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An In Vitro Model for the Study of Cellular Pathophysiology in Globoid Cell Leukodystrophy
Published on: October 21, 2014
Myelin oligodendrocyte glycoprotein antibodies in genetic leukodystrophies
Nesibe Gevher Eroglu-Ertugrul1, Mohammadreza Yousefi2, Faruk Pekgül3
1Department of Pediatric Neurology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Abstract:
Accumulation of intermediate metabolites due to enzyme deficiencies and demyelination can provoke inflammation in genetic leukodystrophies. Thirty patients with genetic leukodystrophy and 48 healthy control sera were tested for anti-myelin oligodendrocyte glycoprotein (MOG) antibodies by fixed and/or live cell-based assays. MOG-IgG was detected in two late infantile metachromatic leukodystrophy (MLD) cases, both of which were also weakly positive for IgG1, and one with IgG3 as the dominant anti-MOG IgG subclass. MOG-IgG was borderline positive in a vanishing white matter (VWM) disease patient. These results suggest that inherited metabolic or degenerative processes can have an autoimmune component, possibly as an epiphenomenon.
Insights
Genetic leukodystrophies may involve autoimmune processes. Researchers detected anti-myelin oligodendrocyte glycoprotein (MOG) antibodies in some patients with metachromatic leukodystrophy (MLD) and vanishing white matter (VWM) disease.
Area of Science:
- Neuroimmunology
- Genetics
- Metabolic Disorders
Background:
- Genetic leukodystrophies are characterized by demyelination and inflammation.
- Accumulation of intermediate metabolites contributes to disease pathogenesis.
Purpose of the Study:
- To investigate the presence of anti-myelin oligodendrocyte glycoprotein (MOG) antibodies in patients with genetic leukodystrophies.
- To explore a potential autoimmune component in these inherited neurological disorders.
Main Methods:
- Sera from 30 patients with genetic leukodystrophy and 48 healthy controls were analyzed.
- Anti-MOG antibodies were detected using fixed and/or live cell-based assays.
Main Results:
- Anti-MOG IgG antibodies were detected in two patients with late infantile metachromatic leukodystrophy (MLD).
- One MLD patient showed IgG1 and IgG3 subclasses, while the other showed dominant IgG3.
- Borderline positive anti-MOG IgG was found in one patient with vanishing white matter (VWM) disease.
Conclusions:
- Inherited metabolic or degenerative processes in leukodystrophies may be associated with an autoimmune component.
- The presence of anti-MOG antibodies might represent an epiphenomenon in these conditions.
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