IGM M-PROTEIN IN A PATIENT WITH SENSORY-DOMINANT NEUROPATHY BINDS PREFERENTIALLY TO POLYSIALOGANGLIOSIDES

被引:51
作者
OBI, T [1 ]
KUSUNOKI, S [1 ]
TAKATSU, M [1 ]
MIZOGUCHI, K [1 ]
NISHIMURA, Y [1 ]
机构
[1] UNIV TOKYO,INST BRAIN RES,TOKYO 113,JAPAN
来源
ACTA NEUROLOGICA SCANDINAVICA | 1992年 / 86卷 / 02期
关键词
SENSORY-DOMINANT NEUROPATHY; IGM M-PROTEIN; ANTIGANGLIOSIDE ANTIBODY; POLYSIALOGANGLIOSIDES;
D O I
10.1111/j.1600-0404.1992.tb05069.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 77-year-old man presented sensory-dominant neuropathy associated with IgM M-protein reacting with various gangliosides. The M-protein bound to gangliosides with polysialosyl residue, such as GD1b, GD3, GT1b, GT3, GQ1b, and GQ1c. In addition, GD1a, GM3 and LM1, having a terminal monosialosyl epitope, were also recognized. Previously, Ilyas et al. described a similar case in which sensory symptoms were associated with IgM M-protein reacting with gangliosides containing a disialosyl group, such as GD3, GD1b, and GT1b, but not GM3 and GD1a. It is suggested that the reactivity of IgM M-protein with polysialogangliosides may be associated with the pathogenesis of sensory-dominant neuropathy.
引用
收藏
页码:215 / 218
页数:4
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