Recall immune memory: a new tool for generating late onset autoimmune myasthenia gravis

Mech Ageing Dev. 2003 Aug-Sep;124(8-9):931-40. doi: 10.1016/s0047-6374(03)00165-9.

Abstract

Most patients with autoimmune myasthenia gravis (MG) produce autoantibodies against their muscle acetylcholine receptors (AChR), causing debilitating muscle weakness. Approximately 60% of MG patients first exhibit myasthenic symptoms after the age of 40. Yet, in the C57BL/6 mouse model of MG, older mice are resistant to induction of myasthenia gravis. To understand the immunological basis for this resistance, the effects of age on the B-cell responses to AChR from Torpedo californica, the inducing antigen, were addressed. As expected, the primary B-cell response was lower in 20-month-old mice than in 2-month-old mice; the isotype profile was not altered by age. When mice were re-immunized, the anti-T-AChR titers increased in both young and old animals, suggesting that a memory response was elicited. Importantly, memory B-cells activated in young animals were largely resistant to the age-associated loss of immune function and the recall memory response was vigorous. Furthermore, the antibodies produced in re-stimulated older mice were functional, as evidenced by the appearance of MG symptoms in some of these animals. Thus, by eliciting a recall memory response, the first examples of late onset MG in mice have been generated. By analogy, late onset MG in humans may be due to re-activation of B-cell responses initiated at a younger age.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Age of Onset
  • Aging / immunology
  • Animals
  • B-Lymphocytes / immunology
  • Clone Cells
  • Immunoglobulin Isotypes / analysis
  • Immunologic Memory*
  • Mice
  • Mice, Inbred C57BL
  • Myasthenia Gravis, Autoimmune, Experimental / epidemiology
  • Myasthenia Gravis, Autoimmune, Experimental / immunology*
  • Receptors, Cholinergic / immunology
  • Torpedo

Substances

  • Immunoglobulin Isotypes
  • Receptors, Cholinergic