Anti-Yo Antibodies in Children With Specific Learning Disorder

Authors

  • Tuğçe Öncü Sartekin Burdur State Hospital
  • Burak Doğangün Istanbul University- Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul, Turkey
  • Ayşe Engin Cankiri Karatekin University, Institute of Graduate Studies, Department of Biology, Istanbul, Turkey
  • Erkan Yılmaz Kırklareli University- Faculty of Medicine, Department of Genetics, Kırklareli, Turkey
  • Gunnur Deniz Istanbul University, Aziz Sancar Institute of Experimental Medicine, Department of Immunology, Istanbul, Turkey
  • Mehtap Doğruel Istanbul University- Cerrahpasa, Cerrahpasa Faculty of Medicine,Tissue Typing Laboratory, Istanbul, Turkey

DOI:

https://doi.org/10.66288/actamedi.2026.93

Keywords:

Specific learning disorder, Dyslexia, Anti-Yo, Cerebellum, Purkinje cell

Abstract

There is an increasing interest in immunological mechanisms in psychiatric disorders. The aim of this study is to determine the role of anti-Yo antibody in the etiology of SLD and to shed light on the immunological mechanisms that may be effective in the development of specific learning disorder. In specific learning disorder (SLD) is thought cerebellar functional and structural anomalies. Anti-Yo antibodies are immunoglobulin G (Ig G) which causes paraneoplastic cerebellar dejeneration with Purkinje cell death. The presence/absence of antibodies was tested by indirect immunofluorescence assay on 32 children with SLD and 35 healthy children. Anti-Yo antibody positivity was not detected in any of the children with SLD participating in the study. In our study, no association was found between the disease and anti-Yo antibody in children with SLD. However, since there is not a sufficient number of studies in SLD, it is not possible to say whether serum antibodies have a pathogenic role in this disease. Further studies are needed to clarify the immunological factors in the etiology of SLD.

References

1. Ali, N. H., Khalaf, S. K., Al-Asadi, J. N., & Abed, A. H. (2016). Maternal antineuronal antibodies and risk of childhood autism spectrum disorders: A case–control study. Journal of the Chinese Medical Association, 79(12), 661-664. DOI: https://doi.org/10.1016/j.jcma.2016.08.003

2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-V) Washington DC: APA. DOI: https://doi.org/10.1176/appi.books.9780890425596

3. Bastian, A. J. (2006). Learning to predict the future: the cerebellum adapts feedforward movement control. Current opinion in neurobiology, 16(6), 645-649. DOI: https://doi.org/10.1016/j.conb.2006.08.016

4. Brunswick, N., McCrory, E., Price, C. J., Frith, C. D., & Frith, U. (1999). Explicit and implicit processing of words and pseudowords by adult developmental dyslexics: A search for Wernicke's Wortschatz?. Brain, 122(10), 1901-1917. DOI: https://doi.org/10.1093/brain/122.10.1901

5. Chase, C., & Stein, J. (2003). Visual magnocellular deficits in dyslexia. Brain, 126(9), e2-e2. DOI: https://doi.org/10.1093/brain/awg217

6. Chen, M. H., Su, T. P., Chen, Y. S., Hsu, J. W., Huang, K. L., Chang, W. H., & Bai, Y. M. (2013). Attention deficit hyperactivity disorder, tic disorder, and allergy: is there a link? A nationwide population‐based study. Journal of Child Psychology and Psychiatry, 54(5), 545-551. DOI: https://doi.org/10.1111/jcpp.12018

7. Dahm, Liane, et al. (2014). Seroprevalence of autoantibodies against brain antigens in health and disease. Annals of neurology 76.1: 82-94. DOI: https://doi.org/10.1002/ana.24189

8. De Pémille, Clément Vialatte, et al. (2018). Transcriptomic immune profiling of ovarian cancers in paraneoplastic cerebellar degeneration associated with anti-Yo antibodies. British journal of cancer, 119(1), 105-113.

