PMID- 17468440 OWN - NLM STAT- MEDLINE DCOM- 20071109 LR - 20221207 IS - 1352-4585 (Print) IS - 1352-4585 (Linking) VI - 13 IP - 7 DP - 2007 Aug TI - Anti-aquaporin 4 antibody in selected Japanese multiple sclerosis patients with long spinal cord lesions. PG - 850-5 AB - Multiple sclerosis (MS) in Asian populations is often characterized by the selective involvement of the optic nerve (ON) and spinal cord (SP) (OSMS) in contrast to classic MS (CMS), where frequent lesions are observed in the cerebrum, cerebellum or brainstem. In Western countries, inflammatory demyelinating disease preferentially involving the ON and SP is called neuromyelitis optica (NMO). Recently, Lennon et al. discovered that NMO-IgG, shown to bind to aquaporin 4 (AQP4), could be a specific marker of NMO and also of Japanese OSMS whose clinical features were identical to NMO having long spinal cord lesions extending over three vertebral segments (LCL). To examine this antibody in larger populations of Japanese OSMS patients in order to know its epidemiological and clinical spectra, we established an immunohistochemical detection system for the anti-AQP4 antibody (AQP4-Ab) using the AQP4-transfected human embryonic kidney cell line (HEK-293) and confirmed AQP4-Ab positivity together with the immunohistochemical staining pattern of NMO-IgG in approximately 60% of Japanese OSMS patients with LCL. Patients with OSMS without LCL and those with CMS were negative for this antibody. Our results accorded with those of Lennon et al. suggest that Japanese OSMS with LCL may have an underlying pathogenesis in common with NMO. FAU - Tanaka, K AU - Tanaka K AD - Department of Neurology, Brain Research Institute, Niigata University, Niigata Japan. keiko@bri.niigata FAU - Tani, T AU - Tani T FAU - Tanaka, M AU - Tanaka M FAU - Saida, T AU - Saida T FAU - Idezuka, J AU - Idezuka J FAU - Yamazaki, M AU - Yamazaki M FAU - Tsujita, M AU - Tsujita M FAU - Nakada, T AU - Nakada T FAU - Sakimura, K AU - Sakimura K FAU - Nishizawa, M AU - Nishizawa M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070427 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 RN - 0 (AQP4 protein, human) RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Immunoglobulin G) SB - IM MH - Adult MH - Aquaporin 4/genetics/*immunology MH - Asian People MH - Autoantibodies/*blood MH - Biomarkers/*blood MH - Cell Line MH - Cells, Cultured MH - Female MH - Humans MH - Immunoglobulin G/blood MH - Immunohistochemistry MH - Japan/epidemiology MH - Kidney/cytology MH - Male MH - Middle Aged MH - Multiple Sclerosis, Relapsing-Remitting/epidemiology/*immunology/pathology MH - Neuromyelitis Optica/epidemiology/*immunology/pathology MH - Seroepidemiologic Studies MH - Spinal Cord/pathology MH - Transfection EDAT- 2007/05/01 09:00 MHDA- 2007/11/10 09:00 CRDT- 2007/05/01 09:00 PHST- 2007/05/01 09:00 [pubmed] PHST- 2007/11/10 09:00 [medline] PHST- 2007/05/01 09:00 [entrez] AID - 1352458507076976 [pii] AID - 10.1177/1352458507076976 [doi] PST - ppublish SO - Mult Scler. 2007 Aug;13(7):850-5. doi: 10.1177/1352458507076976. Epub 2007 Apr 27.