Experimental paraprotein neuropathy, demyelination by passive transfer of human IgM anti‐myelin‐associated glycoprotein

AH Tatum - Annals of Neurology: Official Journal of the …, 1993 - Wiley Online Library
AH Tatum
Annals of Neurology: Official Journal of the American Neurological …, 1993Wiley Online Library
Circulating monoclonal IgM antibodies that react with myelin‐associated glycoprotein are
strongly associated with a specific type of human peripheral nerve demyelination. There has
been great interest in this syndrome because, if the paraprotein could be shown to cause the
demyelination, then it would be the first proven example of antibody‐mediated
demyelination in humans. Systemic transfusion of chickens with monoclonal IgM antibody
isolated from one of these patients produced peripheral demyelination highly characteristic …
Abstract
Circulating monoclonal IgM antibodies that react with myelin‐associated glycoprotein are strongly associated with a specific type of human peripheral nerve demyelination. There has been great interest in this syndrome because, if the paraprotein could be shown to cause the demyelination, then it would be the first proven example of antibody‐mediated demyelination in humans. Systemic transfusion of chickens with monoclonal IgM antibody isolated from one of these patients produced peripheral demyelination highly characteristic of the human syndrome. The experimental lesion consists of segmental demyelination and remyelination with minimal inflammation, specific antibody bound to myelin, and widening of the myelin lamellae. In the experimental model, antibody is concentrated in specialized myelin structures, the nodes of Ranvier, and Schmidt‐Lanterman incisures, suggesting that myelin‐associated glycoprotein may be the antigenic target in vivo. This demonstration that human myelin‐associated glycoprotein antibodies cause demyelination in vivo is the final information needed to prove that this type of human demyelination is antibody mediated. This strengthens the proposition that nerve antibodies, present in other human neurological syndromes, may also cause disease.
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