Indications for an immune-mediated etiology of idiopathic sensory neuronopathy.

Abstract:

:To investigate immune mechanisms in the etiology of idiopathic sensory neuronopathy (ISN), we studied neurite outgrowth inhibition and antibody binding to neuronal tissue of serum from 4 patients with ISN. Rat dorsal root ganglion (DRG) cells were cultured in the presence of serum from ISN patients and controls. After 48 h of incubation, neurite outgrowth was quantified with a neurofilament ELISA. Serum from ISN patients significantly inhibited DRG neurite outgrowth compared to controls. ISN serum also strongly immunostained fixed cultured and cryostat rat DRG neurons (at dilutions up to 1:10,240), whereas serum from controls did not. Western blots showed unique binding patterns to DRG proteins in 3 ISN patients compared with controls, but a single band corresponding in all ISN patients was not found. The inhibitory effect of ISN serum on neurite outgrowth and the presence of circulating anti-DRG antibodies in the acute phase of the disease supports an immune-mediated pathogenesis of ISN.

journal_name

J Neuroimmunol

authors

van Dijk GW,Wokke JH,Notermans NC,van den Berg LH,Bär PR

doi

10.1016/s0165-5728(96)00225-1

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

165-72

issue

1-2

eissn

0165-5728

issn

1872-8421

pii

S0165-5728(96)00225-1

journal_volume

74

pub_type

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