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1. Full Text T cells in patients with narcolepsy target self-antigens of hypocretin neurons
by Latorre, Daniela and Kallweit, Ulf and Armentani, Eric and Foglierini, Mathilde and Mele, Federico and Cassotta, Antonino and Jovic, Sandra and Jarrossay, David and Mathis, Johannes and Zellini, Francesco and Becher, Burkhard and Lanzavecchia, Antonio and Khatami, Ramin and Manconi, Mauro and Tafti, Mehdi and Bassetti, Claudio L and Sallusto, Federica
Nature, ISSN 0028-0836, 10/2018, Volume 562, Issue 7725, pp. 63 - 68
Narcolepsy is a chronic sleep disorder caused by the loss of neurons that produce hypocretin. The close association with HLA-DQB1*06: 02, evidence for immune... 
AUTOANTIBODIES | PEPTIDES | MEMORY | MULTIDISCIPLINARY SCIENCES | VACCINATION | CATAPLEXY | ABSENCE | DONORS | TYPE-1 | NAIVE | LOCUS | Narcolepsy - blood | Autoantigens - metabolism | CD8-Positive T-Lymphocytes - pathology | Humans | Intracellular Signaling Peptides and Proteins - immunology | Intracellular Signaling Peptides and Proteins - metabolism | CD4-Positive T-Lymphocytes - pathology | Narcolepsy - diagnosis | Case-Control Studies | Orthomyxoviridae - immunology | CD4-Positive T-Lymphocytes - immunology | Antigens, Viral | Autoimmunity - immunology | Calcium-Calmodulin-Dependent Protein Kinases - immunology | Neurons - metabolism | Autoimmune Diseases - pathology | Orexins - metabolism | Cell Separation | Autoimmune Diseases - immunology | Neurons - immunology | Autoimmune Diseases - diagnosis | Cross Reactions | Narcolepsy - immunology | Orexins - immunology | Autoantigens - immunology | Narcolepsy - cerebrospinal fluid | Immunologic Memory | CD8-Positive T-Lymphocytes - immunology | Calcium-Calmodulin-Dependent Protein Kinases - metabolism | Care and treatment | Narcolepsy | Genetic aspects | Diagnosis | Research | T cells | Risk factors | CD8 antigen | Vaccination | Homology | Lymphocytes T | Cerebrospinal fluid | Blood | Sleep disorders | Lymphocytes | Antigens | Antigen presentation | Blood & organ donations | Orexins | Neurons | Medical treatment | Autoantigens | T cell receptors | Epitopes | Gene expression | Patients | Screens | CD4 antigen | Sleep | Influenza | Histocompatibility antigen HLA | Diabetes
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2. Full Text Antibodies to influenza nucleoprotein cross-react with human hypocretin receptor 2
by Ahmed, Syed Sohail and Volkmuth, Wayne and Duca, José and Corti, Lorenzo and Pallaoro, Michele and Pezzicoli, Alfredo and Karle, Anette and Rigat, Fabio and Rappuoli, Rino and Narasimhan, Vas and Julkunen, Ilkka and Vuorela, Arja and Vaarala, Outi and Nohynek, Hanna and Pasini, Franco Laghi and Montomoli, Emanuele and Trombetta, Claudia and Adams, Christopher M and Rothbard, Jonathan and Steinman, Lawrence
Science Translational Medicine, ISSN 1946-6234, 07/2015, Volume 7, Issue 294, pp. 294ra105 - 294ra105
The sleep disorder narcolepsy is linked to the HLA-DQB1*0602 haplotype and dysregulation of the hypocretin ligand-hypocretin receptor pathway. Narcolepsy was... 
