Abstract
#Narcolepsy is a disabling disorder characterized by recurrent daytime
sleepiness and #cataplexy [1]. The 90% to 95% loss of #hypocretin (also
called orexin) neurons in postmortem brains of narcolepsy is reported
[2]. An immunological pathogenesis for the lack of hypocretin neurons in
narcolepsy has been suggested in view of the tight association with the
HLA-DQB1*0602 [3-4]. Recent findings including our research showed
16-26% of narcolepsy patients having #anti-tribbles pseudokinase 2
(TRIB2) #autoantibody in their blood [5-7]. However, it remains to be
clarified whether or not causal relationship exists between anti-TRIB2
autoantibody and narcolepsy. TRIB2 is highly expressed not only in
hypothalamic hypocretin neurons but also in visceral fat [8].
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