9. Donfrancesco, Renato, et al. (2020). Anti-Yo antibodies in children with ADHD: first results about serum cytokines. Journal of attention disorders, 24(11), 1497-1502. DOI: https://doi.org/10.1177/1087054716643387

10. Eckert, M. A., Leonard, C. M., Richards, T. L., Aylward, E. H., Thomson, J., & Berninger, V. W. (2003). Anatomical correlates of dyslexia: frontal and cerebellar findings. Brain, 126(2), 482-494. DOI: https://doi.org/10.1093/brain/awg026

11. Galaburda, A. M., Menard, M. T., & Rosen, G. D. (1994). Evidence for aberrant auditory anatomy in developmental dyslexia. Proceedings of the National Academy of Sciences, 91(17), 8010-8013. DOI: https://doi.org/10.1073/pnas.91.17.8010

12. Hak, E., de Vries, T. W., Hoekstra, P. J., & Jick, S. S. (2013). Association of childhood attention-deficit/hyperactivity disorder with atopic diseases and skin infections? A matched case-control study using the General Practice Research Database. Annals of Allergy, Asthma & Immunology, 111(2), 102-106. DOI: https://doi.org/10.1016/j.anai.2013.05.023

13. Haukanes, B. I., Hegvik, T. A., Eichler, T., Haavik, J., & Vedeler, C. (2015). Paraneoplastic syndrome-associated neuronal antibodies in adult ADHD. Journal of neuroimmunology, 288, 87-91. DOI: https://doi.org/10.1016/j.jneuroim.2015.08.018

14. Horwitz, B., Rumsey, J. M., & Donohue, B. C. (1998). Functional connectivity of the angular gyrus in normal reading and dyslexia. Proceedings of the National Academy of Sciences, 95(15), 8939-8944. DOI: https://doi.org/10.1073/pnas.95.15.8939

15. Irwin, Jessica L., et al. (2019). Maternal gestational immune response and autism spectrum disorder phenotypes at 7 years of age in the Seychelles Child Development Study. Molecular neurobiology, 56(7), 5000-5008. DOI: https://doi.org/10.1007/s12035-018-1424-y

16. Ito, M., 2008. Control of mental activities by internal models in the cerebellum. Nat. Rev. Neurosci. 9, 304–313. DOI: https://doi.org/10.1038/nrn2332

17. Ivry, R.B., Spencer, R.M., Zelaznik, H.N., Diedrichsen, J., 2002. The cerebellum and event timing. Ann. N. Y. Acad. Sci. 978, 302–317. DOI: https://doi.org/10.1111/j.1749-6632.2002.tb07576.x

18. Jiang, Hai-yin, et al. (2016). Maternal infection during pregnancy and risk of autism spectrum disorders: a systematic review and meta-analysis. Brain, behavior, and immunity, 58, 165-172. DOI: https://doi.org/10.1016/j.bbi.2016.06.005

19. Kaufman, Joan, et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 36(7), 980-988. DOI: https://doi.org/10.1097/00004583-199707000-00021

20. Le May, M., & Dent, S. (2018). Anti-Yo antibody–mediated paraneoplastic cerebellar degeneration associated with cognitive affective syndrome in a patient with breast cancer: a case report and literature review. Current Oncology, 25(6), e585. DOI: https://doi.org/10.3747/co.25.4106

21. Leonard, Christiana M., et al. (1993). Anomalous cerebral structure in dyslexia revealed with magnetic resonance imaging. Archives of neurology, 50(5), 461-469. DOI: https://doi.org/10.1001/archneur.1993.00540050013008

22. Livingstone, M. S., Rosen, G. D., Drislane, F. W., & Galaburda, A. M. (1991). Physiological and anatomical evidence for a magnocellular defect in developmental dyslexia. Proceedings of the National Academy of Sciences, 88(18), 7943-7947. DOI: https://doi.org/10.1073/pnas.88.18.7943

23. Lovegrove, W., Martin, F., & Slaghuis, W. (1986). A theoretical and experimental case for a visual deficit in specific reading disability. Cognitive Neuropsychology, 3(2), 225-267. DOI: https://doi.org/10.1080/02643298608252677

24. Maes, M., Mihaylova, I., Kubera, M., & Ringel, K. (2012). Activation of cell-mediated immunity in depression: association with inflammation, melancholia, clinical staging and the fatigue and somatic symptom cluster of depression. Progress in neuro-psychopharmacology and biological psychiatry, 36(1), 169-175. DOI: https://doi.org/10.1016/j.pnpbp.2011.09.006

25. Neri, F., et al. (2004), Neuropsychological development of children born to patients with systemic lupus erythematosus. Lupus, 13(10), 805-811. DOI: https://doi.org/10.1191/0961203304lu2018oa

