PMID- 23278571 OWN - NLM STAT- MEDLINE DCOM- 20130221 LR - 20130102 IS - 1749-6632 (Electronic) IS - 0077-8923 (Linking) VI - 1275 DP - 2012 Dec TI - Antigen-specific apheresis of autoantibodies in myasthenia gravis. PG - 7-12 LID - 10.1111/j.1749-6632.2012.06788.x [doi] AB - Myasthenia gravis (MG) is an autoimmune disorder affecting the neuromuscular junction, usually caused by autoantibodies against the acetylcholine receptor (AChR) or the muscle-specific kinase (MuSK). Our aim is the development of a therapy based on the selective extracorporeal elimination of anti-AChR or anti-MuSK antibodies. To this end, the extracellular domains of the AChR subunits and MuSK have been expressed in yeast to be used as adsorbents, after optimization, and to obtain large quantities of proteins with near-native structure. We have characterized these proteins with respect to their use as specific immunoadsorbents for MG autoantibodies, and have begun large-scale experiments in order to verify the feasibility of application of the method for therapy. Furthermore, we have initiated animal studies to test possible toxicity and safety issues of the adsorbents or the procedure itself. The successful completion of the scale-up and safety tests will allow the initiation of clinical trials. CI - (c) 2012 New York Academy of Sciences. FAU - Lazaridis, Konstantinos AU - Lazaridis K AD - Hellenic Pasteur Institute, Athens, Greece. FAU - Zisimopoulou, Paraskevi AU - Zisimopoulou P FAU - Lagoumintzis, George AU - Lagoumintzis G FAU - Skriapa, Labrini AU - Skriapa L FAU - Trakas, Nikos AU - Trakas N FAU - Evangelakou, Panagiota AU - Evangelakou P FAU - Kanelopoulos, Ioannis AU - Kanelopoulos I FAU - Grapsa, Eirini AU - Grapsa E FAU - Poulas, Kostas AU - Poulas K FAU - Tzartos, Socrates AU - Tzartos S 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 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (Immunosorbents) RN - 0 (Receptors, Cholinergic) SB - IM MH - Autoantibodies/immunology/*isolation & purification MH - Autoantigens/*immunology MH - *Blood Component Removal MH - Humans MH - Immunosorbents MH - Myasthenia Gravis/immunology/*therapy MH - Receptors, Cholinergic/immunology EDAT- 2013/01/03 06:00 MHDA- 2013/02/22 06:00 CRDT- 2013/01/03 06:00 PHST- 2013/01/03 06:00 [entrez] PHST- 2013/01/03 06:00 [pubmed] PHST- 2013/02/22 06:00 [medline] AID - 10.1111/j.1749-6632.2012.06788.x [doi] PST - ppublish SO - Ann N Y Acad Sci. 2012 Dec;1275:7-12. doi: 10.1111/j.1749-6632.2012.06788.x.