Pediatric endocrinology

Clinical characteristics and anti-ZSCAN1 antibody titer analysis in a nationwide survey of ROHHAD (-NET) syndrome

J Clin Endocrinol MetabPublished Observational cohort study

Authors' conclusion

Additionally, anti-ZSCAN1 antibody titers reflect the association of NCTs and may serve as a potential marker for the efficacy of tumor therapy.

Study context

Population
Patients diagnosed clinically with ROHHAD (-NET) syndrome in Japan
Outcome
Clinical features at onset or first visit
Methodological detailsnationwide survey
  • Nationwide survey

Main finding

As reported in the abstract

Obesity

72.7%

Autonomic dysregulation

18.2%

Central hypoventilation

36.2%

Observational data: associations, not effects.

Further findings

Anti-ZSCAN1/anti-Nax antibody positivity (ELISA)

Antibody positivity in 30 cases
70%

Anti-ZSCAN1 antibody titer and neural crest tumors (NCTs)

Anti-ZSCAN1 titer significantly higher with NCTs than without tumors
In a patient with NCT, titer tended to decrease after tumor resection or immunosuppressive therapy

Original publication

Clinical characteristics and anti-ZSCAN1 antibody titer analysis in a nationwide survey of ROHHAD (-NET) syndrome. J Clin Endocrinol Metab. Published 11 March 2026. doi:10.1210/clinem/dgag109

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