Prevalence of Anti-Ganglioside Antibodies and Their Clinical Correlates with Guillain-Barré Syndrome in Korea: A Nationwide Multicenter Study
No previous studies have investigated the relationship between various anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome (GBS) in Korea. The aim of this study was to determine the prevalence and types of anti-ganglioside antibodies in Korean GBS patients, and to...
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| Published in | Journal of clinical neurology (Seoul, Korea) Vol. 10; no. 2; pp. 94 - 100 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
Korean Neurological Association
01.04.2014
대한신경과학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1738-6586 2005-5013 |
| DOI | 10.3988/jcn.2014.10.2.94 |
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| Abstract | No previous studies have investigated the relationship between various anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome (GBS) in Korea. The aim of this study was to determine the prevalence and types of anti-ganglioside antibodies in Korean GBS patients, and to identify their clinical significance.
Serum was collected from patients during the acute phase of GBS at 20 university-based hospitals in Korea. The clinical and laboratory findings were reviewed and compared with the detected types of anti-ganglioside antibody.
Among 119 patients, 60 were positive for immunoglobulin G (IgG) or immunoglobulin M antibodies against any type of ganglioside (50%). The most frequent type was IgG anti-GM1 antibody (47%), followed by IgG anti-GT1a (38%), IgG anti-GD1a (25%), and IgG anti-GQ1b (8%) antibodies. Anti-GM1-antibody positivity was strongly correlated with the presence of preceding gastrointestinal infection, absence of sensory symptoms or signs, and absence of cranial nerve involvement. Patients with anti-GD1a antibody were younger, predominantly male, and had more facial nerve involvement than the antibody-negative group. Anti-GT1a-antibody positivity was more frequently associated with bulbar weakness and was highly associated with ophthalmoplegia when coupled with the coexisting anti-GQ1b antibody. Despite the presence of clinical features of acute motor axonal neuropathy (AMAN), 68% of anti-GM1- or anti-GD1a-antibody-positive cases of GBS were diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (AIDP) by a single electrophysiological study.
Anti-ganglioside antibodies were frequently found in the serum of Korean GBS patients, and each antibody was correlated strongly with the various clinical manifestations. Nevertheless, without an anti-ganglioside antibody assay, in Korea AMAN is frequently misdiagnosed as AIDP by single electrophysiological studies. |
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| AbstractList | Background and Purpose No previous studies have investigated the relationship betweenvarious anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome(GBS) in Korea. The aim of this study was to determine the prevalence and types of anti-ganglioside antibodies in Korean GBS patients, and to identify their clinical significance.
Methods Serum was collected from patients during the acute phase of GBS at 20 universitybased hospitals in Korea. The clinical and laboratory findings were reviewed and compared withthe detected types of anti-ganglioside antibody.
Results Among 119 patients, 60 were positive for immunoglobulin G (IgG) or immunoglobulin M antibodies against any type of ganglioside (50%). The most frequent type was IgG anti-GM1 antibody (47%), followed by IgG anti-GT1a (38%), IgG anti-GD1a (25%), and IgG anti-GQ1b (8%) antibodies. Anti-GM1-antibody positivity was strongly correlated with the presenceof preceding gastrointestinal infection, absence of sensory symptoms or signs, and absence ofcranial nerve involvement. Patients with anti-GD1a antibody were younger, predominantlymale, and had more facial nerve involvement than the antibody-negative group. Anti-GT1a-antibody positivity was more frequently associated with bulbar weakness and was highly associated with ophthalmoplegia when coupled with the coexisting anti-GQ1b antibody. Despite the presence of clinical features of acute motor axonal neuropathy (AMAN), 68% of anti-GM1- oranti-GD1a-antibody-positive cases of GBS were diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (AIDP) by a single electrophysiological study.
