PMID- 21229683 OWN - NLM STAT- MEDLINE DCOM- 20110310 LR - 20110113 IS - 0021-5252 (Print) IS - 0021-5252 (Linking) VI - 64 IP - 1 DP - 2011 Jan TI - [Recent advancement in the basic and clinical studies in myasthenia gravis]. PG - 79-89 AB - Myasthenia gravis (MG) is an autoimmune disease characterized by fatigable muscle weakness, and autoantibodies to nicotinic acetylcholine receptor (AchR) have been thought to play the key role in the pathogenesis. The recent great progress in the basic research is identification of a novel autoantibody to muscle-specific kinase (MuSK). This discovery led to elucidation of difference in pathogenesis between AchR antibody (+) and MuSK antibody (+) diseases. The recent progress in the clinical practice for MG is introduction of video-assisted thoracic surgery. Less invasive surgery is expected to improve the outcome of thymectomy. At the same time, several immunosuppressants have been shown to be effective for MG. Further progresses in the basic as well as clinical researches are expected to improve the treatment for MG. FAU - Okumura, Meinoshin AU - Okumura M AD - Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Japan. FAU - Shiono, Hiroyuki AU - Shiono H LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Kyobu Geka JT - Kyobu geka. The Japanese journal of thoracic surgery JID - 0413533 SB - IM MH - Humans MH - Myasthenia Gravis/drug therapy/surgery/*therapy EDAT- 2011/01/15 06:00 MHDA- 2011/03/11 06:00 CRDT- 2011/01/15 06:00 PHST- 2011/01/15 06:00 [entrez] PHST- 2011/01/15 06:00 [pubmed] PHST- 2011/03/11 06:00 [medline] PST - ppublish SO - Kyobu Geka. 2011 Jan;64(1):79-89.