Use of immunoadsorbent columns for antiacetylcholine receptor antibody removal from plasma of myasthenia gravis patients

Carlo Antozzi MD , Renato Mantegazza MD , Dionisio Peluchetti MD , Fulvio Baggi PhD , Paola Romagnoli PhD , Maurizio Marconi MD , Angelo Vescoyv PhD , Ferdinando Cornelio MD
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Abstract

The best apheretic approach to myasthenia gravis is the selective removal of antiacetylcholine receptor antibodies (antiAchR-Ab) from plasma. A new tryptophan-linked polyvinyl-alcohol gel recently reported to be able to adsorb IgG autoantibodies semiselectively from plasma was investigated in vitro. A consistent reduction of antiAchR-Ab ranging from 76% to 100% was observed in all plasma samples tested. Various degrees of reduction of other immunoglobulins were noted. The regeneration of the immunocolumn did not reduce the efficiency in autoantibody removal. Further in vitro and in vivo investigations are needed to confirm the clinical usefulness of this promising apheretic approach to myasthenia gravis.

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应用免疫吸附柱去除重症肌无力患者血浆中抗乙酰胆碱受体抗体
治疗重症肌无力的最佳方法是从血浆中选择性去除抗乙酰胆碱受体抗体(抗achr - ab)。一种新的色氨酸连接聚乙烯醇凝胶最近报道能够半选择性地从血浆中吸附IgG自身抗体的体外研究。在所有检测的血浆样本中观察到抗achr - ab的一致性降低,范围从76%到100%。其他免疫球蛋白有不同程度的减少。免疫柱的再生不降低自身抗体的去除效率。需要进一步的体外和体内研究来证实这种有前途的治疗重症肌无力的方法的临床有效性。
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