Chronic neuropathy with IgM antiganglioside antibodies:: Lack of long term response to rituximab

被引:69
作者
Rojas-García, R
Gallardo, E
de Andrés, I
de Luna, N
Juarez, C
Sánchez, P
Illa, I
机构
[1] Hosp Sta Creu & St Pau, Dept Neurol, Neuromuscular Unit, Barcelona, Spain
[2] Hosp Sta Creu & St Pau, Lab Expt Neurol, Barcelona, Spain
[3] Hosp Sta Creu & St Pau, Dept Immunol, Barcelona, Spain
[4] Univ Autonoma Barcelona, Inst Rec HSCSP, E-08193 Barcelona, Spain
[5] Clin Puerta de Hierro, Dept Neurol, Madrid, Spain
关键词
D O I
10.1212/01.WNL.0000098996.02934.86
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Two patients with chronic motor neuropathy, high antiganglioside antibody (AGA) titers, and a declining response to IV immunoglobulins were treated with rituximab at a standard dose. The drug was well tolerated and effectively eliminated peripheral B cells (CD20+), but AGA titers continued significantly high. No clinical improvement was detected during the 1-year follow-up.
引用
收藏
页码:1814 / 1816
页数:3
相关论文
共 10 条
[1]   Effects of specific anti-B and/or anti-plasma cell immunotherapy on antibody production in baboons:: depletion of CD20-and CD22-positive B cells does not result in significantly decreased production of anti-αGal antibody [J].
Alwayn, IPJ ;
Xu, YX ;
Basker, M ;
Wu, C ;
Buhler, L ;
Lambrigts, D ;
Treter, S ;
Harper, D ;
Kitamura, H ;
Vitetta, ES ;
Abraham, S ;
Awwad, M ;
White-Scharf, ME ;
Sachs, DH ;
Thall, A ;
Cooper, DKC .
XENOTRANSPLANTATION, 2001, 8 (03) :157-171
[2]   Randomized controlled trial of intravenous immunoglobulin versus oral prednisolone in chronic inflammatory demyelinating polyradiculoneuropathy [J].
Hughes, R ;
Bensa, S ;
Willison, H ;
Van den Bergh, P ;
Comi, G ;
Illa, I ;
Nobile-Orazio, E ;
van Doorn, P ;
Dalakas, M ;
Bojar, M ;
Swan, A .
ANNALS OF NEUROLOGY, 2001, 50 (02) :195-201
[3]  
Latov N, 1999, NEUROLOGY, V52, pA551
[4]   IgM antibody-related polyneuropathies: B-cell depletion chemotherapy using Rituximab [J].
Levine, TD ;
Pestronk, A .
NEUROLOGY, 1999, 52 (08) :1701-1704
[5]   Long-term prognosis of neuropathy associated with anti-MAG IgM M-proteins and its relationship to immune therapies [J].
Nobile-Orazio, E ;
Meucci, N ;
Baldini, L ;
Di Troia, A ;
Scarlato, G .
BRAIN, 2000, 123 :710-717
[6]   IgM monoclonal antibody against terminal moiety of GM2, GalNAc-GD1a and GalNAc-GM1b from a pure motor chronic demyelinating polyneuropathy patient:: effects on neurotransmitter release [J].
Ortiz, N ;
Rosa, R ;
Gallardo, E ;
Illa, I ;
Tomas, J ;
Aubry, J ;
Santafé, M .
JOURNAL OF NEUROIMMUNOLOGY, 2001, 119 (01) :114-123
[7]   Treatment of IgM antibody associated polyneuropathies using rituximab [J].
Pestronk, A ;
Florence, J ;
Miller, T ;
Choksi, R ;
Al-Lozi, MT ;
Levine, TD .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (04) :485-489
[8]   Rituximab in the treatment of polyneuropathy associated with anti-MAG antibodies [J].
Renaud, S ;
Gregor, M ;
Fuhr, P ;
Lorenz, D ;
Deuschl, G ;
Gratwohl, A ;
Steck, AJ .
MUSCLE & NERVE, 2003, 27 (05) :611-615
[9]   Multifocal motor neuropathy: Long-term clinical and electrophysiological assessment of intravenous immunoglobulin maintenance treatment [J].
Van den Berg-Vos, R. A. ;
Franssen, H. ;
Wokke, J. H. J. ;
Van den Berg, L. H. .
BRAIN, 2002, 125 :1875-1886
[10]   Inter-laboratory validation of an ELISA for the determination of serum anti-ganglioside antibodies [J].
Willison, HJ ;
Veitch, J ;
Swan, AV ;
Baumann, N ;
Comi, G ;
Gregson, NA ;
Illa, I ;
Jacobs, BC ;
Zielasek, J ;
Hughes, RAC .
EUROPEAN JOURNAL OF NEUROLOGY, 1999, 6 (01) :71-77