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Abstract:

Multiple Sclerosis (MS) is an inflammatory disease of the Central Nervous System with multifocal areas of demyelination. Although its etiology and pathogenesis remain controversial, several lines of evidence indicate that MS is mediated by a misdirected immune response against one or several myelin proteins. The involvement of diverse leukocyte subsets and their products in MS is still the subject of considerable debate. The emphasis on T cells has derived mainly from the detection of activated T cells in MS plaques and analogies with animal models of MS. Because of these observations cell-mediated immunity has dominated the research field of MS to this day. However, in recent years the role of B cells, plasma cells and immunoglobulins in MS have been re-examined, and current findings indicate that humoral immunity also plays a major role in disease pathogenesis. B cells and their products could exert several potential effects during the course of MS. Firstly, autoantibodies against specific myelin antigens could mediate damage to myelin membranes. Secondly, some studies suggest that natural autoantibodies could enhance remyelination. Thirdly, antibodies directed against myelin components can participate in anti-idiotypic networks, which may regulate the course of MS. Increased intrathecal immunoglobulin synthesis reflected by raised IgG indices and an oligoclonal pattern is the most common abnormality detected in MS patients. The introduction of more sensitive procedures for protein detection has allowed demonstrating oligoclonal bands (OCBs) in up to 95% of patients with clinically definite MS. Although the presence of OCBs in CSF of MS patients is now well established as a sensitive laboratory test to support the clinical diagnosis, OCBs may be present in other disorders, including those not directly related to infection or abnormal immune response. Nevertheless, the pathogenesis of OCBs in MS is still obscure, and despite extensive research their antigenic target(s) have yet to be established. Therefore, a critical task is to identify the specificity of such target(s), thus providing significant clues about MS etiology. For this purpose, novel molecular immunologic strategies have been recently developed to offer alternative approaches to identify putative antigens recognized by antibodies present in MS patients. The elucidation of the mechanisms and target(s) responsible for the onset of MS has obvious implications for the further development of specific therapies.

Registro:

Documento: Artículo
Título:Oligoclonal bands and antibody responses in Multiple Sclerosis
Autor:Correale, J.; De los Milagros Bassani Molinas, M.
Filiación:Departamento de Neurología, Instituto de Investigaciones Neurológicas, Dr. Raul Carrea, Montaneses 2325, (1428), Buenos Aires, Argentina
School of Biomedical Sciences, Austral University, Buenos Aires, Argentina
Instituto de Investigaciones Neurológicas, Dr. Raúl Carrea, Argentina
Palabras clave:Antibodies; Autoimmunity; B cells; Multiple Sclerosis; Oligoclonal bands; antiidiotypic antibody; autoantibody; autoantigen; corticosteroid; corticotropin; immunoglobulin A; immunoglobulin D; immunoglobulin G; immunoglobulin light chain; immunoglobulin M; myelin; antibody response; antigen recognition; cellular immunity; cerebrospinal fluid analysis; demyelination; disease course; human; humoral immunity; immune response; immunoblotting; immunoglobulin production; laboratory test; multiple sclerosis; myelin sheath; nonhuman; pathogenesis; priority journal; protein analysis; remyelinization; review; T lymphocyte activation; Animals; Antibody Formation; Humans; Immunoglobulin G; Immunoglobulins; Multiple Sclerosis; Oligoclonal Bands
Año:2002
Volumen:249
Número:4
Página de inicio:375
Página de fin:389
DOI: http://dx.doi.org/10.1007/s004150200026
Título revista:Journal of Neurology
Título revista abreviado:J. Neurol.
ISSN:03405354
CODEN:JNRYA
CAS:corticotropin, 11136-52-0, 9002-60-2, 9061-27-2; immunoglobulin G, 97794-27-9; immunoglobulin M, 9007-85-6; Immunoglobulin G; Immunoglobulins; Oligoclonal Bands
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_03405354_v249_n4_p375_Correale

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Citas:

---------- APA ----------
Correale, J. & De los Milagros Bassani Molinas, M. (2002) . Oligoclonal bands and antibody responses in Multiple Sclerosis. Journal of Neurology, 249(4), 375-389.
http://dx.doi.org/10.1007/s004150200026
---------- CHICAGO ----------
Correale, J., De los Milagros Bassani Molinas, M. "Oligoclonal bands and antibody responses in Multiple Sclerosis" . Journal of Neurology 249, no. 4 (2002) : 375-389.
http://dx.doi.org/10.1007/s004150200026
---------- MLA ----------
Correale, J., De los Milagros Bassani Molinas, M. "Oligoclonal bands and antibody responses in Multiple Sclerosis" . Journal of Neurology, vol. 249, no. 4, 2002, pp. 375-389.
http://dx.doi.org/10.1007/s004150200026
---------- VANCOUVER ----------
Correale, J., De los Milagros Bassani Molinas, M. Oligoclonal bands and antibody responses in Multiple Sclerosis. J. Neurol. 2002;249(4):375-389.
http://dx.doi.org/10.1007/s004150200026