26. Nicolson, R. I., & Fawcett, A. J. (1990). Automaticity: A new framework for dyslexia research?. Cognition, 35(2), 159-182. DOI: https://doi.org/10.1016/0010-0277(90)90013-A

27. Nicolson, R., Fawcett, A. J., & Dean, P. (2001). Dyslexia, development and the cerebellum. Trends in neurosciences, 24(9), 515-516. DOI: https://doi.org/10.1016/S0166-2236(00)01923-8

28. Othman, Tamer, et al. (2020). Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy. Case Reports in Oncological Medicine 2020. DOI: https://doi.org/10.1155/2020/9021843

29. Passarelli, Francesca, et al. (2013). Anti-Purkinje cell antibody as a biological marker in attention deficit/hyperactivity disorder: a pilot study. Journal of neuroimmunology, 258(1-2), 67-70. DOI: https://doi.org/10.1016/j.jneuroim.2013.02.018

30. Patterson, P. H. (2002). Maternal infection: window on neuroimmune interactions in fetal brain development and mental illness. Current opinion in neurobiology, 12(1), 115-118. DOI: https://doi.org/10.1016/S0959-4388(02)00299-4

31. de Pémille, Clément Vialatte, et al. (2018). Transcriptomic immune profiling of ovarian cancers in paraneoplastic cerebellar degeneration associated with anti-Yo antibodies. British journal of cancer 119(1), 105-113. DOI: https://doi.org/10.1038/s41416-018-0125-7

32. Raberger, T., & Wimmer, H. (2003). On the automaticity/cerebellar deficit hypothesis of dyslexia: balancing and continuous rapid naming in dyslexic and ADHD children. Neuropsychologia, 41(11), 1493-1497. DOI: https://doi.org/10.1016/S0028-3932(03)00078-2

33. Ramus, F., Pidgeon, E., & Frith, U. (2003b). The relationship between motor control and phonology in dyslexic children. Journal of Child Psychology and Psychiatry, 44(5), 712-722. DOI: https://doi.org/10.1111/1469-7610.00157

34. Ramus, F., Rosen, S., Dakin, S. C., Day, B. L., Castellote, J. M., White, S., & Frith, U. (2003a). Theories of developmental dyslexia: insights from a multiple case study of dyslexic adults. Brain, 126(4), 841-865. DOI: https://doi.org/10.1093/brain/awg076

35. Renjen, P. N., Chaudhari, D. M., Shilpi, U. S., Zutshi, D., & Ahmad, K. (2018). Paraneoplastic cerebellar degeneration associated with ovarian adenocarcinoma: A case report and review of literature. Annals of Indian Academy of Neurology, 21(4), 311. DOI: https://doi.org/10.4103/aian.AIAN_411_17

36. Ross, G., Sammaritano, L., Nass, R., & Lockshin, M. (2003). Effects of mothers' autoimmune disease during pregnancy on learning disabilities and hand preference in their children. Archives of pediatrics & adolescent medicine, 157(4), 397-402. DOI: https://doi.org/10.1001/archpedi.157.4.397

37. Rothermundt, M., Arolt, V., Fenker, J., Gutbrodt, H., Peters, M., & Kirchner, H. (2001). Different immune patterns in melancholic and non-melancholic major depression. European archives of psychiatry and clinical neuroscience, 251(2), 90-97. DOI: https://doi.org/10.1007/s004060170058

38. Sacchetti, B., Scelfo, B., & Strata, P. (2005). The cerebellum: synaptic changes and fear conditioning. The Neuroscientist, 11(3), 217-227. DOI: https://doi.org/10.1177/1073858405276428

39. Schmahmann, J. D., & Caplan, D. (2006). Cognition, emotion and the cerebellum. Brain, 129(2), 290-292. DOI: https://doi.org/10.1093/brain/awh729

40. Schmahmann, J. D., & Sherman, J. C. (1998). The cerebellar cognitive affective syndrome. Brain: a journal of neurology, 121(4), 561-579. DOI: https://doi.org/10.1093/brain/121.4.561

41. Schubert, M., Panja, D., Haugen, M., Bramham, C. R., & Vedeler, C. A. (2014). Paraneoplastic CDR2 and CDR2L antibodies affect Purkinje cell calcium homeostasis. Acta neuropathologica, 128(6), 835-852. DOI: https://doi.org/10.1007/s00401-014-1351-6

42. Shams’ ili, Setareh, et al. (2003), Paraneoplastic cerebellar degeneration associated with antineuronal antibodies: analysis of 50 patients. Brain, 126(6), 1409-1418. DOI: https://doi.org/10.1093/brain/awg133