A VIRUS | MEDICINE, RESEARCH & EXPERIMENTAL | MYELIN BASIC-PROTEIN | NARCOLEPSY | SLEEP | PEPTIDES | CELL EPITOPE | B-CELL | PANDEMIC INFLUENZA | MYASTHENIA-GRAVIS | VACCINES | CELL BIOLOGY | Immunoglobulin G - blood | Humans | Vaccination | Molecular Sequence Data | Immunity | Reassortant Viruses - immunology | Mass Spectrometry | Orexin Receptors - immunology | Influenza, Human - virology | Orexin Receptors - chemistry | Seasons | Child | Amino Acid Sequence | Cell Line | Viral Core Proteins - chemistry | Peptides - chemistry | Peptides - immunology | RNA-Binding Proteins - chemistry | RNA-Binding Proteins - immunology | Cross Reactions - immunology | Narcolepsy - immunology | Sequence Alignment | Influenza Vaccines - immunology | Antibodies, Viral - immunology | Viral Core Proteins - immunology | Influenza, Human - immunology
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3. Full Text CD4+ T cell autoimmunity to hypocretin/orexin and cross-reactivity to A 2009 h1n1 influenza a epitope in narcolepsy
by De La Herrán-Arita, Alberto K and Kornum, Birgitte Rahbek and Mahlios, Josh and Jiang, Wei and Lin, G and Hou, Tieying and Macaubas, Claudia and Einen, Mali and Plazzi, Giuseppe and Crowe, Catherine and Newell, Evan W and Davis, Mark M and Mellins, Elizabeth D and Mignot, Emmanuel
Science Translational Medicine, ISSN 1946-6234, 12/2013, Volume 5, Issue 216, pp. 216ra176 - 216ra176
Narcolepsy, a disorder strongly associated with human leukocyte antigen (HLA)-DQA1*01:02/DQB1*06:02 (DQ0602), is characterized by excessive daytime sleepiness,... 
ANTIBODIES | MEDICINE, RESEARCH & EXPERIMENTAL | SUSCEPTIBILITY | VACCINATION | NEURONS | CATAPLEXY | RISK | ASSOCIATION | ONSET | CHILDREN | CELL BIOLOGY | Influenza A Virus, H1N1 Subtype - immunology | Humans | Middle Aged | Autoimmunity - genetics | Molecular Sequence Data | Epitopes, T-Lymphocyte - genetics | Intracellular Signaling Peptides and Proteins - immunology | Male | HLA-DQ beta-Chains - genetics | Hemagglutinin Glycoproteins, Influenza Virus - immunology | HLA-DQ alpha-Chains - genetics | Narcolepsy - etiology | Case-Control Studies | Hemagglutinin Glycoproteins, Influenza Virus - genetics | CD4-Positive T-Lymphocytes - immunology | Young Adult | Molecular Mimicry - genetics | ADP-ribosyl Cyclase 1 - immunology | Adult | Female | Influenza, Human - virology | Epitopes, T-Lymphocyte - immunology | Membrane Glycoproteins - immunology | Neuropeptides - genetics | Child | Influenza A Virus, H1N1 Subtype - genetics | Intracellular Signaling Peptides and Proteins - genetics | Amino Acid Sequence | Orexins | Lymphocyte Activation | Translational Medical Research | Influenza Vaccines - adverse effects | Molecular Mimicry - immunology | Twins, Monozygotic | Cross Reactions | Narcolepsy - immunology | Sequence Homology, Amino Acid | Narcolepsy - genetics | Influenza Vaccines - immunology | Adolescent | Aged | Neuropeptides - immunology | Interferon-gamma - biosynthesis | Influenza, Human - immunology
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4. Full Text Elevated Tribbles homolog 2-specific antibody levels in narcolepsy patients
by Cvetkovic-Lopes, Vesna and Bayer, Laurence and Dorsaz, Stéphane and Maret, Stéphanie and Pradervand, Sylvain and Dauvilliers, Yves and Lecendreux, Michel and Lammers, Gert-Jan and Donjacour, Claire E. H. M and Du Pasquier, Renaud A and Pfister, Corinne and Petit, Brice and Hor, Hyun and Mühlethaler, Michel and Tafti, Mehdi
Journal of Clinical Investigation, ISSN 0021-9738, 03/2010, Volume 120, Issue 3, pp. 713 - 719
Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and attacks of muscle atonia triggered by strong emotions (cataplexy). Narcolepsy... 
