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Research Article Free access | 10.1172/JCI113369

Amphipathic segment of the nicotinic receptor alpha subunit contains epitopes recognized by T lymphocytes in myasthenia gravis.

R Hohlfeld, K V Toyka, L L Miner, S L Walgrave, and B M Conti-Tronconi

Department of Neurology, University of Duesseldorf, Federal Republic of Germany.

Find articles by Hohlfeld, R. in: JCI | PubMed | Google Scholar

Department of Neurology, University of Duesseldorf, Federal Republic of Germany.

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Department of Neurology, University of Duesseldorf, Federal Republic of Germany.

Find articles by Miner, L. in: JCI | PubMed | Google Scholar

Department of Neurology, University of Duesseldorf, Federal Republic of Germany.

Find articles by Walgrave, S. in: JCI | PubMed | Google Scholar

Department of Neurology, University of Duesseldorf, Federal Republic of Germany.

Find articles by Conti-Tronconi, B. in: JCI | PubMed | Google Scholar

Published March 1, 1988 - More info

Published in Volume 81, Issue 3 on March 1, 1988
J Clin Invest. 1988;81(3):657–660. https://doi.org/10.1172/JCI113369.
© 1988 The American Society for Clinical Investigation
Published March 1, 1988 - Version history
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Abstract

Autoimmune helper T lymphocytes were selected from the blood of two myasthenic patients of different HLA-DR type, using acetylcholine receptor (AChR) from Torpedo californica. These polyclonal T cell lines were tested for reactivity with three synthetic peptides corresponding to the NH2-terminal region of the human AChR alpha subunit. This segment is a good candidate for T cell epitopes since it has a propensity to form an amphipathic alpha helix. The peptides elicited 10-30% of the response induced by native Torpedo AChR. Different peptides were recognized by the autoreactive T cells of the two patients. These results suggest that the NH2-terminal region of the AChR alpha chain contains T cell-stimulating epitopes, and that the T cell autoimmune response in myasthenia gravis, like the B cell response, is heterogeneous.

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