1971
DOI: 10.1016/0006-8993(71)90052-7
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The immunogenesis of the multiple sclerosis plaque

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Cited by 160 publications
(76 citation statements)
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“…The evidence includes intrathecal Ig synthesis (Kabat and Freedman, 1950), the presence of oligoclonal IgG bands in the CSF (Johnson et al, 1977;Lowenthal et al, 1960), identification of plasma cells and Ig in MS lesions and Ig deposition at the border of actively demyelinating plaques (Esiri, 1977;Lumsden, 1971;Storch et al, 1998;Woyciechowska and Brzosko, 1977). Several studies have sought to identify the antigenic targets of the B cells and antibodies found in CSF and brain plaques in MS, yet no single target has been found which is directly responsible for the development or progression of MS. Several of the targets identified thus far are of interest to our study.…”
Section: Discussionmentioning
confidence: 99%
“…The evidence includes intrathecal Ig synthesis (Kabat and Freedman, 1950), the presence of oligoclonal IgG bands in the CSF (Johnson et al, 1977;Lowenthal et al, 1960), identification of plasma cells and Ig in MS lesions and Ig deposition at the border of actively demyelinating plaques (Esiri, 1977;Lumsden, 1971;Storch et al, 1998;Woyciechowska and Brzosko, 1977). Several studies have sought to identify the antigenic targets of the B cells and antibodies found in CSF and brain plaques in MS, yet no single target has been found which is directly responsible for the development or progression of MS. Several of the targets identified thus far are of interest to our study.…”
Section: Discussionmentioning
confidence: 99%
“…The inflammatory infiltrates are composed of T lymphocytes, some B cells and plasma cells, as well as activated macrophages or microglial cells. IgG and complement are localized primarily at the periphery of plaques (12). Although it is generally believed that inflammation is an obligatory and possibly primary feature of demyelination in MS, myelin destruction may also proceed in a context nearly devoid of lymphocytic infiltration, suggesting a role for endogenous glia (microglia or astrocytes) in mediating injury (13).…”
Section: Antibody In Msmentioning
confidence: 99%
“…In his seminal description of the pathologic process of multiple sclerosis, Charcot 1 did not describe lesions in the cerebral cortex. The first descriptions by Brownell and Hughes 2 and subsequently by Lumsden 3,4 made the existence of gray matter lesions apparent. Several postmortem pathologic studies have revealed significant involvement of the gray matter.…”
mentioning
confidence: 98%