NY) -?

S (r)

Testis cancer and PLE

10/19

19/19

?; 0

Ma2

Ma2

WB, Im.hi.

None

?/40%

Anxiexy., depr., hall.

Antoine et al. 1999 [30]

France - 72-96

1 (r)

Amphiphysin pos pa

5/5

5/5

67; 40

Amph.

Amph.

WB, Im.hi.

None

?/20%

Anxiexy., depr., hall.

Gultekin et al. 2000 [2]

US (NY) -?

S (r)

PLE

30/50

48/50

55; 46

6

Hu, Ma1, Ma2, CRMP-5/CV2

Im.bl, Im.hi.

None

42%/?

?

Yu et al. 2001 [32]

US (Minn) - 93-00

1 (r)

CRMP5 (CV2) pos patients

116/116

105/116

?; 58

CRMP-5/CV2

CRMP-5/CV2

Im.bl, IIF

None

21%/21%

Pers ch., depr., psychosis

Sillevis Smitt et al. 2002 [33]

Netherlands– 89 – 99

S (r)

Hu-ass. par. enc.myel./

sensory neuronopathy

73/73

62/73

66; 34

Hu

Hu

WB, IIF

None

2.7%/2.7%

Depr.

Lawn et al. 2003 [34]

Us (Roch) 85–02

S (r)

PLE

10/24

24/24

61; 63

11

Hu, Ri, Yo, Tr, CRMP-5/CV2, Amph

WB, IIF

None

50/?

Depr., anxiety, pers. ch, hall.

Overeem et al. 2004 [36]

US (AR) -?

S (r)

Ma2 ass. enc.

6/6

6/6

49; 50

Ma2

Ma2

Im. bl.

None

50%/50%

Depr., pers. ch.

Dalmau et al. 2004 [35]

US (Penn) -?

2 (r)

Ma2-ass. enc.

38/38

34/38

?; 32

Ma1/Ma2

Ma1/Ma2

Im. bl.

None

11%/11%

Nerv. br.down, loss of self-conf., panic attack

Hoffman et al. 2008 [37]

Germany/England – 99-05

2 (r)

Anti-Ma1/Ma2 ass. PNS

22/22

17/22

60; 36

Ma1/Ma2

Ma1/Ma2

Im.bl., IIF.

None

18%

OCS, pers. ch., aff. Symptoms

McKeon et al. 2011 [38]

US (Minn, Ari, Flor) - 87-07

3 (r)

Yo-pos p

83/83

73/83

60; 100

Yo

Yo

IIF

None

5%/5%

Pers. ch.

Chiaie et al. 2012 [39]

Italy -?

S (c)

Psychiatric pat

PCD pat

Healthy controls

11/48

22/22

0/52

0/48

22/22

0/52

36*; 13

56*; 68

44*; 50

5

Anti-Purk. cell Abs

IIF

DSM-IV

100%/100%

Schizophrenia, bipolar disord., OCD

Saraya et al. 2013 [40]

Thailand. - 10-12

17 (p)

Autoimmune encephalitis

9/103

6/103

?; 68

20

Hu, Ri, Yo, Tr, CRMP-5/CV2, Amph, SOX1

Im.bl, IIF

None

?/33%

Psychosis, Beh ch.

Dahm et al. 2014 [41]

Germany – 05-11

M (c)

Healthy

Schizophrenia

Aff. disord.

Bord. pers. disord.

47/1703

38/1378

8/310

0/42

?

?; 40

24

Amph, Ma1, Ma2, CRMP-5/CV2, Tr, Hu, Rec, Ri, Yo

IIF

DSM-IV

100%/100%

-

Moon et al. 2014 [47]

South Korea– 12-14

S (r)

Non-stiff amphiphysin syndrome

20/20

7/20

58*; 40

12

Amph., Hu, Yo, Ri, Ma2, CRMP-5.

Im.bl.

None

25%/25%

Irritability, psychosis

Laadhar et al. 2015 [17]

Tunisia -?

S (c)

Psychiatric pat

Healthy controls

5/103

0/41

0/103

0/41

43*; 28

41*; 22

ANNA, PCA1, ANA

Hu, Ri, Yo

WB, IIF

DSM-IV

100%/100%

Schizophrenia, schizoaff. And bipolar disord.

Haukanes et al. 2015 [43]

Norway -?

