Anti-ganglioside antibodies alter presynaptic release and calcium influx

B Buchwald, G Zhang, AK Vogt-Eisele, W Zhang… - Neurobiology of …, 2007 - Elsevier
B Buchwald, G Zhang, AK Vogt-Eisele, W Zhang, R Ahangari, JW Griffin, H Hatt, KV Toyka…
Neurobiology of disease, 2007Elsevier
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 …
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-gangliosde 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.
Elsevier