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Functional Characterization of Endogenously Expressed Human RYR1 Variants
Published on: June 9, 2021
Autoantibodies against TRPC3 and ryanodine receptor in myasthenia gravis
1Neurological Center, Kanazawa-Nishi Hospital, 6-15-41, Ekinishi-Honmachi, Kanazawa, Ishikawa-ken, 920-0025, Japan. t-kiyomi@guitar.ocn.ne.jp
Abstract:
The transient receptor potential canonical type-3 (TRPC3, receptor- and store-operated Ca(2+) influx channel) participates in skeletal muscle contraction; its functional interactions with ryanodine receptor-1 (RyR1) are independent of sarcoplasmic Ca(2+) content and dihydropyridine receptor. In 25 generalized myasthenia gravis (MG), we detected antibodies against human TRPC3 peptide in 9 patients (8 with thymoma and one with hyperplastic thymus) and those against human RyR1 peptides in 16 patients (15 with thymoma and one with hyperplastic thymus). Both antibodies were found in patients with more severe myasthenia and could contribute to the contractile abnormalities in MG.
Insights
Antibodies against transient receptor potential canonical type-3 (TRPC3) and ryanodine receptor-1 (RyR1) were found in generalized myasthenia gravis (MG) patients. These antibodies may contribute to muscle contraction abnormalities in severe MG.
Area of Science:
- Muscle physiology
- Immunology
- Neuromuscular disorders
Background:
- Transient receptor potential canonical type-3 (TRPC3) channels are involved in skeletal muscle contraction.
- TRPC3 channels interact with ryanodine receptor-1 (RyR1) independently of sarcoplasmic calcium levels.
- Myasthenia gravis (MG) is a neuromuscular disorder characterized by muscle weakness.
Purpose of the Study:
- To investigate the presence of antibodies against TRPC3 and RyR1 in patients with generalized myasthenia gravis.
- To determine if these antibodies correlate with disease severity or thymoma presence.
Main Methods:
- Sera from 25 generalized myasthenia gravis patients were analyzed for antibodies against TRPC3 and RyR1 peptides.
- Patient data included thymus status (thymoma or hyperplasia) and disease severity.
Main Results:
- Antibodies against TRPC3 peptides were detected in 9 out of 25 MG patients (36%).
- Antibodies against RyR1 peptides were found in 16 out of 25 MG patients (64%).
- Both antibody types were more prevalent in patients with more severe myasthenia and were associated with thymoma.
Conclusions:
- Autoantibodies against TRPC3 and RyR1 are present in a significant proportion of generalized myasthenia gravis patients.
- These antibodies may play a role in the pathogenesis of muscle contractile dysfunction in MG, particularly in severe cases.
- The findings suggest a potential link between TRPC3/RyR1 autoimmunity and thymoma-associated myasthenia gravis.
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