Anti-neuroblastoma cell line antibodies in inflammatory demyelinating polyneuropathy: inhibition in vitro and in vivo by IV immunoglobulin

Neurology. 1988 Oct;38(10):1592-5. doi: 10.1212/wnl.38.10.1592.

Abstract

We tested serum from 48 patients with Guillain-Barré syndrome and 42 with chronic inflammatory demyelinating polyneuropathy (CIDP) against a selected neuroblastoma cell line (NBL 108cc15). Forty-two percent of the patients showed a positive immunofluorescence test against the NBL 108cc15. These antibodies were mainly of the IgM-class; they disappeared in all seven CIDP patients retested after improvement following intravenous IgG treatment (IV-IgG) and were present in only 5% of serum from patients with other disorders. Absorption studies showed a partial homology between the NBL 108cc15 and human sciatic nerve. In vitro studies showed that IgG from pooled normal donors (IV-IgG) inhibits the reaction between serum from a CIDP patient and the NBL cell line. This inhibition may be due to neutralization of autoantibodies against nervous tissue by anti-idiotypic antibodies in IV-IgG.

MeSH terms

  • Antibodies, Neoplasm / analysis*
  • Antibodies, Neoplasm / immunology
  • Cell Line
  • Demyelinating Diseases / immunology*
  • Demyelinating Diseases / therapy
  • Fluorescent Antibody Technique
  • Humans
  • Immunoglobulin G / analysis
  • Immunoglobulin G / immunology
  • Immunoglobulin G / therapeutic use
  • Immunotherapy
  • Inflammation / immunology
  • Injections, Intravenous
  • Neuroblastoma*
  • Peripheral Nervous System Diseases / immunology*
  • Peripheral Nervous System Diseases / therapy

Substances

  • Antibodies, Neoplasm
  • Immunoglobulin G