首页   按字顺浏览 期刊浏览 卷期浏览 Multiple forms of anti‐acetylcholine receptor antibody in myasthenia gravis
Multiple forms of anti‐acetylcholine receptor antibody in myasthenia gravis

 

作者: Tom Mittag,   Tobias Massa,   Peter Kornfeld,   Angelos Papatestas,   Adam Bender,   Gabriel Genkins,  

 

期刊: Muscle&Nerve  (WILEY Available online 1981)
卷期: Volume 4, issue 1  

页码: 16-25

 

ISSN:0148-639X

 

年代: 1981

 

DOI:10.1002/mus.880040105

 

出版商: Wiley Subscription Services, Inc., A Wiley Company

 

数据来源: WILEY

 

摘要:

AbstractSera of patients with myasthenia gravis (MG) contain anti‐acetylcholine receptor (AChR) lgG antibodies (Ab) which have different antigenic specificities. Three Ab types were detected: (1) MG‐I, which forms immune complexes with AChR; (2) MG‐C, which decreases binding of AChR to concanavalin A; and MG‐B, which blocks α‐bungarotoxin binding to AChR. Sera from 152 MG patients were screened for the Ab types. Sixty‐one percent contained MG‐I, 26% contained MG‐C, 10% contained MG‐B, and 5% contained both MG‐C and MG‐B. The latter Ab types were associated with more severe forms of MG but showed no other clinical correlations. IgG antibodies of defined type were purified, and their interaction with unlabeled and toxin‐prelabeled AChR from denervated rat muscle was studied in detail. Receptors are homogeneous with respect to determinants recognized by MG‐I, but heterogeneous with respect to determinants recognized by MG‐C (3 subpopulations, 22%, 28%, and 50% of AChR) and by MG‐B (2 subpopulations, 30% and 70% of AChR). The stoichiometry of AChR interaction with the antibodies indicates that for each toxin‐binding site, the receptor is divalent as an antigen for MG‐I and MG‐C but is tetravalent for MG‐B. Denervated muscle AChR appears to be a mixture of at least 3 molecular forms of AChR, each of which has distinct immunological features as well as components com

 

点击下载:  PDF (912KB)



返 回