2007
DOI: 10.1016/j.jneuroim.2006.09.013
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Anti-ganglioside complex antibodies associated with severe disability in GBS

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Cited by 98 publications
(76 citation statements)
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“…In only one patient with CIDP and high titers of antibodies to GD1b and one with PN-IgM we found that testing for IgM antibodies to GSCs allowed to detect an additional intense IgM reactivity to the complexes formed by GM1 or GM2 with GT1b, as previously reported in a few patients with GBS and high anti-GD1b IgG (Kaida et al, 2008a), or by GM2 and GD1b, respectively, in the absence of reactivity to the individual gangliosides. No other patient showed new reactivities by this procedure indicating that, at odds with GBS and FS where approximately 5-10% of the patients were found to have antibody to GSCs in the absence of antibodies to individual gangliosides (Kaida et al, 2006(Kaida et al, , 2007(Kaida et al, , 2008b, this seldom occurred for IgM antibodies in patients with MMN or other chronic immune neuropathies.…”
Section: Discussionmentioning
confidence: 92%
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“…In only one patient with CIDP and high titers of antibodies to GD1b and one with PN-IgM we found that testing for IgM antibodies to GSCs allowed to detect an additional intense IgM reactivity to the complexes formed by GM1 or GM2 with GT1b, as previously reported in a few patients with GBS and high anti-GD1b IgG (Kaida et al, 2008a), or by GM2 and GD1b, respectively, in the absence of reactivity to the individual gangliosides. No other patient showed new reactivities by this procedure indicating that, at odds with GBS and FS where approximately 5-10% of the patients were found to have antibody to GSCs in the absence of antibodies to individual gangliosides (Kaida et al, 2006(Kaida et al, , 2007(Kaida et al, , 2008b, this seldom occurred for IgM antibodies in patients with MMN or other chronic immune neuropathies.…”
Section: Discussionmentioning
confidence: 92%
“…At the same time in some patients the mixture of some gangliosides blocked the reactivity to the individual ganglioside forming the GSCs (negative interaction). In these patients reactivity to GSCs was variably related to some clinical features (Kaida et al, 2007(Kaida et al, , 2008a. Little is known on the presence of anti-GSCs IgM antibodies in MMN or other chronic immunemediated neuropathies.…”
Section: Introductionmentioning
confidence: 99%
“…The major antibodies were identified as directed to GM1 (23). Antibodies causing more serious motor nerve paralysis were found to be directed to heterodimer structures, such as GD1a/GM1, GD1b/ GT1b, and GM1/GT1b, rather than single ganglioside structures (10,24).…”
Section: Discussionmentioning
confidence: 99%
“…The clinical features of certain subtypes of GBS are composed of a myriad of pathologic subtypes, each of which is associated with specific antiganglioside antibodies; 20 thus, the inclusion of three single gangliosides – GM‐1, GM‐2, and GD1a – and the omission of others reduced the range of detection of antiganglioside antibodies associated with GBS. Furthermore, sera from GBS‐afflicted individuals react more readily to mixtures of gangliosides, known as ganglioside complexes, and not to their individual constituents 20 , 31 , 32 . In addition, this study and others 23 , 25 , 32 , 33 have utilized gangliosides of bovine brain origin for antibody detection in mouse and human sera with success.…”
Section: Discussionmentioning
confidence: 89%
“…To our knowledge, screening of antiganglioside antibodies has been performed only in persons presenting with clinical signs of GBS; therefore, the baseline levels of antiganglioside antibodies in the population remain unknown. Although antiganglioside antibodies involved with GBS cannot be treated as a definitive marker for the syndrome, they potentially play a key role in its pathophysiology, and their importance must not be underestimated 3 , 4 , 20 , 22 , 31 , 32 , 33 , 36 …”
Section: Discussionmentioning
confidence: 99%