Conclusions Anti-ganglioside antibodies were frequently found in the serum of KoreanGBS patients, and each antibody was correlated strongly with the various clinical manifestations. Nevertheless, without an anti-ganglioside antibody assay, in Korea AMAN is frequentlymisdiagnosed as AIDP by single electrophysiological studies. KCI Citation Count: 41 No previous studies have investigated the relationship between various anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome (GBS) in Korea. The aim of this study was to determine the prevalence and types of anti-ganglioside antibodies in Korean GBS patients, and to identify their clinical significance. Serum was collected from patients during the acute phase of GBS at 20 university-based hospitals in Korea. The clinical and laboratory findings were reviewed and compared with the detected types of anti-ganglioside antibody. Among 119 patients, 60 were positive for immunoglobulin G (IgG) or immunoglobulin M antibodies against any type of ganglioside (50%). The most frequent type was IgG anti-GM1 antibody (47%), followed by IgG anti-GT1a (38%), IgG anti-GD1a (25%), and IgG anti-GQ1b (8%) antibodies. Anti-GM1-antibody positivity was strongly correlated with the presence of preceding gastrointestinal infection, absence of sensory symptoms or signs, and absence of cranial nerve involvement. Patients with anti-GD1a antibody were younger, predominantly male, and had more facial nerve involvement than the antibody-negative group. Anti-GT1a-antibody positivity was more frequently associated with bulbar weakness and was highly associated with ophthalmoplegia when coupled with the coexisting anti-GQ1b antibody. Despite the presence of clinical features of acute motor axonal neuropathy (AMAN), 68% of anti-GM1- or anti-GD1a-antibody-positive cases of GBS were diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (AIDP) by a single electrophysiological study. Anti-ganglioside antibodies were frequently found in the serum of Korean GBS patients, and each antibody was correlated strongly with the various clinical manifestations. Nevertheless, without an anti-ganglioside antibody assay, in Korea AMAN is frequently misdiagnosed as AIDP by single electrophysiological studies. No previous studies have investigated the relationship between various anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome (GBS) in Korea. The aim of this study was to determine the prevalence and types of anti-ganglioside antibodies in Korean GBS patients, and to identify their clinical significance.BACKGROUND AND PURPOSENo previous studies have investigated the relationship between various anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome (GBS) in Korea. The aim of this study was to determine the prevalence and types of anti-ganglioside antibodies in Korean GBS patients, and to identify their clinical significance.Serum was collected from patients during the acute phase of GBS at 20 university-based hospitals in Korea. The clinical and laboratory findings were reviewed and compared with the detected types of anti-ganglioside antibody.METHODSSerum was collected from patients during the acute phase of GBS at 20 university-based hospitals in Korea. The clinical and laboratory findings were reviewed and compared with the detected types of anti-ganglioside antibody.Among 119 patients, 60 were positive for immunoglobulin G (IgG) or immunoglobulin M antibodies against any type of ganglioside (50%). The most frequent type was IgG anti-GM1 antibody (47%), followed by IgG anti-GT1a (38%), IgG anti-GD1a (25%), and IgG anti-GQ1b (8%) antibodies. Anti-GM1-antibody positivity was strongly correlated with the presence of preceding gastrointestinal infection, absence of sensory symptoms or signs, and absence of cranial nerve involvement. Patients with anti-GD1a antibody were younger, predominantly male, and had more facial nerve involvement than the antibody-negative group. Anti-GT1a-antibody positivity was more frequently associated with bulbar weakness and was highly associated with ophthalmoplegia when coupled with the coexisting anti-GQ1b antibody. Despite the presence of clinical features of acute motor axonal neuropathy (AMAN), 68% of anti-GM1- or anti-GD1a-antibody-positive cases of GBS were diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (AIDP) by a single electrophysiological study.RESULTSAmong 119 patients, 60 were positive for immunoglobulin G (IgG) or immunoglobulin M antibodies against any type of ganglioside (50%). The most frequent type was IgG anti-GM1 antibody (47%), followed by IgG anti-GT1a (38%), IgG anti-GD1a (25%), and IgG anti-GQ1b (8%) antibodies. Anti-GM1-antibody positivity was strongly correlated with the presence of preceding gastrointestinal infection, absence of sensory symptoms or signs, and absence of cranial