NMDA Receptor Antibody Detection for Autoimmune Encephalitis Diagnosis

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Solution Overview

Problem

Current methods for diagnosing autoimmune encephalitis and identifying tumor-related epileptic seizures are inadequate, as they are poorly responsive to treatments and lack reliable diagnostic tools for detecting antibodies associated with these conditions.

Innovation Solution

Testing a subject's body fluid for antibodies to the NR subunit of the NMDA receptor to determine the cause of encephalitis or epilepsy and diagnose the presence of a tumor, as the presence of these antibodies indicates an autoimmune etiology or tumor involvement.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If current diagnostic methods are used for autoimmune encephalitis, then diagnosis can be made, but the diagnostic reliability and treatment responsiveness are poor

Engineering Contradiction:
Improvediagnostic reliabilityVSAvoidinformation about antibody presence
Core Design Contradiction:
ReliabilityVSLoss of information

Solution Approach 1:

The patent segments the diagnostic approach by specifically targeting the detection of antibodies against NR1 and NR2 subunits of the NMDA receptor, rather than using general encephalitis diagnostic methods. This segmentation allows for more reliable and specific diagnosis of autoimmune encephalitis by focusing on the particular autoimmune mechanism involved.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces antibody detection as an intermediary diagnostic tool that mediates between clinical symptoms and underlying autoimmune pathology. By detecting antibodies against NMDA receptor subunits, the method provides a reliable bridge to confirm autoimmune etiology and guide appropriate immunotherapy.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Productivity

If general diagnostic approaches are used, then treatment can be initiated, but neurologic outcomes are poor due to delayed or inaccurate diagnosis

Engineering Contradiction:
Improvetreatment efficiencyVSAvoidtime to accurate diagnosis
Core Design Contradiction:
ProductivityVSLoss of time

Solution Approach 1:

The patent enables preliminary identification of autoimmune etiology through specific antibody detection before initiating treatment. By testing for antibodies against NR1 and NR2 subunits early in the diagnostic process, clinicians can promptly identify autoimmune encephalitis and start appropriate immunotherapy, avoiding delays associated with general diagnostic approaches.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent changes the diagnostic parameter from general encephalitis markers to specific antibody presence against NMDA receptor subunits. This parameter change enables more accurate and faster identification of autoimmune cases, improving treatment efficiency and reducing time to appropriate intervention.

Inventive Principle:
Principle #35Parameter changes

3Measurement precision

If tumor screening is performed, then tumor detection is possible, but the ability to identify tumor-related epilepsy is insufficient

Engineering Contradiction:
Improvetumor detection accuracyVSAvoiddiagnostic versatility for epilepsy causes
Core Design Contradiction:
Measurement precisionVSAdaptability or versatility

Solution Approach 1:

The patent creates a universal diagnostic approach that serves multiple functions: detecting autoimmune encephalitis, identifying tumor-related epilepsy, and determining etiology. By testing for antibodies against NMDA receptor subunits, the same diagnostic method adapts to identify different underlying causes including tumors, providing both precision and versatility.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent introduces antibody detection as a feedback mechanism that provides information about both autoimmune status and potential tumor involvement. The presence and titer of antibodies against NR1 and NR2 subunits give feedback that helps distinguish tumor-related cases from other autoimmune encephalitis, enhancing both detection accuracy and diagnostic versatility.

Inventive Principle:
Principle #23Feedback

Data Source

PatentEP2057466B1Methods and compositions for treatment and diagnosis of autoimmune encephalitis or epilepsy
Publication Date: 2013.10.23 THE TRUSTEES OF THE UNIV OF PENNSYLVANIA
  • EP2057466B1 patent drawingFigure 1
  • EP2057466B1 patent drawingFigure 2A~2C
  • EP2057466B1 patent drawingFigure 3A~3E

AI summary

This invention provides methods of diagnosing or determining a cause of an autoimmune encephalitis or an epilepsy in a subject and of diagnosing a tumor in a subject, comprising the step of testing a body fluid of the subject for an antibody to an NR subunit of the NMDA receptor.