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From the Department of Neurology, Haukeland Hospital, University of Bergen, Norway.
Address correspondence and reprint requests to Dr. Christian A. Vedeler, Department of Neurology, Haukeland Hospital, N-5021 Bergen, Norway; e-mail: Christian.A.Vedeler{at}nevro.haukeland.no
The authors studied immunoglobulin G (IgG) Fc receptor (Fc
R) IIA, IIIA, and IIIB polymorphisms in 62 patients with GuillainBarré syndrome (GBS) and in 89 healthy controls. The Fc
R genotypes and allele frequencies did not differ significantly between the patients with GBS and the controls. Patients homozygous for the Fc
RIIIB neutrophil antigen (NA) 1 allele had a significantly less severe disease than patients heterozygous or homozygous for the NA2 allele. The Fc
RIIIB NA1/NA1 genotype has high affinity for IgG1 and IgG3, and clearance of circulating autoantibodies and immune complexes may therefore be of importance in the pathogenesis of GBS.
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