MEDICINE, RESEARCH & EXPERIMENTAL | PEPTIDES | NEURONS | UVEITIS | CATAPLEXY | MICE | NORMALIZATION | AUTOANTIBODY | ONSET | HYPOCRETIN OREXIN | Neurons - pathology | Narcolepsy - blood | Autoantigens - metabolism | Autoantibodies - blood | Humans | Sleep Initiation and Maintenance Disorders - pathology | Intracellular Signaling Peptides and Proteins - immunology | Male | Intracellular Signaling Peptides and Proteins - metabolism | Autoantigens - genetics | Autoimmune Diseases - genetics | Time Factors | Female | Neurons - metabolism | Neuropeptides - genetics | Autoimmune Diseases - pathology | Intracellular Signaling Peptides and Proteins - genetics | Protein-Serine-Threonine Kinases - metabolism | Narcolepsy - pathology | Hypothalamus - immunology | Severity of Illness Index | Orexins | Autoimmune Diseases - immunology | Neurons - immunology | Protein-Serine-Threonine Kinases - genetics | Mice, Transgenic | Neuropeptides - metabolism | Hypothalamus - pathology | Calcium-Calmodulin-Dependent Protein Kinases | Sleep Initiation and Maintenance Disorders - blood | Autoimmune Diseases - blood | Narcolepsy - immunology | Narcolepsy - genetics | Autoantibodies - immunology | Animals | Hypothalamus - metabolism | Sleep Initiation and Maintenance Disorders - immunology | Autoantigens - immunology | Sleep Initiation and Maintenance Disorders - genetics | Protein-Serine-Threonine Kinases - immunology | Mice | Neuropeptides - immunology | Usage | Care and treatment | Narcolepsy | Genetic aspects | Research | Gene expression | Enzyme-linked immunosorbent assay | Apoptosis
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5. Full Text Narcolepsy as an autoimmune disease: the role of H1N1 infection and vaccination
by Partinen, Markku, Prof and Kornum, Birgitte Rahbek, PhD and Plazzi, Giuseppe, MD and Jennum, Poul, Prof and Julkunen, Ilkka, Prof and Vaarala, Outi, Prof
Lancet Neurology, The, ISSN 1474-4422, 2014, Volume 13, Issue 6, pp. 600 - 613
Summary Narcolepsy is a sleep disorder characterised by loss of hypothalamic hypocretin (orexin) neurons. The prevalence of narcolepsy is about 30 per 100 000... 
Neurology | INFLUENZA-A | ONSET CHILDHOOD NARCOLEPSY | ECONOMIC CONSEQUENCES | INTRAVENOUS IMMUNOGLOBULIN TREATMENT | HYPOTHALAMIC NEUROPEPTIDES | CLINICAL-FEATURES | NEURONAL LOSS | DOMINANT CEREBELLAR-ATAXIA | CLINICAL NEUROLOGY | HYPOCRETIN OREXIN DEFICIENCY | GENOME-WIDE ASSOCIATION | Influenza A Virus, H1N1 Subtype - immunology | Humans | Influenza A Virus, H1N1 Subtype - pathogenicity | Influenza, Human - epidemiology | Influenza, Human - complications | Vaccination - adverse effects | Narcolepsy - epidemiology | Narcolepsy - immunology | Autoimmune Diseases of the Nervous System - immunology | Autoimmune Diseases of the Nervous System - virology | Narcolepsy - virology | Autoimmune Diseases of the Nervous System - epidemiology | Influenza, Human - immunology | Virus diseases | Histocompatibility antigens | Sleep | Vaccination | HLA histocompatibility antigens | Narcolepsy | T cells | Health aspects | Sleep disorders | Antigens | Disease | Pathogenesis | Swine flu | Lymphocytes | Infections | Autoimmune diseases | Epidemiology | Age
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6. Full Text Negative selection, epitope mimicry and autoimmunity
by Rose, Noel R
Current Opinion in Immunology, ISSN 0952-7915, 12/2017, Volume 49, pp. 51 - 55
Infections often precede the onset of autoimmune disease and molecular (or epitope) mimicry is a plausible link. Cross-reacting epitopes are common between an... 
