PMID- 18567875 OWN - NLM STAT- MEDLINE DCOM- 20080908 LR - 20080623 IS - 0077-8923 (Print) IS - 0077-8923 (Linking) VI - 1132 DP - 2008 TI - Immunosuppression of EAMG by IVIG is mediated by a disease-specific anti-immunoglobulin fraction. PG - 244-8 LID - 10.1196/annals.1405.032 [doi] AB - Intravenous immunoglobulin (IVIG) administration has been beneficially used for the treatment of a variety of autoimmune diseases including myasthenia gravis (MG). We have demonstrated that IVIG administration in experimental autoimmune MG (EAMG) results in suppression of disease that is accompanied by decreased Th1 cell and B cell proliferation. Chromatography of pooled human immunoglobulins (IVIG) on immobilized IgG, isolated from rats with EAMG or from MG patients, results in a depletion of the suppressive activity of the IVIG. Moreover, reconstitution of the activity-depleted IVIG with the eluted minute IVIG fractions that had been adsorbed onto the EAMG- or MG-specific columns recovers the depleted immunosuppressive activity. This study supports the notion that the therapeutic effect of IVIG is mediated by an antigen-specific anti-immunoglobulin (anti-idiotypic) activity that is essential for its suppressive activity. FAU - Fuchs, Sara AU - Fuchs S AD - Department of Immunology, The Weizmann Institute of Science, Rehovot 76100, Israel. sara.fuchs@weizmann.ac.il FAU - Feferman, Tali AU - Feferman T FAU - Meidler, Roberto AU - Meidler R FAU - Margalit, Raanan AU - Margalit R FAU - Sicsic, Camille AU - Sicsic C FAU - Brenner, Talma AU - Brenner T FAU - Laub, Orgad AU - Laub O FAU - Souroujon, Miriam C AU - Souroujon MC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunosuppressive Agents) RN - 0 (Receptors, Cholinergic) SB - IM MH - Animals MH - Antibody Specificity/*immunology MH - Humans MH - Immunoglobulins, Intravenous/*immunology/*therapeutic use MH - Immunosuppressive Agents/*immunology/*therapeutic use MH - Immunotherapy MH - Myasthenia Gravis, Autoimmune, Experimental/*immunology/*therapy MH - Rats MH - Receptors, Cholinergic/immunology EDAT- 2008/06/24 09:00 MHDA- 2008/09/09 09:00 CRDT- 2008/06/24 09:00 PHST- 2008/06/24 09:00 [pubmed] PHST- 2008/09/09 09:00 [medline] PHST- 2008/06/24 09:00 [entrez] AID - 1132/1/244 [pii] AID - 10.1196/annals.1405.032 [doi] PST - ppublish SO - Ann N Y Acad Sci. 2008;1132:244-8. doi: 10.1196/annals.1405.032.