重症肌无力患者自身抗体介导补体活性的测定、发展和测量

Abeer H. Obaid
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引用次数: 0

摘要

抗乙酰胆碱受体(AChR)的自身抗体在重症肌无力中起关键作用,自身抗体介导的补体激活与神经肌肉连接损伤有关。然而,自身抗体在补体活化中的确切致病作用尚不清楚。我们开发了一种基于细胞的检测方法来测量AChR自身抗体介导的补体膜攻击复合物(MAC)的形成。利用CRISPR/Cas9基因组编辑来破坏补体调节基因(CD46、CD55和CD59)的表达的修饰HEK293T细胞系,通过流式细胞术测量AChR自身抗体介导的膜攻击复合物(MAC)的形成。我们观察到自身抗体介导的补体介导活性与疾病负担之间存在适度的相关性,这表明自身抗体介导的补体系统激活存在异质性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assay Development and Measurement of Autoantibody-Mediated Complement Activity in Myasthenia Gravis
Autoantibodies against the acetylcholine receptor (AChR) play a critical role in myasthenia gravis, where autoantibody-mediated complement activation has been implicated in neuromuscular junction damage. However, the exact pathogenic role of the autoantibodies in complement activation remains unclear. We developed a cell-based assay that measures AChR autoantibody–mediated complement membrane attack complex (MAC) formation. A modified HEK293T cell line using CRISPR/Cas9 genome editing to disrupt expression of the complement regulator genes (CD46, CD55, and CD59)—was used to measure AChR autoantibody–mediated membrane attack complex (MAC) formation through flow cytometry. We observed a modest correlation between autoantibody-mediated complement mediated activity and disease burden suggesting heterogeneity in autoantibody-mediated activation of complement system. 
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