NARCOLEPSY | TOLERANCE | GUILLAIN-BARRE-SYNDROME | DISEASE | T-CELL-RECEPTOR | REACTIVITY | INFECTION | ANTIGENS | MOLECULAR MIMICRY | IMMUNOLOGY | RHEUMATIC-FEVER | Immunodominant Epitopes - immunology | Immunotherapy - methods | Infection - therapy | Antigens, Neoplasm - immunology | Infection - immunology | Humans | Antigens, Bacterial - immunology | Autoimmune Diseases - immunology | Cross Reactions | Clonal Deletion | Molecular Mimicry | Neoplasms - therapy | Animals | B-Lymphocytes - immunology | Neoplasms - immunology | Autoantigens - immunology | Autoimmune Diseases - therapy | T-Lymphocytes - immunology | Autoimmunity | T cells | Analysis | Immunotherapy | Antigenic determinants
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7. Full Text Narcolepsy, 2009 A(H1N1) pandemic influenza, and pandemic influenza vaccinations: What is known and unknown about the neurological disorder, the role for autoimmunity, and vaccine adjuvants
by Ahmed, S. Sohail and Schur, Peter H and MacDonald, Noni E and Steinman, Lawrence
Journal of Autoimmunity, ISSN 0896-8411, 2014, Volume 50, pp. 1 - 11
Abstract The vaccine safety surveillance system effectively detected a very rare adverse event, narcolepsy, in subjects receiving AS03-adjuvanted A(H1N1)... 
Allergy and Immunology | Adjuvants | Autoimmune disease | Narcolepsy | Molecular mimicry | Vaccines | H1N1 infection | SYSTEMIC-LUPUS-ERYTHEMATOSUS | BELLS-PALSY | GUILLAIN-BARRE-SYNDROME | ELDERLY-PEOPLE | IMMUNOLOGY | MF59-ADJUVANTED VACCINE | LYME ARTHRITIS | ENCEPHALITIS LETHARGICA | MULTIPLE-SCLEROSIS | DNA VACCINES | SEASONAL INFLUENZA | Autoimmunity | Influenza A Virus, H1N1 Subtype - immunology | alpha-Tocopherol - administration & dosage | Adjuvants, Immunologic - administration & dosage | Polysorbates - chemistry | Humans | Pandemics - prevention & control | Squalene - immunology | Vaccination - adverse effects | Antibodies, Viral - blood | Narcolepsy - physiopathology | Canada - epidemiology | Adjuvants, Immunologic - chemistry | Narcolepsy - chemically induced | Polysorbates - administration & dosage | alpha-Tocopherol - chemistry | Squalene - chemistry | Influenza Vaccines - adverse effects | Europe - epidemiology | Antigens, Viral - chemistry | Influenza A Virus, H1N1 Subtype - pathogenicity | Influenza, Human - epidemiology | Squalene - administration & dosage | Antigens, Viral - immunology | Influenza Vaccines - immunology | Influenza Vaccines - biosynthesis | alpha-Tocopherol - immunology | Influenza, Human - prevention & control | Drug Combinations | Influenza, Human - immunology | Influenza vaccines | Epidemics | Medical colleges | Nervous system diseases | Influenza | Vaccination | Development and progression | Health aspects | Viral antigens
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8. Full Text Antigenic differences between AS03 adjuvanted influenza A (H1N1) pandemic vaccines: Implications for pandemrix-associated narcolepsy risk
by Vaarala, Outi and Vuorela, Arja and Partinen, Markku and Baumann, Marc and Freitag, Tobias L and Meri, Seppo and Saavalainen, Päivi and Jauhiainen, Matti and Soliymani, Rabah and Kirjavainen, Turkka and Olsen, Päivi and Saarenpää-Heikkilä, Outi and Rouvinen, Juha and Roivainen, Merja and Nohynek, Hanna and Jokinen, Jukka and Julkunen, Ilkka and Kilpi, Terhi
PLoS ONE, ISSN 1932-6203, 12/2014, Volume 9, Issue 12, p. e114361
Background: Narcolepsy results from immune-mediated destruction of hypocretin secreting neurons in hypothalamus, however the triggers and disease mechanisms... 
