PMID- 31855721 OWN - NLM STAT- MEDLINE DCOM- 20200709 LR - 20200709 IS - 1872-8421 (Electronic) IS - 0165-5728 (Linking) VI - 339 DP - 2020 Feb 15 TI - Antigen-specific immunoadsorption of MuSK autoantibodies as a treatment of MuSK-induced experimental autoimmune myasthenia gravis. PG - 577136 LID - S0165-5728(19)30447-3 [pii] LID - 10.1016/j.jneuroim.2019.577136 [doi] AB - Myasthenia gravis (MG) is an autoimmune disease affecting the neuromuscular junction. Approximately 9% of MG patients have autoantibodies targeting the muscle specific kinase (MuSK), and are challenging therapeutically, since they often present with more severe symptoms. A useful therapy is plasmapheresis, but it is highly non-specific. Antigen-specific immunoadsorption would only remove the pathogenic autoantibodies, minimizing the possible side effects and maximizing the benefit. We used rats with human MuSK-induced experimental autoimmune MG to perform antigen-specific immunoadsorptions, and found it very effective, resulting in a dramatic autoantibody titer decrease, while immunoadsorbed, but not mock-treated, animals showed an significant improvement of their clinical symptoms. Overall, the procedure was efficient, supporting its application for MG treatment. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Lazaridis, Konstantinos AU - Lazaridis K AD - Hellenic Pasteur Institute, Athens, Greece. Electronic address: klazaridis@pasteur.gr. FAU - Baltatzidou, Vasiliki AU - Baltatzidou V AD - Hellenic Pasteur Institute, Athens, Greece. FAU - Tektonidis, Nikolaos AU - Tektonidis N AD - Hellenic Pasteur Institute, Athens, Greece. FAU - Tzartos, Socrates J AU - Tzartos SJ AD - Hellenic Pasteur Institute, Athens, Greece; Tzartos NeuroDiagnostics, Athens, Greece. Electronic address: stzartos@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191216 PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Autoantibodies) RN - 0 (Histocompatibility Antigens Class II) 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/*administration & dosage/immunology MH - Female MH - Histocompatibility Antigens Class II/*administration & dosage/immunology MH - Humans MH - Immunization/methods MH - Myasthenia Gravis, Autoimmune, Experimental/*drug therapy/immunology MH - Plasmapheresis/*methods MH - Rats MH - Rats, Inbred Lew MH - Receptor Protein-Tyrosine Kinases/*administration & dosage/immunology MH - Receptors, Cholinergic/*administration & dosage/immunology MH - Treatment Outcome OTO - NOTNLM OT - Antibodies OT - Autoantibodies OT - Experimental autoimmune myasthenia gravis OT - Immunoadsorption OT - Muscle specific kinase OT - Myasthenia gravis OT - Therapy EDAT- 2019/12/20 06:00 MHDA- 2020/07/10 06:00 CRDT- 2019/12/20 06:00 PHST- 2019/09/02 00:00 [received] PHST- 2019/12/10 00:00 [revised] PHST- 2019/12/11 00:00 [accepted] PHST- 2019/12/20 06:00 [pubmed] PHST- 2020/07/10 06:00 [medline] PHST- 2019/12/20 06:00 [entrez] AID - S0165-5728(19)30447-3 [pii] AID - 10.1016/j.jneuroim.2019.577136 [doi] PST - ppublish SO - J Neuroimmunol. 2020 Feb 15;339:577136. doi: 10.1016/j.jneuroim.2019.577136. Epub 2019 Dec 16.