Brain, Vol. 122, No. 11, 2047-2056,
November 1999
© 1999 Oxford University Press
Invited review |
Antibodies against the myelin oligodendrocyte glycoprotein and the myelin basic protein in multiple sclerosis and other neurological diseases: a comparative study
1 Department of Neurology, University of Innsbruck, Innsbruck, Austria and 2 Department of Neuroimmunology, Max Planck Institute for Neurobiology, Martinsried, Germany
Correspondence to:
Dr T. Berger, Department of Neurology, University of Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria E-mail: Thomas.Berger{at}uibk.ac.at
In experimental animal models of multiple sclerosis demyelinating antibody responses are directed against the myelin oligodendrocyte glycoprotein (MOG). We have investigated whether a similar antibody response is also present in multiple sclerosis patients. Using the recombinant human extracellular immunoglobulin domain of MOG (MOG-Ig) we have screened the sera and CSFs of 130 multiple sclerosis patients, 32 patients with other inflammatory neurological diseases (OIND), 30 patients with other non-inflammatory neurological diseases (ONND) and 10 patients with rheumatoid arthritis. We report that 38% of multiple sclerosis patients are seropositive for IgG antibodies to MOG-Ig compared with 28% seropositive for anti-myelin basic protein (MBP). In contrast, OIND are characterized by similar frequencies of serum IgG antibody responses to MOG-Ig (53%) and MBP (47%), whereas serum IgG responses to MOG-Ig are rare in ONND (3%) and rheumatoid arthritis (10%). Anti-MBP IgG antibodies, however, are a frequent finding in ONND (23%) and rheumatoid arthritis (60%). Our results provide clear evidence that anti-MOG-Ig antibodies are common in CNS inflammation. However, in OIND these antibody responses are transient, whereas they persist in multiple sclerosis. We demonstrate that the serum anti-MOG-Ig response is already established in early multiple sclerosis (multiple sclerosis-R0; 36%). In later multiple sclerosis stages frequencies and titres are comparable with early multiple sclerosis. In contrast, the frequency of anti-MBP antibodies is low in multiple sclerosis-R0 (12%) and increases during disease progression in relapsingremitting (32%) and chronic progressive multiple sclerosis (40%), thus suggesting that anti-MBP responses accumulate over time. Finally we provide evidence for intrathecal synthesis of IgG antibodies to MOG-Ig in multiple sclerosis.
multiple sclerosis; autoantibodies; myelin oligodendrocyte glycoprotein; myelin basic protein; brain inflammation
ELISA = enzyme-linked immunosorbent assay; Ig = immunoglobulin; MBP = myelin basic protein; MOG = myelin oligodendrocyte glycoprotein; MOG-Ig = extracellular immunoglobulin domain of MOG; multiple sclerosis-CP = multiple sclerosis, chronic progressive disease course; multiple sclerosis-R0 = multiple sclerosis, first attack; multiple sclerosis-RR = multiple sclerosis, relapsingremitting disease course; OIND = other inflammatory neurological diseases; ONND = other non-inflammatory neurological diseases; Q-Alb = albumin quotient
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