Neuromyelitis optica: Passive transfer to rats by human immunoglobulin

被引:192
作者
Kinoshita, Makoto [1 ]
Nakatsuji, Yuji [1 ]
Kimura, Takashi [3 ]
Moriya, Masayuki [1 ]
Takata, Kazushiro [1 ]
Okuno, Tatsusada [2 ]
Kumanogoh, Atsushi [2 ]
Kajiyama, Koji [3 ]
Yoshikawa, Hiroo [3 ]
Sakoda, Saburo [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Neurol, Suita, Osaka 5650871, Japan
[2] Osaka Univ, Microbial Dis Res Inst, Dept Immunopathol, Suita, Osaka 5650871, Japan
[3] Hyogo Coll Med, Div Neurol, Dept Internal Med, Nishinomiya, Hyogo 6638501, Japan
关键词
Neuromyelitis optica; Aquaporin-4; Astrocyte; Passive transfer; Complement; Multiple sclerosis; Animal model; Experimental autoimmune encephalomyelitis; SPINAL-CORD LESIONS; MULTIPLE-SCLEROSIS; ANTI-AQUAPORIN-4; ANTIBODY; DIAGNOSTIC-CRITERIA; WATER CHANNEL; AQUAPORIN-4; ENCEPHALOMYELITIS; DISTINCTION; NECROSIS; JAPANESE;
D O I
10.1016/j.bbrc.2009.06.085
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Recurrent attacks of optic neuritis and myelitis are the hallmarks of both neuromyelitis optica (NMO) and multiple sclerosis (MS). NMO immunoglobulin G (NMO-IgG), which recognizes astrocytic aquaporin-4 (AQP4) water channels, is a specific serum autoantibody that distinguishes NMO from MS. The pathogenic role of the anti-AQP4 antibody (AQP4-Ab, NMO-IgG) in NMO has been speculated based on several studies in vitro. The aim of this study was to demonstrate the pathogenicity of AQP4-Ab in vivo. We obtained IgG from patients who underwent therapeutic plasmapheresis, and developed an animal model by passive transfer of IgG to rats. The active lesions of the rats exhibited pathological characteristics strikingly similar to those of NMO, marked by astrocytic loss and perivascular deposition of immunoglobulin and complements. These findings provide the first evidence of the pathogenicity of AQP4-Ab in vivo and support the therapeutic efficacy of eliminating the antibodies by plasmapheresis. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:623 / 627
页数:5
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