Anti-ganglioside antibodies alter presynaptic release and calcium influx

Neurobiol Dis. 2007 Oct;28(1):113-21. doi: 10.1016/j.nbd.2007.07.008. Epub 2007 Jul 14.

Abstract

Acute motor axonal neuropathy (AMAN) variant of Guillain-Barré syndrome is often associated with IgG anti-GM1 and -GD1a antibodies. The pathophysiological basis of antibody-mediated selective motor nerve dysfunction remains unclear. We investigated the effects of IgG anti-GM1 and -GD1a monoclonal antibodies (mAbs) on neuromuscular transmission and calcium influx in hemidiaphragm preparations and in cultured neurons, respectively, to elucidate mechanisms of Ab-mediated muscle weakness. Anti-GM1 and -GD1a mAbs depressed evoked quantal release to a significant yet different extent, without affecting postsynaptic currents. At equivalent concentrations, anti-GD1b, -GT1b, or sham mAbs did not affect neuromuscular transmission. At fourfold higher concentration, an anti-GD1b mAb (specificity described in immune sensory neuropathies) induced completely reversible blockade. In neuronal cultures, anti-GM1 and -GD1a mAbs significantly reduced depolarization-induced calcium influx. In conclusion, different anti-ganglioside mAbs induce distinct effects on presynaptic transmitter release by reducing calcium influx, suggesting that this is one mechanism of antibody-mediated muscle weakness in AMAN.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal
  • Autoantibodies / immunology
  • Autoantibodies / metabolism*
  • Autoantigens / immunology
  • Calcium
  • Cells, Cultured
  • Diaphragm / immunology
  • Diaphragm / metabolism
  • Gangliosides / immunology*
  • Mice
  • Mice, Inbred BALB C
  • Neuromuscular Junction / immunology
  • Neuromuscular Junction / physiology
  • Neurons / immunology
  • Neurons / metabolism*
  • Neurotransmitter Agents / metabolism
  • Olfactory Bulb
  • Organ Culture Techniques
  • Patch-Clamp Techniques
  • Peripheral Nervous System Diseases / immunology
  • Peripheral Nervous System Diseases / physiopathology
  • Presynaptic Terminals / immunology
  • Presynaptic Terminals / metabolism*
  • Synaptic Transmission / physiology*

Substances

  • Antibodies, Monoclonal
  • Autoantibodies
  • Autoantigens
  • Gangliosides
  • Neurotransmitter Agents
  • Calcium