The clinical spectrum associated with myelin oligodendrocyte glycoprotein antibodies (anti-MOG-Ab) in Thai patients

Mult Scler. 2016 Jun;22(7):964-8. doi: 10.1177/1352458515614093. Epub 2015 Oct 23.

Abstract

Background: Myelin oligodendrocyte glycoprotein (anti-MOG) antibody was reported in anti-aquaporin-4 (anti-AQP4) seronegative neuromyelitis optica spectrum disorders (NMOSD) patients.

Objectives: To describe clinical phenotypes associated with anti-MOG.

Methods: Seventy consecutive Thai patients with inflammatory idiopathic demyelinating central nervous system disorders (IIDCD) who were previously anti-AQP4 seronegative were tested for anti-MOG.

Results: Anti-MOG was positive in six patients, representing 20.7% of the IIDCD anti-AQP4 seronegative patients with a non-multiple sclerosis phenotype, and most had relapses. All first presented with optic neuritis with good visual recovery after treatment.

Conclusions: Anti-MOG positive patients may have manifestations that mimic NMOSD but differ in their course and prognosis from anti-AQP4 positive NMOSD.

Keywords: Biomarkers; epidemiology; neuromyelitis optica (NMO).

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aquaporin 4 / immunology
  • Autoantibodies / blood*
  • Biomarkers / blood
  • Diagnosis, Differential
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Myelin-Oligodendrocyte Glycoprotein / immunology*
  • Neuromyelitis Optica / diagnostic imaging
  • Neuromyelitis Optica / drug therapy
  • Neuromyelitis Optica / immunology*
  • Neuromyelitis Optica / physiopathology
  • Optic Neuritis / diagnostic imaging
  • Optic Neuritis / drug therapy
  • Optic Neuritis / immunology*
  • Optic Neuritis / physiopathology
  • Predictive Value of Tests
  • Recovery of Function
  • Retrospective Studies
  • Serologic Tests
  • Thailand
  • Treatment Outcome
  • Vision, Ocular
  • Young Adult

Substances

  • AQP4 protein, human
  • Aquaporin 4
  • Autoantibodies
  • Biomarkers
  • MOG protein, human
  • Myelin-Oligodendrocyte Glycoprotein