Does autoreactivity have a role in narcolepsy?
: Markku Partinen, Birgitte Rahbek Kornum, Giuseppe Plazzi, Poul Jennum, Ilkka Julkunen, Outi Vaarala
Publisher: Elsevier Inc.
: 2014
: Lancet Neurology
: Lancet Neurol
: 13
: 11
: 1072
: 1073
: 2
: 1474-4422
DOI: https://doi.org/10.1016/S1474-4422(14)70168-1
In our recent Review of the sleep disorder narcolepsy, we included the hypothesis that type 1 narcolepsy is an autoimmune disease. As part of this discussion, we identified hypocretin as a possible target of an autoimmune attack leading to narcolepsy. At the time of writing, this idea was supported by data from a report by De la Herrán-Arita and colleagues, which has since been retracted. The retraction was based on an inability of the researchers to reproduce their finding of T-cell reactivity towards hypocretin and H1N1 antigenic epitopes. In view of this retraction, no direct evidence exists of autoreactive T cells playing a part in the pathophysiology of narcolepsy.