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Spectrum of neurological diseases associated with antibodies to minor gangliosides GM1b and GalNAc-GD1a.
J Neuroimmunol. 2006 Aug; 177(1-2):201-8.JN

Abstract

The authors reported the neurological disease spectrum associated with autoantibodies against minor gangliosides GM1b and GalNAc-GD1a. IgG and IgM antibody reactivity against gangliosides GM1, GM2, GM1b, GD1a, GalNAc-GD1a and GQ1b was investigated in sera from 7000 consecutive patients who had various neurological conditions. The clinical diagnoses for 456 anti-GM1b-positive patients were Guillain-Barré syndrome (GBS, 71%), atypical GBS with preserved deep tendon reflexes (12%), Fisher syndrome (10%), Bickerstaff's brainstem encephalitis (2%), ataxic GBS (2%) and acute ophthalmoparesis (1%). For 193 anti-GalNAc-GD1a-positive patients, the diagnoses were GBS (70%), atypical GBS (16%), Fisher syndrome (10%) and Bickerstaff's brainstem encephalitis (3%). Of the patients with GBS or atypical GBS, 28% of 381 anti-GM1b-positive and 31% of 166 anti-GalNAc-GD1a-positive patients had neither anti-GM1 nor anti-GD1a antibodies. Of those patients with Fisher syndrome, Bickerstaff's brainstem encephalitis, ataxic GBS or acute ophthalmoparesis, 33% of 67 anti-GM1b-positive, and 52% of 25 anti-GalNAc-GD1a-positive patients had no anti-GQ1b antibodies. Autoantibodies against GM1b and GalNAc-GD1a are associated with GBS, Fisher syndrome and related conditions. These antibodies should provide useful serological markers for identifying patients who have atypical GBS with preserved deep tendon reflexes, ataxic GBS, Bickerstaff's brainstem encephalitis or acute ophthalmoparesis, especially for those who have no antibodies to GM1, GD1a or GQ1b. A method to prepare GM1b was developed.

Authors+Show Affiliations

Department of Neurology, Dokkyo Medical University School of Medicine, Kitakobayashi 880, Mibu, Shimotsuga, Tochigi 321-0293, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16844234

Citation

Tatsumoto, M, et al. "Spectrum of Neurological Diseases Associated With Antibodies to Minor Gangliosides GM1b and GalNAc-GD1a." Journal of Neuroimmunology, vol. 177, no. 1-2, 2006, pp. 201-8.
Tatsumoto M, Koga M, Gilbert M, et al. Spectrum of neurological diseases associated with antibodies to minor gangliosides GM1b and GalNAc-GD1a. J Neuroimmunol. 2006;177(1-2):201-8.
Tatsumoto, M., Koga, M., Gilbert, M., Odaka, M., Hirata, K., Kuwabara, S., & Yuki, N. (2006). Spectrum of neurological diseases associated with antibodies to minor gangliosides GM1b and GalNAc-GD1a. Journal of Neuroimmunology, 177(1-2), 201-8.
Tatsumoto M, et al. Spectrum of Neurological Diseases Associated With Antibodies to Minor Gangliosides GM1b and GalNAc-GD1a. J Neuroimmunol. 2006;177(1-2):201-8. PubMed PMID: 16844234.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spectrum of neurological diseases associated with antibodies to minor gangliosides GM1b and GalNAc-GD1a. AU - Tatsumoto,M, AU - Koga,M, AU - Gilbert,M, AU - Odaka,M, AU - Hirata,K, AU - Kuwabara,S, AU - Yuki,N, Y1 - 2006/07/14/ PY - 2006/01/05/received PY - 2006/03/25/revised PY - 2006/04/05/accepted PY - 2006/7/18/pubmed PY - 2006/10/27/medline PY - 2006/7/18/entrez SP - 201 EP - 8 JF - Journal of neuroimmunology JO - J Neuroimmunol VL - 177 IS - 1-2 N2 - The authors reported the neurological disease spectrum associated with autoantibodies against minor gangliosides GM1b and GalNAc-GD1a. IgG and IgM antibody reactivity against gangliosides GM1, GM2, GM1b, GD1a, GalNAc-GD1a and GQ1b was investigated in sera from 7000 consecutive patients who had various neurological conditions. The clinical diagnoses for 456 anti-GM1b-positive patients were Guillain-Barré syndrome (GBS, 71%), atypical GBS with preserved deep tendon reflexes (12%), Fisher syndrome (10%), Bickerstaff's brainstem encephalitis (2%), ataxic GBS (2%) and acute ophthalmoparesis (1%). For 193 anti-GalNAc-GD1a-positive patients, the diagnoses were GBS (70%), atypical GBS (16%), Fisher syndrome (10%) and Bickerstaff's brainstem encephalitis (3%). Of the patients with GBS or atypical GBS, 28% of 381 anti-GM1b-positive and 31% of 166 anti-GalNAc-GD1a-positive patients had neither anti-GM1 nor anti-GD1a antibodies. Of those patients with Fisher syndrome, Bickerstaff's brainstem encephalitis, ataxic GBS or acute ophthalmoparesis, 33% of 67 anti-GM1b-positive, and 52% of 25 anti-GalNAc-GD1a-positive patients had no anti-GQ1b antibodies. Autoantibodies against GM1b and GalNAc-GD1a are associated with GBS, Fisher syndrome and related conditions. These antibodies should provide useful serological markers for identifying patients who have atypical GBS with preserved deep tendon reflexes, ataxic GBS, Bickerstaff's brainstem encephalitis or acute ophthalmoparesis, especially for those who have no antibodies to GM1, GD1a or GQ1b. A method to prepare GM1b was developed. SN - 0165-5728 UR - https://www.unboundmedicine.com/medline/citation/16844234/Spectrum_of_neurological_diseases_associated_with_antibodies_to_minor_gangliosides_GM1b_and_GalNAc_GD1a_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5728(06)00135-4 DB - PRIME DP - Unbound Medicine ER -