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Neurology 2000;55:705-707
© 2000 American Academy of Neurology


Brief Communications

IgG Fc-receptor polymorphisms in Guillain–Barré syndrome

Christian A. Vedeler, MD, Guttorm Raknes, MS, Kjell–Morten Myhr, MD and Harald Nyland, MD

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{gamma}R) IIA, IIIA, and IIIB polymorphisms in 62 patients with Guillain–Barré syndrome (GBS) and in 89 healthy controls. The Fc{gamma}R genotypes and allele frequencies did not differ significantly between the patients with GBS and the controls. Patients homozygous for the Fc{gamma}RIIIB neutrophil antigen (NA) 1 allele had a significantly less severe disease than patients heterozygous or homozygous for the NA2 allele. The Fc{gamma}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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