ANTIBODIES | VACCINATION | CELLS | PROTEIN | MULTIDISCIPLINARY SCIENCES | CHILDREN | HLA-DQ beta-Chains - immunology | Influenza A Virus, H1N1 Subtype - immunology | Orthomyxoviridae Infections - prevention & control | Humans | Antigens, Viral - adverse effects | Child, Preschool | HLA-DQ beta-Chains - genetics | Narcolepsy - etiology | Orthomyxoviridae Infections - genetics | Immunoglobulin G - immunology | Child | Antigens, Viral - analysis | Influenza Vaccines - adverse effects | Influenza Vaccines - analysis | Narcolepsy - immunology | Antigens, Viral - immunology | Narcolepsy - genetics | Animals | Influenza Vaccines - immunology | Influenza, Human - genetics | Adolescent | Alleles | Antibody Formation | Mice, Inbred NOD | Influenza, Human - prevention & control | Orthomyxoviridae Infections - immunology | Influenza, Human - immunology | Pediatrics | Pandemics | Peptides | Immunoglobulin G | Vaccination | Antibodies | Risk | Biochemistry | Vaccines | Hypothalamus | Quantitation | Antibody response | Proteins | Sleep disorders | Immunology | Hemagglutinins | Influenza A | Electrophoresis | Narcolepsy | Teenagers | Children | Antigens | Immunization | Orexins | Gel electrophoresis | Developmental biology | Health risks | Transgenic mice | Mass spectroscopy | Bacteriology | Hypotheses | Hospitals | Infectious diseases | Surveillance | Swine flu | Proteomics | Web sites | Mass spectrometry
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9. Full Text Immunohistochemical screening for antibodies in recent onset type 1 narcolepsy and after H1N1 vaccination
by van der Heide, Astrid and Hegeman-Kleinn, Ingrid M and Peeters, Els and Lammers, Gert J and Fronczek, Rolf
Journal of Neuroimmunology, ISSN 0165-5728, 2015, Volume 283, pp. 58 - 62
Abstract Narcolepsy type 1 patients typically have undetectable hypocretin-1 levels in the cerebrospinal fluid (CSF), as a result of a selective loss of the... 
Neurology | Allergy and Immunology | Immunohistochemistry | Narcolepsy type 1 | Autoimmune | Hypothalamus | Cataplexy | AUTOANTIBODIES | IMMUNOLOGY | NEUROSCIENCES | PEPTIDES | AUTOIMMUNITY | OREXINS | NEURONS | TRIBBLES | Influenza A Virus, H1N1 Subtype - immunology | Autoantibodies - blood | Humans | Middle Aged | Vaccination | Nerve Tissue Proteins - analysis | Child, Preschool | Intracellular Signaling Peptides and Proteins - immunology | Mammillary Bodies - chemistry | Young Adult | Child | Hypothalamus - chemistry | Neuropeptides - analysis | Nerve Tissue Proteins - immunology | Orexins | Intracellular Signaling Peptides and Proteins - analysis | Neurons - immunology | Mammillary Bodies - cytology | Narcolepsy - epidemiology | Narcolepsy - immunology | Autoantibodies - immunology | Influenza Vaccines - immunology | Hypothalamus - cytology | Autoantigens - immunology | Adolescent | Age of Onset | Neuropeptides - immunology | Autoimmunity | Narcolepsy
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10. Full Text Type 1 narcolepsy: a CD8+ T cell–mediated disease?
