1.Clinical and Neuroelectrophysiological Features of Autoimmune Nodopathy
Hongfei TAI ; Xunyan HUANG ; Songtao NIU ; Bin CHEN ; Yuzhi SHI ; Xingao WANG ; Fan JIAN ; Hua PAN ; Zaiqiang ZHANG
JOURNAL OF RARE DISEASES 2026;5(2):191-199
To summarize the clinical characteristics, antibody spectrum and neuroelectrophysiological features of autoimmune nodopathy(AN), and to explore the phenotypic differences among different antibody-positive subgroups. The clinical and electrophysiological data of patients definitely diagnosed with AN in Beijing Tiantan Hospital, Capital Medical University, from October 2018 to January 2026 were retrospectively analyzed. A total of 33 patients with AN were included. Antibody examination results showed that, anti-neurofascin(NF)155 antibody was the most prevalent, detected in 17 patients(51.50%), followed by anti-contactin-1(CNTN1) antibody in 8 patients(24.24%). Anti-NF186 antibody(4 cases, 12.12%), anti-contactin-associated protein 1(Caspr1) antibody(2 cases, 6.06%) and dual-target antibody positivity(2 cases, 6.06%) were relatively uncommon. The main clinical manifestations of AN patients included symmetric distal paresthesia of the extremities(32 cases, 96.97%), limb weakness(31 cases, 93.93%) and sensory ataxia(25 cases, 75.76%). Different antibody-positive subgroups presented distinct phenotypic features: patients with positive anti-NF155 antibody had a relatively younger age of onset, chronic onset and a high incidence of tremor, which was dominated by immunoglobulin(Ig)G4 subclass antibodies; patients with positive anti-CNTN1 antibody had a relatively advanced age of onset, mostly presented with acute or subacute onset, and were prone to complicated nephrotic syndrome; patients with positive anti-NF186 antibody had relatively mild nerve conduction damage; patients with anti-Caspr1 antibody manifested acute or subacute onset, with relatively elevated cerebrospinal fluid protein level and 24-h intrathecal IgG synthesis rate. The prominent neuroelectrophysiological manifestations of AN included decreased motor and sensory nerve conduction velocities, prolonged distal latency, frequent non-compressive conduction block and abnormal temporal dispersion. Definite sensory nerve action potentials could not be elicited in more than half of the patients. Patients with AN show high heterogeneity in clinical and neuroelectrophysiological characteristics, and different antibody-positive subgroups correspond to specific clinical and neuroelectrophysiological phenotypes.
2.Establishment of Fingerprints and Comparative Study on Ginsenoside Content of Panax notoginseng Flower with Different Growing Years
Zaiqiang HUANG ; Lin ZHU ; Mingju GAO ; Guangquan FENG ; Xiaoshuang MA ; Zheng CHANG
China Pharmacy 2020;31(8):969-974
OBJECTIVE:To compare chemical composition types and ginsenoside content of Panax notoginseng flowers with different growing years ,and to explore the effect of growing year on the quality of P. notoginseng flowers. METHODS :Each 10 batches of biennial,triennial and quadrennial P. notoginseng flower were collected and determined by HPLC. The determination was performed on Shim-pack GIST C 18 column with mobile phase consisted of acetonitrile- 0.05% phosphoric acid solution (gradient elution )at the flow rate of 0.5 mL/min. The column temperature was set at 30 ℃,and the detection wavelength was set at 203 nm. The sample size was 20 μL. Similarity Evaluation System of TCM Chromatogram Fingerprint was used to establish the fingerprint of 30 batches of samples ,identify the diagnostic components and analyze the similarity. Cluster analysis was conducted by using SPSS 22.0 software. The contents of ginsenoside Rb 1,Rb2,Rb3 and Rc in 30 batches of P. notoginseng flower with different growing years were determined by above HPLC . The quality control analysis was conducted by using SPSS 22.0 software. RESULTS:Established fingerprint showed good precision ,stability and reproducibility. There were good linear relationship (R2> 0.999),quantitative limit ,precision,stability,repeatability and accuracy of the content determination method . Six common components as ginsenoside Rb 1, Rb2, Rb3 and Rc were Δ 基金项目:云南省地方高校联合专项(No.KX182504Y) identified in P. notoginseng flower with different growing *助教,硕士。研究方向:中药资源开发 。电话:0876-2684947。 E-mail:wshuangzaiqiang@163.com years by fingerprint ;ginsenoside Rd was identified in triennial # 通信作者 :研究员,硕士。研究方向 :中药资源开发 。电话: P. notoginseng flower. The similarities of the fingerprints 0876-8883731。E-mail:gaomingju@163.com among 10 batches of biennial ,triennial and quadrennial P. 中国药房 2020年第31卷第8期 China Pharmacy 2020Vol. 31 No. 8 ·969· notoginseng flower were 0.881,0.952 and 0.945,respectively. The similarity among samples with different growing ye ars was more than 0.817. Thirty batches of P. notoginseng flower could be grouped into 4 categories,the category Ⅱ was quadrennial samples,the category Ⅲ was triennial samples ,while the categories Ⅰ and Ⅳ were mostly biennial samples and a small number of triennial and quadrennial samples. RSDs of 4 ginsenosides contents and their total contents in biennial samples were 8.90%-21.43% and total saponin contents were 11.65%-17.76%,respectively. RSDs of 4 ginsenosides contents and their total contents in triennial samples were 6.45%-14.23%,and total saponin contents were 15.74%-19.30%. RSDs of 4 ginsenosides contents and their total contents in quadrennial samples were 7.50%-18.86%,and total saponin contents were 15.92%-20.16%. The results of quality control analysis showed that biennial samples mainly distributed in the areas of Ⅱ and Ⅲ ;triennial and quadrennial samples mainly distributed in the areas of Ⅰ and Ⅱ ;the order of ginsenosides content was Ⅰ >Ⅱ >Ⅲ. CONCLUSIONS:Chemical components of P. notoginseng flower with different growing years are generally close in types but there still a re some differences ,among which the content of ginsenosides in biennial samples is lower ,fluctuates more ,and the overall quality is slightly poor ;the content of ginsenosides in triennial and quadrennial samples is higher ,fluctuates less ,and the overall quality is higher and tends to be stable.

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