Clinical features of CIDP with LM1-associated antibodies
Background LM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in some patients with chronic inflammatory demyelinating polyneuropathy (CIDP). The clinical features of patients with such antibodies have not ye...
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Published in | Journal of neurology, neurosurgery and psychiatry Vol. 84; no. 5; pp. 573 - 575 |
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Language | English |
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Abstract | Background LM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in some patients with chronic inflammatory demyelinating polyneuropathy (CIDP). The clinical features of patients with such antibodies have not yet been investigated. Methods Serum antibodies to LM1, a mixture of GM1 and LM1 (GM1/LM1), and that of GD1b and LM1 (GD1b/LM1) were examined in 75 consecutive patients with CIDP. The clinical features of the CIDP patients with such antibodies in the present series and those in the previous reports were investigated and compared with those of antibody-negative patients. Results Of the 75 patients with CIDP, two had antibodies to LM1, three had anti-GM1/LM1 complex antibody, one had anti-GD1b/LM1 complex antibody and two had antibodies to both the GM1/LM1 and GD1b/LM1 complexes. Patients with the LM1-associated antibodies did not have cranial nerve deficits (p<0.05) and exhibited ataxia more frequently than the antibody-negative patients (p<0.01). Conclusion In humans, LM1 is contained more in the dorsal root than in the cranial nerves. The clinical features of CIDP patients with antibodies to LM1 and LM1-containing complexes may be associated with the distribution of the LM1 antigen. LM1-associated antibodies are possible markers for a subclass of CIDP. |
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AbstractList | Background LM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in some patients with chronic inflammatory demyelinating polyneuropathy (CIDP). The clinical features of patients with such antibodies have not yet been investigated. Methods Serum antibodies to LM1, a mixture of GM1 and LM1 (GM1/LM1), and that of GD1b and LM1 (GD1b/LM1) were examined in 75 consecutive patients with CIDP. The clinical features of the CIDP patients with such antibodies in the present series and those in the previous reports were investigated and compared with those of antibody-negative patients. Results Of the 75 patients with CIDP, two had antibodies to LM1, three had anti-GM1/LM1 complex antibody, one had anti-GD1b/LM1 complex antibody and two had antibodies to both the GM1/LM1 and GD1b/LM1 complexes. Patients with the LM1-associated antibodies did not have cranial nerve deficits (p<0.05) and exhibited ataxia more frequently than the antibody-negative patients (p<0.01). Conclusion In humans, LM1 is contained more in the dorsal root than in the cranial nerves. The clinical features of CIDP patients with antibodies to LM1 and LM1-containing complexes may be associated with the distribution of the LM1 antigen. LM1-associated antibodies are possible markers for a subclass of CIDP. BackgroundLM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in some patients with chronic inflammatory demyelinating polyneuropathy (CIDP). The clinical features of patients with such antibodies have not yet been investigated.MethodsSerum antibodies to LM1, a mixture of GM1 and LM1 (GM1/LM1), and that of GD1b and LM1 (GD1b/LM1) were examined in 75 consecutive patients with CIDP. The clinical features of the CIDP patients with such antibodies in the present series and those in the previous reports were investigated and compared with those of antibody-negative patients.ResultsOf the 75 patients with CIDP, two had antibodies to LM1, three had anti-GM1/LM1 complex antibody, one had anti-GD1b/LM1 complex antibody and two had antibodies to both the GM1/LM1 and GD1b/LM1 complexes. Patients with the LM1-associated antibodies did not have cranial nerve deficits (p<0.05) and exhibited ataxia more frequently than the antibody-negative patients (p<0.01).ConclusionIn humans, LM1 is contained more in the dorsal root than in the cranial nerves. The clinical features of CIDP patients with antibodies to LM1 and LM1-containing complexes may be associated with the distribution of the LM1 antigen. LM1-associated antibodies are possible markers for a subclass of CIDP. LM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in some patients with chronic inflammatory demyelinating polyneuropathy (CIDP). The clinical features of patients with such antibodies have not yet been investigated. Serum antibodies to LM1, a mixture of GM1 and LM1 (GM1/LM1), and that of GD1b and LM1 (GD1b/LM1) were examined in 75 consecutive patients with CIDP. The clinical features of the CIDP patients with such antibodies in the present series and those in the previous reports were investigated and compared with those of antibody-negative patients. Of the 75 patients with CIDP, two had antibodies to LM1, three had anti-GM1/LM1 complex antibody, one had anti-GD1b/LM1 complex antibody and two had antibodies to both the GM1/LM1 and GD1b/LM1 complexes. Patients with the LM1-associated antibodies did not have cranial nerve deficits (p<0.05) and exhibited ataxia more frequently than the antibody-negative patients (p<0.01). In humans, LM1 is contained more in the dorsal root than in the cranial nerves. The clinical features of CIDP patients with antibodies to LM1 and LM1-containing complexes may be associated with the distribution of the LM1 antigen. LM1-associated antibodies are possible markers for a subclass of CIDP. |
Author | Suzuki, Hidekazu Takada, Kazuo Kusunoki, Susumu Hamada, Yukihiro Kuwahara, Motoi Samukawa, Makoto |
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References | Allen, Giannopoulos, Gray 2005; 10 Ilyas, Mithen, Dalakas 1992; 107 Meléndez-Vásquez, Redford, Choudhary 1997; 73 Kuwahara, Suzuki, Takada 2011; 239 Hughes, Bensa, Willison 2001; 50 Susuki, Yuki, Hirata 2002; 195 Kusunoki, Chiba, Tai 1993; 16 Hughes, Allen, Makowska 2006; 11 Yako, Kusunoki, Kanazawa 1999; 168 Yan, Archelos, Hartung 2001; 50 Ogawa-Goto, Funamoto, Ohta 1992; 59 2005; 10 Kaida, Morita, Kanzaki 2004; 56 Chiba, Kusunoki, Obata 1997; 745 Sanvito, Makowska, Mahdi-Rogers 2009; 80 Kuwabara, Ogawara, Misawa 2002; 72 |
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Snippet | Background LM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in... LM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in some patients... BACKGROUNDLM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in... BackgroundLM1 is the predominant glycolipid in human peripheral nerve myelin and antibodies to LM1 and LM1-containing ganglioside complexes are detected in... |
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SubjectTerms | Adolescent Adult Aged Aged, 80 and over Antibodies Ataxia Ataxia - etiology Autoantibodies - analysis Child CLINICAL NEUROLOGY Cranial Nerve Diseases - immunology Cranial Nerve Diseases - pathology Cranial Nerve Diseases - therapy Enzyme-Linked Immunosorbent Assay Female G(M1) Ganglioside - immunology GANGLIOSIDE Gangliosides - immunology Glycolipids - immunology Guillain-Barre syndrome Humans Immunoglobulin G - immunology Immunotherapy Male Middle Aged Neural Conduction - physiology NEUROCHEMISTRY NEUROIMMUNOLOGY NEUROPATHY Pathogenesis Patients Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - immunology Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - pathology Polyradiculoneuropathy, Chronic Inflammatory Demyelinating - therapy Young Adult |
Title | Clinical features of CIDP with LM1-associated antibodies |
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