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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04252naa a2200685 4500 | |
| 001 | oai:prod.swepub.kib.ki.se:145282052 | |
| 003 | SwePub | |
| 008 | 240701s2020 | |||||||||||000 ||eng| | |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1452820522 URI |
| 024 | 7 | a https://doi.org/10.1186/s40478-020-01086-22 DOI |
| 040 | a (SwePub)ki | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Gerhards, R4 aut |
| 245 | 1 0 | a Oligodendrocyte myelin glycoprotein as a novel target for pathogenic autoimmunity in the CNS |
| 264 | c 2020-11-30 | |
| 264 | 1 | b Springer Science and Business Media LLC,c 2020 |
| 520 | a Autoimmune disorders of the central nervous system (CNS) comprise a broad spectrum of clinical entities. The stratification of patients based on the recognized autoantigen is of great importance for therapy optimization and for concepts of pathogenicity, but for most of these patients, the actual target of their autoimmune response is unknown. Here we investigated oligodendrocyte myelin glycoprotein (OMGP) as autoimmune target, because OMGP is expressed specifically in the CNS and there on oligodendrocytes and neurons. Using a stringent cell-based assay, we detected autoantibodies to OMGP in serum of 8/352 patients with multiple sclerosis, 1/28 children with acute disseminated encephalomyelitis and unexpectedly, also in one patient with psychosis, but in none of 114 healthy controls. Since OMGP is GPI-anchored, we validated its recognition also in GPI-anchored form. The autoantibodies to OMGP were largely IgG1 with a contribution of IgG4, indicating cognate T cell help. We found high levels of soluble OMGP in human spinal fluid, presumably due to shedding of the GPI-linked OMGP. Analyzing the pathogenic relevance of autoimmunity to OMGP in an animal model, we found that OMGP-specific T cells induce a novel type of experimental autoimmune encephalomyelitis dominated by meningitis above the cortical convexities. This unusual localization may be directed by intrathecal uptake and presentation of OMGP by meningeal phagocytes. Together, OMGP-directed autoimmunity provides a new element of heterogeneity, helping to improve the stratification of patients for diagnostic and therapeutic purposes. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reumatologi och inflammation0 (SwePub)302102 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Rheumatology and Autoimmunity0 (SwePub)302102 hsv//eng |
| 700 | 1 | a Pfeffer, LK4 aut |
| 700 | 1 | a Lorenz, J4 aut |
| 700 | 1 | a Starost, L4 aut |
| 700 | 1 | a Nowack, L4 aut |
| 700 | 1 | a Thaler, FS4 aut |
| 700 | 1 | a Schluter, M4 aut |
| 700 | 1 | a Rubsamen, H4 aut |
| 700 | 1 | a Macrini, C4 aut |
| 700 | 1 | a Winklmeier, S4 aut |
| 700 | 1 | a Mader, S4 aut |
| 700 | 1 | a Bronge, Mu Karolinska Institutet4 aut |
| 700 | 1 | a Gronlund, Hu Karolinska Institutet4 aut |
| 700 | 1 | a Feederle, R4 aut |
| 700 | 1 | a Hsia, HE4 aut |
| 700 | 1 | a Lichtenthaler, SF4 aut |
| 700 | 1 | a Merl-Pham, J4 aut |
| 700 | 1 | a Hauck, SM4 aut |
| 700 | 1 | a Kuhlmann, T4 aut |
| 700 | 1 | a Bauer, IJ4 aut |
| 700 | 1 | a Beltran, E4 aut |
| 700 | 1 | a Gerdes, LA4 aut |
| 700 | 1 | a Mezydlo, A4 aut |
| 700 | 1 | a Bar-Or, A4 aut |
| 700 | 1 | a Banwell, B4 aut |
| 700 | 1 | a Khademi, Mu Karolinska Institutet4 aut |
| 700 | 1 | a Olsson, Tu Karolinska Institutet4 aut |
| 700 | 1 | a Hohlfeld, R4 aut |
| 700 | 1 | a Lassmann, H4 aut |
| 700 | 1 | a Kumpfel, T4 aut |
| 700 | 1 | a Kawakami, N4 aut |
| 700 | 1 | a Meinl, E4 aut |
| 710 | 2 | a Karolinska Institutet4 org |
| 773 | 0 | t Acta neuropathologica communicationsd : Springer Science and Business Media LLCg 8:1, s. 207-q 8:1<207-x 2051-5960 |
| 856 | 4 | u https://actaneurocomms.biomedcentral.com/track/pdf/10.1186/s40478-020-01086-2 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:145282052 |
| 856 | 4 8 | u https://doi.org/10.1186/s40478-020-01086-2 |
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