by Degn, Matilda and Kornum, Birgitte Rahbek
Annals of the New York Academy of Sciences, ISSN 0077-8923, 09/2015, Volume 1351, Issue 1, pp. 80 - 88
Type 1 narcolepsy is a sleep disorder characterized by excessive daytime sleepiness with unintentional sleep attacks and cataplexy. The disorder is caused by a... 
CD8 T cell | autoimmunity | brain | narcolepsy | Autoimmunity | Brain | Narcolepsy | EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS | PARANEOPLASTIC CEREBELLAR DEGENERATION | CLINICAL-FEATURES | CONFER RISK | IMMUNOLOGY | CEREBROSPINAL-FLUID | NEUROSCIENCES | MHC CLASS-I | MULTIPLE-SCLEROSIS | CLONAL EXPANSIONS | CENTRAL-NERVOUS-SYSTEM | RASMUSSENS ENCEPHALITIS | Orexins - metabolism | Humans | Autoimmune Diseases - immunology | Histocompatibility Antigens Class I - immunology | Inflammation - immunology | Brain - physiology | Orexins - deficiency | Narcolepsy - immunology | Autoantibodies - immunology | Autoimmunity - immunology | CD8-Positive T-Lymphocytes - immunology | Nervous System Diseases - immunology | Brain - immunology | Development and progression | Autoantigens | T cells | Sleep disorders | Lymphocytes | Rodents
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11. Full Text Elevated anti-streptococcal antibodies in patients with recent narcolepsy onset
by Aran, Adi and Lin, Ling and Nevsimalova, Sona and Plazzi, Giuseppe and Hong, Seung Chul and Weiner, Karin and Zeitzer, Jamie and Mignot, Emmanuel
Sleep, ISSN 0161-8105, 2009, Volume 32, Issue 8, pp. 979 - 983
Narcolepsy-cataplexy has long been thought to have an autoimmune origin. Although susceptibility to narcolepsy, like many autoimmune conditions, is largely... 
Post-streptococcal | Autoimmune | Narcolepsy | Anti Streptolysin O (ASO) | Helicobacter pillory | Anti DNAse B (ADB) | Helicobacter pylori - immunology | Immunoglobulin G - blood | Humans | Middle Aged | Male | Case-Control Studies | Intracellular Signaling Peptides and Proteins - deficiency | Young Adult | Deoxyribonucleases - immunology | C-Reactive Protein - metabolism | Cataplexy - immunology | Adult | Female | Retrospective Studies | Helicobacter Infections - diagnosis | Antibodies, Bacterial - blood | Child | Neuropeptides - deficiency | Orexins | Streptococcus pyogenes - immunology | Risk Factors | Autoimmune Diseases - immunology | Helicobacter Infections - immunology | Autoimmune Diseases - diagnosis | Narcolepsy - immunology | Streptococcal Infections - diagnosis | Adolescent | Aged | Antistreptolysin - blood | Streptococcal Infections - immunology | Rapid Publication | autoimmune | post-streptococcal | helicobacter pillory
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12. Full Text Advances in immunology: The HLA system (Second of two parts)
by Klein, Jan and Sato, Akie
New England Journal of Medicine, ISSN 0028-4793, 09/2000, Volume 343, Issue 11, pp. 782 - 786
This article presents a genetic analysis and structural aspects of the histocompatibility complex system in relation to molecular deficiencies, HLA genes'... 
Immunology | Hemochromatosis | Blood platelets | Cell surface antigens | HLA histocompatibility antigens | Causes of | Physiological aspects | Transplantation of organs, tissues, etc | Genetic aspects | Narcolepsy | Autoimmune diseases | Cancer
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