PMID- 29193204 OWN - NLM STAT- MEDLINE DCOM- 20190327 LR - 20190501 IS - 1097-4598 (Electronic) IS - 0148-639X (Print) IS - 0148-639X (Linking) VI - 57 IP - 5 DP - 2018 May TI - Engineered agrin attenuates the severity of experimental autoimmune myasthenia gravis. PG - 814-820 LID - 10.1002/mus.26025 [doi] AB - INTRODUCTION: Agrin is essential for the formation and maintenance of neuromuscular junctions (NMJs). NT-1654 is a C-terminal fragment of mouse neural agrin. In this study, we determined the effects of NT-1654 on the severity of experimental autoimmune myasthenia gravis (EAMG). METHODS: EAMG was induced in female Lewis rats by immunization with the Torpedo acetylcholine receptor (tAChR) and complete Freund's adjuvant (CFA). NT-1654 was dissolved in phosphate-buffered saline (PBS) and injected daily subcutaneously into tAChR immunized rats during the first 10 days after immunization, and then every other day for the following 20 days. RESULTS: We showed that NT-1654 attenuated clinical severity, effectively promoted the clustering of AChRs at NMJs, and alleviated the impairment of NMJ transmission and the reduction of muscle-specific kinase (MuSK) in EAMG rats. DISCUSSION: We demonstrated that NT-1654 attenuated clinical severity, effectively promoted the clustering of AChRs at NMJs, and alleviated the impairment of NMJ transmission and the reduction of muscle-specific kinase (MuSK) in EAMG rats. Muscle Nerve 57: 814-820, 2018. CI - (c) 2017 Wiley Periodicals, Inc. FAU - Li, Zhiguo AU - Li Z AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. AD - Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China. FAU - Li, Minshu AU - Li M AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. AD - Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China. FAU - Wood, Kristofer AU - Wood K AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. FAU - Hettwer, Steffan AU - Hettwer S AD - Neurotune AG, Schlieren-Zurich, Switzerland. FAU - Muley, Suraj A AU - Muley SA AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. FAU - Shi, Fu-Dong AU - Shi FD AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. AD - Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China. FAU - Liu, Qiang AU - Liu Q AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. AD - Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China. FAU - Ladha, Shafeeq S AU - Ladha SS AD - Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, 85013, USA. LA - eng GR - R01 NS092713/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20180108 PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 RN - 0 (Agrin) RN - 0 (Autoantibodies) RN - 0 (C-terminal agrin fragment) RN - 0 (Membrane Glycoproteins) RN - 0 (Nerve Tissue Proteins) RN - 0 (Neurofibromin 1) RN - 0 (Peptide Fragments) RN - 0 (Receptors, Cholinergic) RN - 0 (Sv2a protein, rat) RN - 9007-81-2 (Freund's Adjuvant) SB - IM MH - Action Potentials/physiology MH - Agrin/biosynthesis/chemistry/*therapeutic use MH - Animals MH - Autoantibodies/metabolism MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Electromyography MH - Female MH - Freund's Adjuvant/toxicity MH - Gene Expression Regulation/drug effects MH - Immunization/*adverse effects MH - Membrane Glycoproteins/metabolism MH - Muscle, Skeletal/pathology MH - Muscular Atrophy/etiology/therapy MH - Myasthenia Gravis, Autoimmune, Experimental/*drug therapy/*pathology MH - Nerve Tissue Proteins/metabolism MH - Neurofibromin 1/metabolism MH - Neuromuscular Junction/pathology MH - Peptide Fragments/biosynthesis/chemistry/*therapeutic use MH - Rats MH - Rats, Inbred Lew MH - Receptors, Cholinergic/immunology/metabolism PMC - PMC5910282 MID - NIHMS923726 OTO - NOTNLM OT - acetylcholine receptor OT - agrin OT - myasthenia gravis OT - neuromuscular junctions COIS- Disclosure of Conflicts of Interest: None of the authors has any conflict of interest to disclose. EDAT- 2017/12/02 06:00 MHDA- 2019/03/28 06:00 PMCR- 2019/05/01 CRDT- 2017/12/02 06:00 PHST- 2017/03/11 00:00 [received] PHST- 2017/11/22 00:00 [revised] PHST- 2017/11/26 00:00 [accepted] PHST- 2017/12/02 06:00 [pubmed] PHST- 2019/03/28 06:00 [medline] PHST- 2017/12/02 06:00 [entrez] PHST- 2019/05/01 00:00 [pmc-release] AID - 10.1002/mus.26025 [doi] PST - ppublish SO - Muscle Nerve. 2018 May;57(5):814-820. doi: 10.1002/mus.26025. Epub 2018 Jan 8.