nerve involvement. Patients with anti-GD1a antibody were younger, predominantly male, and had more facial nerve involvement than the antibody-negative group. Anti-GT1a-antibody positivity was more frequently associated with bulbar weakness and was highly associated with ophthalmoplegia when coupled with the coexisting anti-GQ1b antibody. Despite the presence of clinical features of acute motor axonal neuropathy (AMAN), 68% of anti-GM1- or anti-GD1a-antibody-positive cases of GBS were diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (AIDP) by a single electrophysiological study.Anti-ganglioside antibodies were frequently found in the serum of Korean GBS patients, and each antibody was correlated strongly with the various clinical manifestations. Nevertheless, without an anti-ganglioside antibody assay, in Korea AMAN is frequently misdiagnosed as AIDP by single electrophysiological studies.CONCLUSIONSAnti-ganglioside antibodies were frequently found in the serum of Korean GBS patients, and each antibody was correlated strongly with the various clinical manifestations. Nevertheless, without an anti-ganglioside antibody assay, in Korea AMAN is frequently misdiagnosed as AIDP by single electrophysiological studies. |
| Author | Sohn, Eun Hee Lee, Su-Yun Kusunoki, Susumu Park, Young-Eun Huh, So Young Oh, Sun-Young Kim, Ji Soo Song, Hyun Seok Kim, Sun Young Suh, Bum Chun Kim, Jong Eun Lee, Tae-Kyeong Kim, Nam-Hee Choi, Young-Chul Bae, Jong Seok Nam, Tai-Seung Kim, Jong Kuk Jeong, Seong-Hae Kwon, Ohyun Kim, Dae-Seong Lim, Jeong-Geun Park, Min Su Kim, Dong Uk Lee, Sung-Hoon Park, Ki-Jong |
| AuthorAffiliation | q Department of Neurology, College of Medicine, Konyang University, Daejeon, Korea g Department of Neurology, School of Medicine, Gyeongsang National University, Jinju, Korea e Department of Industrial and Occupational Medicine, Pusan National University School of Medicine, Busan, Korea c Department of Neurology, School of Medicine, Pusan National University, Busan, Korea v Department of Neurology, School of Medicine, Chosun University, Gwangju, Korea o Department of Neurology, College of Medicine, Yonsei University, Seoul, Korea u Department of Neurology, College of Medicine, Soonchunhyang University, Seoul, Korea a Department of Neurology, College of Medicine, Dong-A University, Busan, Korea f Department of Neurology, College of Medicine, Seoul National University, Seoul, Korea j Department of Neurology, School of Medicine, Keimyung University, Daegu, Korea i Department of Neurology, College of Medicine, University of Ulsan, Ulsan, Korea s Department of Neurology, School of Medicine, Eulji Univ |
| AuthorAffiliation_xml | – name: c Department of Neurology, School of Medicine, Pusan National University, Busan, Korea – name: j Department of Neurology, School of Medicine, Keimyung University, Daegu, Korea – name: t Department of Neurology, School of Medicine, Chonbuk National University, Jeonju, Korea – name: g Department of Neurology, School of Medicine, Gyeongsang National University, Jinju, Korea – name: r Department of Neurology, College of Medicine, Kosin University, Busan, Korea – name: m Department of Neurology, Chonnam National University Medical School, Gwangju, Korea – name: f Department of Neurology, College of Medicine, Seoul National University, Seoul, Korea – name: o Department of Neurology, College of Medicine, Yonsei University, Seoul, Korea – name: k Department of Neurology, College of Medicine, Dongguk University, Seoul, Korea – name: a Department of Neurology, College of Medicine, Dong-A University, Busan, Korea – name: h Department of Neurology, School of Medicine, Kyungpook National University, Daegu, Korea – name: e Department of Industrial and Occupational Medicine, Pusan National University School of Medicine, Busan, Korea – name: d Department of Neurology, School of Medicine, Kinki University, Osaka, Japan – name: i Department of Neurology, College of Medicine, University of Ulsan, Ulsan, Korea – name: p Department of Neurology, School of Medicine, Chungnam National University, Daejeon, Korea – name: n Department of Neurology, School of Medicine, Yeungnam University, Daegu, Korea – name: u Department of Neurology, College of Medicine, Soonchunhyang University, Seoul, Korea – name: q Department of Neurology, College of Medicine, Konyang University, Daejeon, Korea – name: l Department of Neurology, School of Medicine, Sungkyunkwan University, Seoul, Korea – name: b Department of Neurology, College of Medicine, Hallym University, Seoul, Korea – name: s Department of Neurology, School of Medicine, Eulji University, Seoul, Korea – name: v Department of Neurology, School of Medicine, Chosun University, Gwangju, Korea |
