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Introduction: Prevalence rates for vitamin B12 deficiency in U.S. adult vegetarians may exceed 30%, which is concerning given the role for this vitamin in numerous nervous system functions, including the synthesis of myelin sheaths.

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Neuroimmunology has impressively expanded in the past decade. Novel assays, especially cell-based assays (CBAs) can detect conformational antibodies (Abs) recognizing antigens in their native conformation. Generally, the availability of in-house and of commercial tests has improved the diagnostics, but introduced demanding laboratory tasks.

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The aim of this study was to test whether autoantibodies against neurologic surface Ags are found in nonneurologic autoimmune diseases, indicating a broader loss of tolerance. Patient and matched healthy donor (HD) sera were derived from four large cohorts: 1) rheumatoid arthritis (RA) ( = 194, HD = 64), 2) type 1 diabetes (T1D) ( = 200, HD = 200), 3) systemic lupus erythematosus (SLE) ( = 200, HD = 67; neuro-SLE = 49, HD = 33), and 4) a control cohort of neurologic autoimmunity (relapsing-remitting multiple sclerosis [MS] = 110, HD = 110; primary progressive MS = 9; secondary progressive MS = 10; neuromyelitis optica spectrum disorders = 15; and other neurologic disorders = 26). Screening of 1287 unique serum samples against four neurologic surface Ags (myelin oligodendrocyte glycoprotein, aquaporin 4, acetylcholine receptor, and muscle-specific kinase) was performed with live cell-based immunofluorescence assays using flow cytometry.

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Background: Diabetic neuropathy (DN) is a frequent and debilitating manifestation of diabetes mellitus, to which there are no effective therapeutic approaches. Mesenchymal stem/stromal cells (MSC) have a great potential for the treatment of this syndrome, possibly through regenerative actions on peripheral nerves. Here, we evaluated the therapeutic effects of MSC on spinal neuroinflammation, as well as on ultrastructural aspects of the peripheral nerve in DN-associated sensorial dysfunction.

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Article Synopsis
  • Progesterone is given to pregnant women at risk of premature labor, but studies show mixed results on its effectiveness, raising concerns about its benefits.
  • In a guinea pig study, progesterone treatment increased maternal progesterone and cortisol levels, but had no impact on fetal allopregnanolone or myelination in the brain.
  • The findings suggest that the lack of effect on the fetus may be due to a protective barrier in the placenta that prevents increased cortisol levels from affecting fetal development.
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