43. Skog, A., Tingström, J., Salomonsson, S., Sonesson, S. E., & Wahren‐Herlenius, M. (2013). Neurodevelopment in children with and without congenital heart block born to anti‐Ro/SSA‐positive mothers. Acta Paediatrica, 102(1), 40-46. DOI: https://doi.org/10.1111/apa.12049

44. Stanberry, Larissa I., et al. (2006), Low-frequency signal changes reflect differences in functional connectivity between good readers and dyslexics during continuous phoneme mapping. Magnetic resonance imaging, 24(3), 217-229. DOI: https://doi.org/10.1016/j.mri.2005.12.006

45. Stein, J. (2001). The magnocellular theory of developmental dyslexia. Dyslexia, 7(1), 12-36. DOI: https://doi.org/10.1002/dys.186

46. Stein, J., & Walsh, V. (1997). To see but not to read; the magnocellular theory of dyslexia. Trends in neurosciences, 20(4), 147-152. DOI: https://doi.org/10.1016/S0166-2236(96)01005-3

47. Stoodley, C. J., Fawcett, A. J., Nicolson, R. I., & Stein, J. F. (2005). Impaired balancing ability in dyslexic children. Experimental Brain Research, 167(3), 370-380. DOI: https://doi.org/10.1007/s00221-005-0042-x

48. Stoodley CJ, Harrison EP, Stein JF (2006). Implicit motor learning deficits in dyslexic adults. Neuropsychologia, 44(5), 795–798. DOI: https://doi.org/10.1016/j.neuropsychologia.2005.07.009

49. Stoodley, C. J., & Stein, J. F. (2013). Cerebellar function in developmental dyslexia. The Cerebellum, 12(2), 267-276. DOI: https://doi.org/10.1007/s12311-012-0407-1

50. Storstein, A., & Vedeler, C. A. (2007). Paraneoplastic neurological syndromes and onconeural antibodies: clinical and immunological aspects. Advances in clinical chemistry, 44, 143-185. DOI: https://doi.org/10.1016/S0065-2423(07)44005-7

51. Tallal, P. (2000). The science of literacy: From the laboratory to the classroom. Proceedings of the National Academy of Sciences, 97(6), 2402-2404. DOI: https://doi.org/10.1073/pnas.97.6.2402

52. Tallal, P., Miller, S., & Fitch, R. H. (1993). Neurobiological basis of speech: a case for the preeminence of temporal processing. Annals of the New York academy of sciences, 682(1), 27-47. DOI: https://doi.org/10.1111/j.1749-6632.1993.tb22957.x

53. Turgay, A. (1995). Çocuk ve ergenlerde davranım bozuklukları için DSM-IV’e dayalı tarama ve değerlendirme ölçeği (Yayınlanmamış ölçek). Integrative Therapy Institute Toronto, Kanada.

54. Venkatraman, A., & Opal, P. (2016). Paraneoplastic cerebellar degeneration with anti‐Yo antibodies–a review. Annals of clinical and translational neurology, 3(8), 655-663. DOI: https://doi.org/10.1002/acn3.328

55. Vincent, Angela, et al. (2002). Maternal antibody-mediated dyslexia? Evidence for a pathogenic serum factor in a mother of two dyslexic children shown by transfer to mice using behavioural studies and magnetic resonance spectroscopy. Journal of neuroimmunology, 130(1-2), 243-247. DOI: https://doi.org/10.1016/S0165-5728(02)00226-6

56. Wimmer, H., Mayringer, H., & Raberger, T. (1999). Reading and dual-task balancing: Evidence against the automatization deficit explanation of developmental dyslexia. Journal of Learning Disabilities, 32(5), 473-478. DOI: https://doi.org/10.1177/002221949903200513

57. Zhou, H. (2012). Maternal infection and neurodevelopmental disorders in the offspring. American Journal of Immunology, 8(1), 10-17. DOI: https://doi.org/10.3844/ajisp.2012.10.17

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Published

2026-07-08

How to Cite

Öncü Sartekin, T., Doğangün, B., Engin, A., Yılmaz, E., Deniz, G., & Doğruel, M. (2026). Anti-Yo Antibodies in Children With Specific Learning Disorder. Acta Medica Young Doctors, 2(4). https://doi.org/10.66288/actamedi.2026.93

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