Anti-acetylcholine receptor antibodies directed against the alpha-bungarotoxin binding site induce a unique form of experimental myasthenia.

CM Gomez, DP Richman - Proceedings of the National …, 1983 - National Acad Sciences
CM Gomez, DP Richman
Proceedings of the National Academy of Sciences, 1983National Acad Sciences
Of seven rat monoclonal antibodies directed against nicotinic acetylcholine receptor, the
three whose binding was blocked by alpha-bungarotoxin produced acute paralysis in
chicken hatchlings, whereas the four others had no effect. In the affected animals, weakness
and decremental electromyographic responses appeared within 1 hr after intravenous
injection and both abnormalities improved after anticholinesterase administration. No
histological changes were seen in the muscle of injected animals. These data suggest that …
Of seven rat monoclonal antibodies directed against nicotinic acetylcholine receptor, the three whose binding was blocked by alpha-bungarotoxin produced acute paralysis in chicken hatchlings, whereas the four others had no effect. In the affected animals, weakness and decremental electromyographic responses appeared within 1 hr after intravenous injection and both abnormalities improved after anticholinesterase administration. No histological changes were seen in the muscle of injected animals. These data suggest that antibodies binding in relationship to the cholinergic binding site, and presumably producing pharmacologic blockade of acetylcholine receptor, may play an important role in the pathogenesis of the defective neuromuscular transmission in myasthenia gravis.
National Acad Sciences