Autoantibodies to neurofascin-186 and gliomedin in multifocal motor neuropathy

被引:24
作者
Notturno, Francesca [1 ]
Di Febo, Tiziana [2 ]
Yuki, Nobuhiro [3 ,8 ]
Rodriguez, Blanca M. Fernandez [4 ]
Corti, Davide [4 ]
Nobile-Orazio, Eduardo [5 ]
Carpo, Marinella [6 ]
De Lauretis, Angelo [7 ]
Uncini, Antonino [1 ]
机构
[1] Univ G DAnnunzio, Dept Neurosci & Imaging, I-66100 Chieti, Italy
[2] Expt Zooprophylact Inst Abruzzo & Molise G Capora, Teramo, Italy
[3] Natl Univ Singapore, Dept Med, Singapore 117548, Singapore
[4] Inst Biomed Res, Bellinzona, Switzerland
[5] Univ Milan, IRCCS Humanitas Clin Inst, Dept Med Biotechnol & Translat Med, Milan, Italy
[6] Osped Treviglio, Neurol Unit, Bergamo, Italy
[7] Univ Cattolica Sacro Cuore, Dept Resp Med, I-00168 Rome, Italy
[8] Natl Univ Singapore, Dept Physiol, Singapore 117548, Singapore
关键词
Chronic inflammatory demyelinating neuropathy; Gliomedin; Neurofascin; Multifocal motor neuropathy; GUILLAIN-BARRE-SYNDROME; MYELINATED NERVE-FIBERS; ANTI-GM1; ANTIBODIES; SALTATORY CONDUCTION; TARGET; DISRUPTION; DIAGNOSIS; CURRENTS; RANVIER; DOMAIN;
D O I
10.1016/j.jneuroim.2014.09.001
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We tested autoantibodies to neurofascin-186 (NF186) and gliomedin in sera from patients with multifocal motor neuropathy (MMN, n = 53) and chronic inflammatory demyelinating polyneuropathy (CIDP, n = 95) by ELISA. IgG antibodies to NF186 or gliomedin were found in 62% of MMN and 1% of CIDP sera, and IgM antibodies to the same antigens in 12% of MMN and 1% of CIDP sera. These autoantibodies activated complement. Ten percent of the MMN sera without IgM anti-GM1 reactivity had anti-NF186 antibodies. Because NF186 and gliomedin play a crucial role for salutatory conduction, the autoantibodies may contribute to produce motor nerve conduction block and muscle weakness in MMN. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:207 / 212
页数:6
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