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NEUROLOGY 1980;30:543
© 1980 American Academy of Neurology

Myasthenia gravis

Antibodies to acetylcholine receptor with human and rat antigens

Kenichiro Oda, Ikuo Goto, Yoshigoro Kuroiwa, Kaoru Onoue and Yushi Ito

Department of Neurology (Drs. Oda, Goto, and Kuroiwa), Faculty of Medicine, the Department of Biochemistry (Dr. Onoue), Faculty of Dentistry, and the Department of Pharmacology (Dr. Ito), Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Serum antibodies to acetylcholine receptors (AChR) in myasthenia gravis were surveyed by radioimmunoassay, using 125I-{alpha}-bungarotoxin-complexed receptors of human muscles and denervated rat muscles. Antibodies were detected more frequently with human AChR than with rat AChR. Furthermore, antibody titers to human AChR were not always parallel to titers observed in the rat receptors, indicating the heterogeneity of antibody specificities in different individuals. Correlation between antibody titers and clinical severity was better when the antibody concentration was determined with human AChR. About 90% of the myasthenic sera contained antibodies to AChR, and 40% also contained other antibodies such as thyroid autoantibodies. These findings suggest that myasthenia gravis is a multiple immunopathy.

Address correspondence and reprint requests to Dr. Oda, Department of Neurology, Faculty of Medicine. Kyushu University, Fukuoka 812, Japan.

Accepted for publicalion August 14, 1979




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