Membrane plasma exchange in experimental allergic neuritis: effect on antibody levels and clinical course.

Abstract:

:The effect of membrane plasma exchange on the course of chronic experimental allergic neuritis in rabbits is described. Using miniature membrane plasma separators conscious animals were treated with 4 exchanges over 5 days removing one plasma volume per procedure and using a non-immunogenic gelatin plasma solution as replacement. Comparisons of clinical scores between control and treated groups indicated that treated animals received significant benefit from plasma exchange (day 1 post-treatment P less than 0.002; day 3 post-treatment P less than 0.01). However, relapse was observed in all plasma exchanged animals such that by day 8 post-treatment there was no significant difference in clinical scores between the two groups. Quantitation of anti-myelin IgG and IgM by ELISA assay showed that 55-60% of circulating antibody was removed per exchange. Rapid post-exchange antibody rebound was observed for both IgG and IgM so that pre-exchange levels were re-established within 24-48 h. However, no significant overshoot in circulating levels of anti-myelin IgG nor IgM could be observed. It is probable that long-term remission as a result of therapeutic plasma exchange is a function of effective circulating plasma removal and if present, the suppression of ongoing antigenic stimuli.

journal_name

J Neurol Sci

authors

Harvey GK,Schindhelm K,Antony JH,Pollard JD

doi

10.1016/0022-510x(88)90218-3

subject

Has Abstract

pub_date

1988-12-01 00:00:00

pages

207-18

issue

1-3

eissn

0022-510X

issn

1878-5883

pii

0022-510X(88)90218-3

journal_volume

88

pub_type

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