PMID- 23252902 OWN - NLM STAT- MEDLINE DCOM- 20130403 LR - 20220129 IS - 1749-6632 (Electronic) IS - 0077-8923 (Linking) VI - 1274 DP - 2012 Dec TI - Antibodies identified by cell-based assays in myasthenia gravis and associated diseases. PG - 92-8 LID - 10.1111/j.1749-6632.2012.06789.x [doi] AB - We have established cell-based assays for the improved detection of acetylcholine receptor (AChR) and muscle-specific kinase (MuSK) antibodies in myasthenia gravis. This approach has enabled us to demonstrate antibodies to "clustered" AChRs in patients who were previously AChR antibody negative and can also be used to distinguish between adult and fetal AChR antibodies in mothers of babies with arthrogryposis multiplex congenita. We summarize our recent evidence for the pathogenicity of MuSK and clustered AChR antibodies using in vivo models. Cell-based assays are now also being used for the detection of other antibodies, such as those directed to components of the VGKC/CASPR2/LGI1 complex in Morvan's syndrome, and to AQP4 antibodies in neuromyelitis optica; both of these diseases can be associated with MG and sometimes thymoma. The cell-based method is time consuming but has many advantages and may provide a gold standard for the future in the detection of pathogenic autoantibodies in patients with immune-mediated diseases. CI - (c) 2012 New York Academy of Sciences. FAU - Vincent, Angela AU - Vincent A AD - Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, United Kingdom. angela.vincent@ndcn.ox.ac.uk FAU - Waters, Patrick AU - Waters P FAU - Leite, M Isabel AU - Leite MI FAU - Jacobson, Leslie AU - Jacobson L FAU - Koneczny, Inga AU - Koneczny I FAU - Cossins, Judith AU - Cossins J FAU - Beeson, David AU - Beeson D LA - eng GR - 084655/Wellcome Trust/United Kingdom GR - G0701521/MRC_/Medical Research Council/United Kingdom PT - Journal Article PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (AQP4 protein, human) RN - 0 (Aquaporin 4) RN - 0 (Autoantibodies) RN - 0 (Receptors, Cholinergic) RN - EC 2.7.10.1 (MUSK protein, human) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Aquaporin 4/metabolism MH - Arthrogryposis/immunology MH - Autoantibodies/*immunology MH - Biological Assay MH - Humans MH - Myasthenia Gravis/*immunology/pathology MH - Receptor Protein-Tyrosine Kinases/metabolism MH - Receptors, Cholinergic/immunology/metabolism EDAT- 2012/12/21 06:00 MHDA- 2013/04/04 06:00 CRDT- 2012/12/21 06:00 PHST- 2012/12/21 06:00 [entrez] PHST- 2012/12/21 06:00 [pubmed] PHST- 2013/04/04 06:00 [medline] AID - 10.1111/j.1749-6632.2012.06789.x [doi] PST - ppublish SO - Ann N Y Acad Sci. 2012 Dec;1274:92-8. doi: 10.1111/j.1749-6632.2012.06789.x.