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Myelin Oligodendrocyte Glycoprotein MOG35-55 Induced Experimental Autoimmune Encephalomyelitis EAE in C57BL/6 Mice
Published on: April 15, 2014
Persistent MOG-IgG positivity is a predictor of recurrence in MOG-IgG-associated optic neuritis, encephalitis and
Luana Michelli Oliveira1, Samira Luisa Apóstolos-Pereira1, Milena Sales Pitombeira1
1Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, Brazil.
Background:
MOG-IgG-associated optic neuritis, encephalitis and myelitis (MONEM) is a recently recognized group of inflammatory central nervous system (CNS) disorders distinct from multiple sclerosis and neuromyelitis optica spectrum disorders. Limited data are available regarding the predictors of relapse in this condition.
Objective:
We aimed to evaluate the longitudinal serostatus of patients with MOG-IgG and to correlate serostatus with long-term clinical outcomes.
Methods:
Of 574 consecutive patients who presented with demyelinating inflammatory CNS disorders, we included 31 patients who were MOG-IgG-positive. Patients with MOG-IgG were followed up from 2011 to 2017 at the School of Medicine, University of São Paulo, Brazil.
Results:
Relapsing disease occurred in 23 out of 31 patients (74%), while 8 (26%) exhibited a monophasic course. All monophasic patients, as well as the majority of relapsing patients, became seronegative during clinical remission. Patients exhibiting disease activity in the last 2 years were more likely to remain positive, with higher medium titres than those found in patients in clinical remission.
Conclusion:
MOG-IgG patients usually present with a relapsing course, and the risk of relapse was associated with longitudinally persistent MOG-IgG seropositivity. In contrast, patients who experienced a single attack became spontaneously seronegative for MOG-IgG during long-term follow-up.
Insights
In MOG-IgG-associated disorders, persistent positive MOG-IgG serostatus predicts relapses, while a monophasic course leads to spontaneous seronegativity. This helps understand disease activity in MOG-IgG patients.
Area of Science:
- Neuroimmunology
- Central Nervous System (CNS) Inflammatory Disorders
Background:
- MOG-IgG-associated optic neuritis, encephalitis, and myelitis (MONEM) are distinct CNS inflammatory disorders.
- MONEM differs from multiple sclerosis and neuromyelitis optica spectrum disorders.
- Predictors of relapse in MONEM are not well-established.
Purpose of the Study:
- To assess longitudinal MOG-IgG serostatus in patients.
- To correlate MOG-IgG serostatus with long-term clinical outcomes.
Main Methods:
- Retrospective study of 31 MOG-IgG-positive patients with demyelinating CNS disorders.
- Follow-up data collected from 2011 to 2017 at the University of São Paulo, Brazil.
Main Results:
- 74% of patients experienced relapsing disease; 26% had a monophasic course.
- Monophasic patients and most relapsing patients became MOG-IgG seronegative during remission.
- Persistent MOG-IgG positivity, especially with higher titers, correlated with recent disease activity.
Conclusions:
- MOG-IgG patients typically have a relapsing course.
- Persistent MOG-IgG seropositivity is linked to increased relapse risk.
- Spontaneous MOG-IgG seronegativity occurs in patients with a single attack.
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