1993
DOI: 10.1084/jem.178.6.2219
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The synaptic vesicle-associated protein amphiphysin is the 128-kD autoantigen of Stiff-Man syndrome with breast cancer.

Abstract: SummaryStiff-Man syndrome (SMS) is a rare disease of the central nervous system (CNS) characterized by progressive rigidity ofthe body musculature with superimposed painful spasms. An autoimmune origin of the disease has been proposed . In a caseload of more than 100 SMS patients, 60% were found positive for autoantibodies directed against the GABA-synthesizing enzyme glutamic acid decarboxylase (GAD). Few patients, all women affected by breast cancer, were negative for GAD autoantibodies but positive for auto… Show more

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Cited by 301 publications
(198 citation statements)
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“…Unlike amphiphysin, it has a broad expression in several mouse tissues and may be seen as a ubiquitous amphiphysin homologue. In patients with stiff-man syndrome associated with breast cancer (15), it is a potential target outside the brain for anti-amphiphysin autoantibodies. From one mouse tissue to the other, the expression of amphiphysin 2 seems to be dependent on multiple transcripts, generated either by different sites of initiation/polyadenylation or by alternative splicing.…”
Section: Resultsmentioning
confidence: 99%
“…Unlike amphiphysin, it has a broad expression in several mouse tissues and may be seen as a ubiquitous amphiphysin homologue. In patients with stiff-man syndrome associated with breast cancer (15), it is a potential target outside the brain for anti-amphiphysin autoantibodies. From one mouse tissue to the other, the expression of amphiphysin 2 seems to be dependent on multiple transcripts, generated either by different sites of initiation/polyadenylation or by alternative splicing.…”
Section: Resultsmentioning
confidence: 99%
“…Pain, which is localized in the areas in which rigidity is observed, is persistent and worsening of pain might sometimes be the first symptom (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Pain that is localized in the low back is associated with an increased lumbar lordosis and concomitant muscle spasms because of paraspinal muscle rigidity.…”
Section: Discussionmentioning
confidence: 99%
“…Five percent of patients have been reported to have the paraneoplastic condition (1,3,6,8). In some cases that develop with neoplasms, such as breast cancer, anti-amphiphiles or anti-gephyrin autoantibody positivity has been reported (9,10).…”
Section: Introductionmentioning
confidence: 99%
“…Antiamphiphysin antibodies, syndromically associated with stiff-person syndrome (De Camilli et al, 1993), have also been associated with myelopathy . Of a series of 63 patients with antiamphiphysin antibodies, 18 manifested evidence at some point during the course of their illness and in 6 the myelopathy was the only neurologic manifestation (one man with malignant melanoma and five women: three with breast cancer, one with small cell lung cancer, and one without detected tumor).…”
Section: Antiamphiphysin Autoantibodiesmentioning
confidence: 99%