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Pathogenic human autoantibodies against NMDA receptor alter dendritic spine size
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Pathogenic human autoantibodies against NMDA receptor alter dendritic spine size
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Pathogenic human autoantibodies against NMDA receptor alter dendritic spine size
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Pathogenic human autoantibodies against NMDA receptor alter dendritic spine size
Pathogenic human autoantibodies against NMDA receptor alter dendritic spine size
Journal Article

Pathogenic human autoantibodies against NMDA receptor alter dendritic spine size

2026
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Overview
Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis (NMDARE) is an autoimmune neurological disorder associated with anti-NMDAR antibodies (NMDAR-Ab), leading to synaptic dysfunction. While the effect of NMDAR-Ab on receptor internalization is well documented, its effect on dendritic protrusion morphology remains unclear. To investigate how NMDAR-Ab alters dendritic protrusion size and the associated molecular mechanisms using patient-derived sera. Cultured hippocampal neurons were treated with sera from patients with NMDARE. Protrusion size and the phosphorylation of cofilin, a regulator of actin dynamics, were also assessed. Exposure to NMDAR-Ab significantly decreased dendritic protrusion width and length while increasing protrusion density. Mechanistically, NMDAR-Ab decreased cofilin phosphorylation in dendritic protrusions. The reduction in spine size was partially reversible upon discontinuation of antibody treatment, except for the reduction in phosphorylated cofilin levels. NMDAR-Ab induced changes in dendritic protrusion size, along with alterations in actin dynamics, which may contribute to the cognitive and behavioral symptoms of NMDARE.