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.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|November 13, 2018
PubMed
Abstract

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.

Related Concept Videos

Transcytosis of IgG01:15

Transcytosis of IgG

Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
4.1K
Position-effect Variegation02:32

Position-effect Variegation

In 1928, a German botanist Emil Heitz observed the moss nuclei with a DNA binding dye. He observed that while some chromatin regions decondense and spread out in the interphase nucleus, others do not. He termed them euchromatin and heterochromatin, respectively. He proposed that the heterochromatin regions reflect a functionally inactive state of the genome. It was later confirmed that heterochromatin is transcriptionally repressed, and euchromatin is transcriptionally active chromatin.
7.1K
Position and Displacement01:31

Position and Displacement

The position of an object defines its location relative to a convenient frame of reference at any particular time. A frame of reference is an arbitrary set of axes from which the position and motion of an object are described. Earth is often used as a frame of reference, and we often describe the position of an object as it relates to stationary objects on Earth. For example, a rocket launch could be described in terms of the position of the rocket with respect to Earth as a whole. On the other...
25.9K
Serial Position Effect01:03

Serial Position Effect

The serial position effect is a cognitive phenomenon where individuals are more likely to recall the first and last items in a list compared to those in the middle. This effect is divided into the primacy effect and the recency effect. The primacy effect is observed when the initial items in a list are remembered better. This occurs because these items are rehearsed more frequently or receive more elaborative processing, allowing them to be encoded into long-term memory more effectively. For...
542
Position Vectors01:29

Position Vectors

A position vector is a fundamental concept in mathematics that helps determine the position of one point with respect to another point in space. It is a vector that describes the direction and distance between two points. Position vectors are highly useful in the field of math and science, as they help represent spatial relationships and make calculations easier.
For instance, we want to locate a point P(x, y, z) relative to the origin of coordinates O. In that case, we can define a position...
1.9K
Anatomical Positions01:11

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
19.9K