Pathogenic immune mechanisms at the neuromuscular synapse: the role of specific antibody-binding epitopes in myasthenia gravis.

Abstract:

:Autoantibodies against three different postsynaptic antigens and one presynaptic antigen at the neuromuscular junction are known to cause myasthenic syndromes. The mechanisms by which these antibodies cause muscle weakness vary from antigenic modulation and complement-mediated membrane damage to inhibition of endogenous ligand binding and blocking of essential protein-protein interactions. These mechanisms are related to the autoantibody titre, specific epitopes on the target proteins and IgG autoantibody subclass. We here review the role of specific autoantibody-binding epitopes in myasthenia gravis, their possible relevance to the pathophysiology of the disease and potential implications of epitope mapping knowledge for new therapeutic strategies.

journal_name

J Intern Med

authors

Huijbers MG,Lipka AF,Plomp JJ,Niks EH,van der Maarel SM,Verschuuren JJ

doi

10.1111/joim.12163

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

12-26

issue

1

eissn

0954-6820

issn

1365-2796

journal_volume

275

pub_type

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