PMID- 23278586 OWN - NLM STAT- MEDLINE DCOM- 20130221 LR - 20130102 IS - 1749-6632 (Electronic) IS - 0077-8923 (Linking) VI - 1275 DP - 2012 Dec TI - Pathogenic IgG4 subclass autoantibodies in MuSK myasthenia gravis. PG - 114-22 LID - 10.1111/j.1749-6632.2012.06808.x [doi] AB - Autoantibodies against muscle-specific kinase (MuSK), a protein essential for clustering of acetylcholine receptors at the neuromuscular junction (NMJ), are detected in the serum of a proportion of myasthenia gravis (MG) patients. In most MuSK MG patients the anti-MuSK activity resides in the IgG4 subclass, a minor IgG component without very well-defined, but presumably anti-inflammatory, roles in immunity. In recent years, several animal model studies showed that anti-MuSK autoantibodies can cause muscle weakness by directly affecting NMJ function and, therefore, are likely not simply bystander disease markers in MuSK MG patients. In passive transfer mice, we recently provided proof that MuSK MG patient IgG4 is severely myasthenogenic, causing functional defects at NMJs. Against the clinical, serological, and pharmacological background of MuSK MG, here we discuss the MuSK MG animal models generated by our laboratory and others that have been instrumental in elucidating the etiological and pathophysiological roles of anti-MuSK antibodies. CI - (c) 2012 New York Academy of Sciences. FAU - Plomp, Jaap J AU - Plomp JJ AD - Department of Neurology, Medical Genetics Center, Leiden University Medical Center, Leiden, the Netherlands. j.j.plomp@lumc.nl FAU - Huijbers, Maartje G AU - Huijbers MG FAU - van der Maarel, Silvere M AU - van der Maarel SM FAU - Verschuuren, Jan J AU - Verschuuren JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review 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 (Immunoglobulin G) 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 - Animals MH - Autoantibodies/*blood MH - Disease Models, Animal MH - Humans MH - Immunoglobulin G/*immunology MH - Mice MH - Myasthenia Gravis/*immunology/physiopathology MH - Receptor Protein-Tyrosine Kinases/*immunology 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.1749-6632.2012.06808.x [doi] PST - ppublish SO - Ann N Y Acad Sci. 2012 Dec;1275:114-22. doi: 10.1111/j.1749-6632.2012.06808.x.