| Author_xml | – sequence: 1 givenname: Jong Kuk surname: Kim fullname: Kim, Jong Kuk organization: Department of Neurology, College of Medicine, Dong-A University, Busan, Korea – sequence: 2 givenname: Jong Seok surname: Bae fullname: Bae, Jong Seok organization: Department of Neurology, College of Medicine, Hallym University, Seoul, Korea – sequence: 3 givenname: Dae-Seong surname: Kim fullname: Kim, Dae-Seong organization: Department of Neurology, School of Medicine, Pusan National University, Busan, Korea – sequence: 4 givenname: Susumu surname: Kusunoki fullname: Kusunoki, Susumu organization: Department of Neurology, School of Medicine, Kinki University, Osaka, Japan – sequence: 5 givenname: Jong Eun surname: Kim fullname: Kim, Jong Eun organization: Department of Industrial and Occupational Medicine, Pusan National University School of Medicine, Busan, Korea – sequence: 6 givenname: Ji Soo surname: Kim fullname: Kim, Ji Soo organization: Department of Neurology, College of Medicine, Seoul National University, Seoul, Korea – sequence: 7 givenname: Young-Eun surname: Park fullname: Park, Young-Eun organization: Department of Neurology, School of Medicine, Pusan National University, Busan, Korea – sequence: 8 givenname: Ki-Jong surname: Park fullname: Park, Ki-Jong organization: Department of Neurology, School of Medicine, Gyeongsang National University, Jinju, Korea – sequence: 9 givenname: Hyun Seok surname: Song fullname: Song, Hyun Seok organization: Department of Neurology, School of Medicine, Kyungpook National University, Daegu, Korea – sequence: 10 givenname: Sun Young surname: Kim fullname: Kim, Sun Young organization: Department of Neurology, College of Medicine, University of Ulsan, Ulsan, Korea – sequence: 11 givenname: Jeong-Geun surname: Lim fullname: Lim, Jeong-Geun organization: Department of Neurology, School of Medicine, Keimyung University, Daegu, Korea – sequence: 12 givenname: Nam-Hee surname: Kim fullname: Kim, Nam-Hee organization: Department of Neurology, College of Medicine, Dongguk University, Seoul, Korea – sequence: 13 givenname: Bum Chun surname: Suh fullname: Suh, Bum Chun organization: Department of Neurology, School of Medicine, Sungkyunkwan University, Seoul, Korea – sequence: 14 givenname: Tai-Seung surname: Nam fullname: Nam, Tai-Seung organization: Department of Neurology, Chonnam National University Medical School, Gwangju, Korea – sequence: 15 givenname: Min Su surname: Park fullname: Park, Min Su organization: Department of Neurology, School of Medicine, Yeungnam University, Daegu, Korea – sequence: 16 givenname: Young-Chul surname: Choi fullname: Choi, Young-Chul organization: Department of Neurology, College of Medicine, Yonsei University, Seoul, Korea – sequence: 17 givenname: Eun Hee surname: Sohn fullname: Sohn, Eun Hee organization: Department of Neurology, School of Medicine, Chungnam National University, Daejeon, Korea – sequence: 19 givenname: So Young surname: Huh fullname: Huh, So Young organization: Department of Neurology, College of Medicine, Kosin University, Busan, Korea – sequence: 20 givenname: Ohyun surname: Kwon fullname: Kwon, Ohyun organization: Department of Neurology, School of Medicine, Eulji University, Seoul, Korea – sequence: 21 givenname: Su-Yun surname: Lee fullname: Lee, Su-Yun organization: Department of Neurology, College of Medicine, Dong-A University, Busan, Korea – sequence: 22 givenname: Sung-Hoon surname: Lee fullname: Lee, Sung-Hoon organization: Department of Neurology, College of Medicine, Hallym University, Seoul, Korea – sequence: 23 givenname: Sun-Young surname: Oh fullname: Oh, Sun-Young organization: Department of Neurology, School of Medicine, Chonbuk National University, Jeonju, Korea – sequence: 24 givenname: Seong-Hae surname: Jeong fullname: Jeong, Seong-Hae organization: Department of Neurology, School of Medicine, Chungnam National University, Daejeon, Korea – sequence: 25 givenname: Tae-Kyeong surname: Lee fullname: Lee, Tae-Kyeong organization: Department of Neurology, College of Medicine, Soonchunhyang University, Seoul, Korea – sequence: 26 givenname: Dong Uk surname: Kim fullname: Kim, Dong Uk organization: Department of Neurology, School of Medicine, Chosun University, Gwangju, Korea |
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| Snippet | No previous studies have investigated the relationship between various anti-ganglioside antibodies and the clinical characteristics of Guillain-Barré syndrome... Background and Purpose No previous studies have investigated the relationship betweenvarious anti-ganglioside antibodies and the clinical characteristics of... |
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| SubjectTerms | Original 신경과학 |
| Title | Prevalence of Anti-Ganglioside Antibodies and Their Clinical Correlates with Guillain-Barré Syndrome in Korea: A Nationwide Multicenter Study |
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