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NEUROLOGY 1983;33:604
© 1983 American Academy of Neurology

In vitro synthesis of antibodies to acetylcholine receptor by peripheral blood mononuclear cells of patients with myasthenia gravis

Robert P. Lisak, Cynthia Laramore, Burton Zweiman and Anne Moskovitz

Department of Neurology (Drs. Lisak and Zweiman and Ms. Laramore and Moskovitz) and the Allergy and Immunology Section (Dr. Zweiman and Ms. Moskovitz) of the Department of Medicine and the Henry M. Watts, Jr., Neuromuscular Disease Research Center, University of Pennsylvania School of Medicine, Philadelphia, PA.

We studied the in vitro synthesis of antibodies to acetylcholine receptor (anti-AChR) by peripheral blood mononuclear cells (PBM) of patients with myasthenia gravis (MG) and normal subjects (NS). PBM from three of eight patients with generalized MG (MG-G) synthesized anti-AChR in vitro in the absence of pokeweed mitogen (PWM), and seven of eight did so in the presence of PWM. In individual subjects with MG-G, the levels of anti-AChR secreted in vitro by PBM correlated with serum anti-AChR antibody levels (r = 0.77) but not with the amount of IgG secreted in vitro (r = 0.44). No anti-AChR secretion was seen in culture of PBM from a patient with ocular MG, a patient with thymoma without MG, or six NS.

Address correspondence and reprint requests to Dr. Lisak, Department of Neurology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.

Supported by a grant from the Muscular Dystrophy Association.

Accepted for publication August 12, 1982.







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