PMID- 25262156 OWN - NLM STAT- MEDLINE DCOM- 20150202 LR - 20141202 IS - 1872-8421 (Electronic) IS - 0165-5728 (Linking) VI - 276 IP - 1-2 DP - 2014 Nov 15 TI - Expression of extracellular domains of muscle specific kinase (MuSK) and use as immunoadsorbents for the development of an antigen-specific therapy. PG - 150-8 LID - S0165-5728(14)00890-X [pii] LID - 10.1016/j.jneuroim.2014.09.013 [doi] AB - Antibodies against MuSK seem to be the pathogenic factor in approximately 5-8% of myasthenia gravis (MG) patients. We aim to develop an antigen-specific therapy in which only MuSK antibodies will be removed from patients' plasma using MuSK extracellular domain (MuSK-ECD) as immunoadsorbent. We showed that two different immunoadsorbents, very efficiently and selectively depleted the MuSK antibodies from all tested sera, were stable during the procedure and were reusable. Furthermore, animal experiments showed that the treatment has no toxic effects to the animals. We conclude that the MuSK-ECD-mediated immunoadsorption can be used as an efficient antigen-specific therapy for MuSK-MG. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Skriapa, Lamprini AU - Skriapa L AD - Department of Neurobiology, Hellenic Pasteur Institute, Athens, Greece; Department of Pharmacy, University of Patras, Rio, Greece. FAU - Zisimopoulou, Paraskevi AU - Zisimopoulou P AD - Department of Neurobiology, Hellenic Pasteur Institute, Athens, Greece. Electronic address: zisimopoulou@pasteur.gr. FAU - Trakas, Nikolaos AU - Trakas N AD - Department of Neurobiology, Hellenic Pasteur Institute, Athens, Greece. FAU - Grapsa, Eirini AU - Grapsa E AD - Department of Nephrology, Aretaieion Hospital, Athens, Greece. FAU - Tzartos, Socrates J AU - Tzartos SJ AD - Department of Neurobiology, Hellenic Pasteur Institute, Athens, Greece; Department of Pharmacy, University of Patras, Rio, Greece. Electronic address: tzartos@pasteur.gr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140919 PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Autoantibodies) RN - 0 (Immunosorbents) 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/*therapeutic use MH - Diaphragm/metabolism/pathology MH - Female MH - Humans MH - Immunization, Passive/*methods MH - Immunosorbent Techniques MH - Immunosorbents/*therapeutic use MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Myasthenia Gravis/blood/*immunology MH - Radioimmunoassay MH - Receptor Protein-Tyrosine Kinases/blood/genetics/*immunology MH - Receptors, Cholinergic/blood/genetics/*immunology OTO - NOTNLM OT - Autoimmune diseases OT - Extracellular domains OT - Immunoadsorption OT - Immunotherapy OT - MuSK antibodies OT - Myasthenia gravis EDAT- 2014/09/30 06:00 MHDA- 2015/02/03 06:00 CRDT- 2014/09/29 06:00 PHST- 2014/06/18 00:00 [received] PHST- 2014/09/12 00:00 [accepted] PHST- 2014/09/29 06:00 [entrez] PHST- 2014/09/30 06:00 [pubmed] PHST- 2015/02/03 06:00 [medline] AID - S0165-5728(14)00890-X [pii] AID - 10.1016/j.jneuroim.2014.09.013 [doi] PST - ppublish SO - J Neuroimmunol. 2014 Nov 15;276(1-2):150-8. doi: 10.1016/j.jneuroim.2014.09.013. Epub 2014 Sep 19.