PMID- 10583884 OWN - NLM STAT- MEDLINE DCOM- 20000203 LR - 20191103 IS - 0958-7578 (Print) IS - 0958-7578 (Linking) VI - 9 IP - 4 DP - 1999 Dec TI - Epitope-specific glutamic acid decarboxylase-65 autoantibodies in intravenous immunoglobulin preparations. PG - 307-10 AB - Intravenous immunoglobulin (IVIG) has been used to treat many autoimmune disorders including Stiff-Man Syndrome (SMS). SMS is a neurological disorder associated with an immune-mediated deficiency of gamma-aminobutyric acid (GABA) due to autoantibodies against the GABA synthesizing enzyme glutamic acid decarboxylase-65 (GAD65). GAD65 autoantibodies are present among 1-2% of healthy individuals. It can therefore not be excluded that GAD65 autoantibodies may be present in IVIG, which is prepared from multiple blood donors. We report here that GAD65 but not IA-2 autoantibodies were present in commercial IVIG preparations. The presence of autoantibodies may affect the outcome of IVIG treatment and screening commercial preparations of IVIG for GAD65 autoantibodies is therefore recommended before treating patients. FAU - Hao, W AU - Hao W AD - Department of Medicine, University of Washington, Seattle, WA 98195, USA. FAU - Davis, C AU - Davis C FAU - Daniels, T AU - Daniels T FAU - Hampe, C S AU - Hampe CS FAU - Lernmark, A AU - Lernmark A LA - eng GR - R01 DK026190/DK/NIDDK NIH HHS/United States GR - DK26190/DK/NIDDK NIH HHS/United States GR - DK53004/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Transfus Med JT - Transfusion medicine (Oxford, England) JID - 9301182 RN - 0 (Autoantibodies) RN - 0 (Epitopes) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Isoenzymes) RN - 0 (Recombinant Proteins) RN - EC 4.1.1.15 (Glutamate Decarboxylase) RN - EC 4.1.1.15 (glutamate decarboxylase 2) SB - IM MH - Antibody Affinity MH - Antibody Specificity MH - Autoantibodies/*blood MH - Epitopes MH - Glutamate Decarboxylase/*immunology MH - Humans MH - Immunoglobulins, Intravenous/*chemistry/immunology MH - Isoenzymes/*immunology MH - Recombinant Proteins/immunology EDAT- 1999/12/03 00:00 MHDA- 1999/12/03 00:01 CRDT- 1999/12/03 00:00 PHST- 1999/12/03 00:00 [pubmed] PHST- 1999/12/03 00:01 [medline] PHST- 1999/12/03 00:00 [entrez] AID - tme214 [pii] AID - 10.1046/j.1365-3148.1999.00214.x [doi] PST - ppublish SO - Transfus Med. 1999 Dec;9(4):307-10. doi: 10.1046/j.1365-3148.1999.00214.x.