PMID- 17335909 OWN - NLM STAT- MEDLINE DCOM- 20070606 LR - 20220129 IS - 0165-5728 (Print) IS - 0165-5728 (Linking) VI - 185 IP - 1-2 DP - 2007 Apr TI - Effect of sera from AChR-antibody negative myasthenia gravis patients on AChR and MuSK in cell cultures. PG - 136-44 AB - A proportion of patients with myasthenia gravis (MG) do not have antibodies to the acetylcholine receptor (AChR). Some of these patients have antibodies to muscle specific kinase (MuSK), whereas others have neither antibody (seronegative MG, SNMG). Both MuSK antibody positive MG (MuSK-MG) and SNMG are antibody-mediated diseases but how they cause neuromuscular junction failure is not clear. One possibility is that they reduce the clustering and expression of AChRs. We looked at the effects of MuSK-MG and SNMG sera/IgG on surface AChR distribution and expression, and AChR subunit and MuSK mRNA by quantitative RT-PCR, in TE671 and C2C12 myotubes. In TE671 cells MuSK-MG sera reduced AChR expression by about 20%, but had no effect on AChR subunit or MuSK mRNA expression. In C2C12 myotubes, MuSK-MG sera caused a reduction in the number of agrin-induced clusters, but the clusters became larger and there was no significant effect on total surface AChR numbers or AChR subunit or MuSK mRNA. By contrast, SNMG sera not only reduced AChR numbers by about 20% in TE671 cells, but modestly upregulated AChR gamma subunit expression in TE671 cells and both AChR gamma subunit and MuSK expression in C2C12 myotubes. Thus, although these results have, disappointingly, demonstrated little effect of MuSK antibodies on AChR expression, they do imply that SNMG antibodies act on AChR-associated pathways. FAU - Farrugia, Maria Elena AU - Farrugia ME AD - Neurosciences Group, Weatherall Institute of Molecular Medicine, Department of Clinical Neurology, University of Oxford, UK. FAU - Bonifati, Domenico Marco AU - Bonifati DM FAU - Clover, Linda AU - Clover L FAU - Cossins, Judy AU - Cossins J FAU - Beeson, David AU - Beeson D FAU - Vincent, Angela AU - Vincent A LA - eng GR - G117/490/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070301 PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Cholinergic) RN - 0 (Receptors, Nicotinic) RN - EC 2.7.10.1 (MUSK protein, human) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Animals MH - Autoantibodies/*immunology MH - Cells, Cultured MH - Fluorescent Antibody Technique MH - Humans MH - Immunoglobulin G/immunology MH - In Vitro Techniques MH - Mice MH - Myasthenia Gravis/*immunology MH - RNA, Messenger/analysis MH - Receptor Protein-Tyrosine Kinases/immunology/*metabolism MH - Receptors, Cholinergic/immunology/*metabolism MH - Receptors, Nicotinic/immunology/*metabolism MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2007/03/06 09:00 MHDA- 2007/06/07 09:00 CRDT- 2007/03/06 09:00 PHST- 2006/12/11 00:00 [received] PHST- 2007/01/10 00:00 [revised] PHST- 2007/01/17 00:00 [accepted] PHST- 2007/03/06 09:00 [pubmed] PHST- 2007/06/07 09:00 [medline] PHST- 2007/03/06 09:00 [entrez] AID - S0165-5728(07)00010-0 [pii] AID - 10.1016/j.jneuroim.2007.01.010 [doi] PST - ppublish SO - J Neuroimmunol. 2007 Apr;185(1-2):136-44. doi: 10.1016/j.jneuroim.2007.01.010. Epub 2007 Mar 1.