PMID- 37660538 OWN - NLM STAT- MEDLINE DCOM- 20240314 LR - 20240321 IS - 1872-8421 (Electronic) IS - 0165-5728 (Linking) VI - 383 DP - 2023 Oct 15 TI - Silencing of FCRLB by shRNA ameliorates MuSK-induced EAMG in mice. PG - 578195 LID - S0165-5728(23)00181-9 [pii] LID - 10.1016/j.jneuroim.2023.578195 [doi] AB - INTRODUCTION: Muscle specific kinase (MuSK) antibody positive myasthenia gravis (MG) often presents with a severe disease course and resistance to treatment. Treatment-refractory patients may respond to B cell depleting treatment methods. Our aim was to investigate whether inhibition of Fc receptor-like B (FCRLB) could effectively suppress autoimmunity without diminishing B cell counts in animal model of MG, a classical antibody-mediated autoimmune disease. METHODS: Experimental autoimmune MG was induced in Balb/C mice with two s.c. immunizations with recombinant human MuSK in complete Freund's adjuvant. FCRLB was silenced with a lentiviral particle transported shRNA in myasthenic mice with a single i.p. injection during second MuSK-immunization. Control immunized mice received scrambled shRNA or saline. Mice were observed for clinical parameters for 28 days and at termination, anti-MuSK IgG, neuromuscular junction (NMJ) deposits, muscle AChR expression and lymph node B and T cell ratios were assessed by ELISA, immunofluorescence, immunoblotting and flow cytometry, respectively. RESULTS: FCRLB shRNA-treated mice showed no muscle weakness or weight loss at termination. Also, they exhibited higher grip strength and muscle AChR levels, lower anti-MuSK IgG and NMJ IgG/C3 levels than control mice. Flow cytometry analysis showed that ratios of major effector lymph node B and T cell populations were not altered by FCRLB silencing. However, regulatory T and CD19 + CD5+ B cell ratios were decreased in FCRLB shRNA-group. CONCLUSION: Our results provide evidence regarding involvement and therapeutic value of FCRLB in MuSK-MG. Silencing of FCRLB appears to substantially inhibit antibody production without interfering with survival of major lymphocyte populations. CI - Copyright (c) 2023. Published by Elsevier B.V. FAU - Koral, Gizem AU - Koral G AD - Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey. FAU - Ulusoy, Canan AU - Ulusoy C AD - Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey. FAU - Cossins, Judith AU - Cossins J AD - Neuromuscular Disorders Group, Nuffield Department of Clinical Neurosciences, Weatherall Institute of Molecular Medicine, Oxford, UK. FAU - Lazaridis, Konstantinos AU - Lazaridis K AD - Department of Immunology, Hellenic Pasteur Institute, Athens, Greece. FAU - Turkoglu, Recai AU - Turkoglu R AD - Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. FAU - Dong, Yin Yao AU - Dong YY AD - Neuromuscular Disorders Group, Nuffield Department of Clinical Neurosciences, Weatherall Institute of Molecular Medicine, Oxford, UK. FAU - Tuzun, Erdem AU - Tuzun E AD - Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey. FAU - Yilmaz, Vuslat AU - Yilmaz V AD - Department of Neuroscience, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey. Electronic address: vuslaty@hotmail.com. LA - eng GR - MR/S007180/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230830 PL - Netherlands TA - J Neuroimmunol JT - Journal of neuroimmunology JID - 8109498 RN - 0 (Immunoglobulin G) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - 0 (Autoantibodies) SB - IM MH - Humans MH - Mice MH - Animals MH - *Immunoglobulin G MH - Receptor Protein-Tyrosine Kinases MH - Neuromuscular Junction MH - Immunization/methods MH - *Myasthenia Gravis, Autoimmune, Experimental MH - Autoantibodies OTO - NOTNLM OT - Autoimmunity OT - FCRLB OT - Muscle specific kinase OT - Myasthenia gravis OT - shRNA COIS- Declaration of Competing Interest The authors declare no disclosures of any financial interest. EDAT- 2023/09/04 00:41 MHDA- 2024/03/14 06:47 CRDT- 2023/09/03 18:06 PHST- 2023/03/04 00:00 [received] PHST- 2023/05/18 00:00 [revised] PHST- 2023/08/29 00:00 [accepted] PHST- 2024/03/14 06:47 [medline] PHST- 2023/09/04 00:41 [pubmed] PHST- 2023/09/03 18:06 [entrez] AID - S0165-5728(23)00181-9 [pii] AID - 10.1016/j.jneuroim.2023.578195 [doi] PST - ppublish SO - J Neuroimmunol. 2023 Oct 15;383:578195. doi: 10.1016/j.jneuroim.2023.578195. Epub 2023 Aug 30.