Indications for an immune-mediated etiology of idiopathic sensory neuronopathy

Autor: Leonard H. van den Berg, Nicolette C. Notermans, P. R. Bär, Gert van Dijk, John H. J. Wokke
Rok vydání: 1997
Předmět:
Zdroj: Journal of Neuroimmunology. 74:165-172
ISSN: 0165-5728
DOI: 10.1016/s0165-5728(96)00225-1
Popis: To investigate immune mechanisms in the etiology of idiopathic sensory neuronopathy (ISN), we studied neurite outgrowth inhibition and antibody binding to neuronal tissue of serum from 4 patients with ISN. Rat dorsal root ganglion (DRG) cells were cultured in the presence of serum from ISN patients and controls. After 48 h of incubation, neurite outgrowth was quantified with a neurofilament ELISA. Serum from ISN patients significantly inhibited DRG neurite outgrowth compared to controls. ISN serum also strongly immunostained fixed cultured and cryostat rat DRG neurons (at dilutions up to 1:10,240), whereas serum from controls did not. Western blots showed unique binding patterns to DRG proteins in 3 ISN patients compared with controls, but a single band corresponding in all ISN patients was not found. The inhibitory effect of ISN serum on neurite outgrowth and the presence of circulating anti-DRG antibodies in the acute phase of the disease supports an immune-mediated pathogenesis of ISN.
Databáze: OpenAIRE