Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.

Acetylcholine receptor (AChR) autoantibodies, found in patients with autoimmune myasthenia gravis (MG), can directly contribute to disease pathology through activation of the classical complement pathway. Activation of the complement pathway in autoimmune diseases can lead to a secondary complement...

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Main Authors: Miriam L Fichtner, Michelle D Hoarty, Douangsone D Vadysirisack, Bailey Munro-Sheldon, Richard J Nowak, Kevin C O'Connor
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0264489
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author Miriam L Fichtner
Michelle D Hoarty
Douangsone D Vadysirisack
Bailey Munro-Sheldon
Richard J Nowak
Kevin C O'Connor
author_facet Miriam L Fichtner
Michelle D Hoarty
Douangsone D Vadysirisack
Bailey Munro-Sheldon
Richard J Nowak
Kevin C O'Connor
author_sort Miriam L Fichtner
collection DOAJ
description Acetylcholine receptor (AChR) autoantibodies, found in patients with autoimmune myasthenia gravis (MG), can directly contribute to disease pathology through activation of the classical complement pathway. Activation of the complement pathway in autoimmune diseases can lead to a secondary complement deficiency resulting in reduced complement activity, due to consumption, during episodes of disease activity. It is not clear whether complement activity in MG patients associates with measurements of disease activity or the titer of circulating pathogenic AChR autoantibodies. To explore such associations, as a means to identify a candidate biomarker, we measured complement activity in AChR MG samples (N = 51) using a CH50 hemolysis assay, then tested associations between these values and both clinical status and AChR autoantibody titer. The majority of the study subjects (88.2%) had complement activity within the range defined by healthy controls, while six patients (11.8%) showed reduced activity. No significant association between complement activity and disease status or AChR autoantibody titer was observed.
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spelling doaj.art-b75d42d92931411eb99c3951400422942023-03-23T05:32:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026448910.1371/journal.pone.0264489Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.Miriam L FichtnerMichelle D HoartyDouangsone D VadysirisackBailey Munro-SheldonRichard J NowakKevin C O'ConnorAcetylcholine receptor (AChR) autoantibodies, found in patients with autoimmune myasthenia gravis (MG), can directly contribute to disease pathology through activation of the classical complement pathway. Activation of the complement pathway in autoimmune diseases can lead to a secondary complement deficiency resulting in reduced complement activity, due to consumption, during episodes of disease activity. It is not clear whether complement activity in MG patients associates with measurements of disease activity or the titer of circulating pathogenic AChR autoantibodies. To explore such associations, as a means to identify a candidate biomarker, we measured complement activity in AChR MG samples (N = 51) using a CH50 hemolysis assay, then tested associations between these values and both clinical status and AChR autoantibody titer. The majority of the study subjects (88.2%) had complement activity within the range defined by healthy controls, while six patients (11.8%) showed reduced activity. No significant association between complement activity and disease status or AChR autoantibody titer was observed.https://doi.org/10.1371/journal.pone.0264489
spellingShingle Miriam L Fichtner
Michelle D Hoarty
Douangsone D Vadysirisack
Bailey Munro-Sheldon
Richard J Nowak
Kevin C O'Connor
Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.
PLoS ONE
title Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.
title_full Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.
title_fullStr Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.
title_full_unstemmed Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.
title_short Myasthenia gravis complement activity is independent of autoantibody titer and disease severity.
title_sort myasthenia gravis complement activity is independent of autoantibody titer and disease severity
url https://doi.org/10.1371/journal.pone.0264489
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