S (c)

ADHD pat

Healthy controls

0/169

0/56

0/169

0/56

33*; 50

35*; 55

Yo, Amph, CRMP-5, Ma2, Ri, Hu

Yo, Amph, CRMP-5/CV2, Ma2, Ri, Hu

Im.bl, WB, IIF

DSM-IV

100%/−

-

Kruse et al. 2015 [44]

US (Roch)- 02–11

S (r)

Psychiatric inpat

Healthy controls

1/213

0/173

?

?;?

?

Hu, Ri, SOX1, Yo, CRMP-5/CV2, Amph, Tr

Im.bl, IIF, ELISA

Chart review

100%/100%

Pers ch, paranoia, agitation etc

Endres et al. 2015 [42]

Germany – 06-13

S (c)

Pat with psychotic synd. (CSF)

5/142 (180)

0/180

35*; 56

14

Yo, Hu, Ri, CRMP-5/CV2, Ma1, Ma2, SOX1, Amph

Im.bl.

?

100%/100%

Schizophreniform or schizoaff. synd.

Sæther et al. 2016 [46]

Norway – 04-06

S (c)

Acutely admitted psychiatric inpat

1/585

?

41*; 51.8

15

Yo, Amph, CRMP-5/CV2, Hu, Ri, Ma2, Rec

Im.bl, IIF

ICD-10

100%/100%

Paranoid psychosis

Endres et al. 2016 [45]

Germany – 06 – 13

S (c)

Pat with depressive synd. (CSF)

0/63 (125)

?

53*; 48

?

Yo, Hu, Ri, CRMP-5/CV2, Ma1, Ma2, SOX1, Amph

Im.bl.

?

100%/−

-

Hansen et al. 2016 [48]

Germany – 07-15

S (r)

PLE:

GAD65

Onconeur. abs

0/11

11/11

?

1/11

41; 64

43; 73

22

Ma1/2, Hu, Ri, Yo, SOX1, CRMP-5, Recoverin, Amph.

Im. hi., Im.bl.

 

66%/73%

Depression

Schwenkenbecher et al. 2016 [49]

Germany – 96-15

S (r)

Hu-pos. Pat with PS

18/18

16/18

61; 61

Hu

Hu

Im.hi., im.bl.

None

?/?

Aggressive-ness, anxiety

  1. Abbreviations: Abs Antibodies, ADHD Attention Deficit Hyperactivity Disorder, Aff. disord Affective disorder, Amph Amhiphysin, Ari. Arizona, AR. Arkansas, Ass. Associated, Beh ch. Behavior changes, Bord. pers. disord. Bordeline personality disorder, C Cross-sectional, CRMP-5 Collapsin Response Mediator Protein-5, CSF Cerebrospinal Fluid, Depr Depression, DSM Diagnostic and Statistical Manual of Mental disorders, ELISA Enzyme-linked immunosorbent assay, Emo. lab. Emotional lability, Enc. Encephalitis, Flor. Florida, Hall. Hallucinations, Hu-ass. par.enc.myel. Hu-associated paraneoplastic encephalomyelitis, ICD-10 International Classification of Diseases-10, IIF Indirect Immunofluorescence, Im.bl. Immunoblot, Im. hi. Immunohistochemistry, Inpat Inpatients, LE Limbic encephalitis, Ma2-ass. enc. Ma2-associated encephalitis, M Multicenter, Mem.def. Memory deficit, Mem. loss Memory loss, Minn. Minnesota, Myel. Myelitis, Nerv.br.down Nervous breakdown, NY New York, OCD Obsessive-compulsive disorder, OCS Obsessive-compulsive symptoms, Onc. Onconeural, Pat Patients, P Prospective, PCD Paraneoplastic Cerebellar Degeneration, Pers ch. Personality changes, Pm ret. Psychomotor retardation, PCD Paraneoplastic cerebellar degeneration, Penn. Pennsylvania, PLE Paraneoplastic Limbic Encephalitis, PNS Paraneoplastic neurological syndrome, Pos. Positive, Purk. cell Purkinje-cell, Rec. Recoverin, R Retrospective, Roch. Rochester, S Single-center, Schizoaff. synd. Schizoaffective syndrome, SCLC Small Cell Lung Cancer, Self-conf. Self-confidence, Susp. Suspected, Synd. Syndrome, WB Western Blot, Y Years
  2. *Mean