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10.1007/s00415-017-8635-4

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suck abstract from ncbi


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pmid29063242
      J+Neurol 2017 ; 264 (12 ): 2420-2430
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  • Clinical spectrum and IgG subclass analysis of anti-myelin oligodendrocyte glycoprotein antibody-associated syndromes: a multicenter study #MMPMID29063242
  • Mariotto S ; Ferrari S ; Monaco S ; Benedetti MD ; Schanda K ; Alberti D ; Farinazzo A ; Capra R ; Mancinelli C ; De Rossi N ; Bombardi R ; Zuliani L ; Zoccarato M ; Tanel R ; Bonora A ; Turatti M ; Calabrese M ; Polo A ; Pavone A ; Grazian L ; Sechi G ; Sechi E ; Urso D ; Delogu R ; Janes F ; Deotto L ; Cadaldini M ; Bianchi MR ; Cantalupo G ; Reindl M ; Gajofatto A
  • J Neurol 2017[Dec]; 264 (12 ): 2420-2430 PMID29063242 show ga
  • Anti-myelin oligodendrocyte glycoprotein antibodies (MOG-Ab) recently emerged as a potential biomarker in patients with inflammatory demyelinating diseases of the central nervous system. We here compare the clinical and laboratory findings observed in a cohort of MOG-Ab seropositive and seronegative cases and describe IgG subclass analysis results. Consecutive serum samples referred to Verona University Neuropathology Laboratory for aquaporin-4 (AQP4)-Ab and/or MOG-Ab testing were analysed between March 2014 and May 2017. The presence of AQP4-Ab was determined using a cell-based assay. A live cell immunofluorescence assay was used for the detection of MOG-IgG and IgG subclass analysis. Among 454 analysed samples, 29 were excluded due to AQP4-Ab positivity or to the final demonstration of a disorder not compatible with MOG-Ab. We obtained clinical data in 154 out of 425 cases. Of these, 22 subjects resulted MOG-Ab positive. MOG-Ab positive patients were mainly characterised by the involvement of the optic nerve and/or spinal cord. Half of the cases presented relapses and the recovery was usually partial. Brain MRI was heterogeneous while short lesions were the prevalent observation on spinal cord MRI. MOG-Ab titre usually decreased in non-relapsing cases. In all MOG-IgG positive cases, we observed IgG1 antibodies, which were predominant in most subjects. IgG2 (5/22), IgG3 (9/22) and IgG4 (3/22) antibodies were also detectable. We confirm that MOG-Ab-related syndromes have distinct features in the spectrum of demyelinating conditions, and we describe the possible role of the different IgG subclasses in this condition.
  • |Adult [MESH]
  • |Brain/diagnostic imaging [MESH]
  • |Cohort Studies [MESH]
  • |Demyelinating Autoimmune Diseases, CNS/*blood/diagnostic imaging [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Image Processing, Computer-Assisted [MESH]
  • |Immunoglobulin G/*blood/*classification [MESH]
  • |Italy [MESH]
  • |Magnetic Resonance Imaging [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Myelin-Oligodendrocyte Glycoprotein/*immunology [MESH]
  • |Spinal Cord/diagnostic imaging [MESH]


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