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Epitope-specific glutamic acid decarboxylase-65 autoantibodies in intravenous immunoglobulin preparations

Hao, W. ; Davis, C. ; Daniels, T. ; Hampe, C. S. and Lernmark, Å LU orcid (1999) In Transfusion Medicine 9(4). p.307-310
Abstract

Intravenous immunoglobulin (IVIG) has been used to treat many autoimmune disorders including Stiff-Man Syndrome (SMS). SMS is a neurological disorder associated with an immune-mediated deficiency of gamma-aminobutyric acid (GABA) due to autoantibodies against the GABA synthesizing enzyme glutamic acid decarboxylase-65 (GAD65). GAD65 autoantibodies are present among 1-2% of healthy individuals. It can therefore not be excluded that GAD65 autoantibodies may be present in IVIG, which is prepared from multiple blood donors. We report here that GAD65 but not IA-2 autoantibodies were present in commercial IVIG preparations. The presence of autoantibodies may affect the outcome of IVIG treatment and screening commercial preparations of IVIG... (More)

Intravenous immunoglobulin (IVIG) has been used to treat many autoimmune disorders including Stiff-Man Syndrome (SMS). SMS is a neurological disorder associated with an immune-mediated deficiency of gamma-aminobutyric acid (GABA) due to autoantibodies against the GABA synthesizing enzyme glutamic acid decarboxylase-65 (GAD65). GAD65 autoantibodies are present among 1-2% of healthy individuals. It can therefore not be excluded that GAD65 autoantibodies may be present in IVIG, which is prepared from multiple blood donors. We report here that GAD65 but not IA-2 autoantibodies were present in commercial IVIG preparations. The presence of autoantibodies may affect the outcome of IVIG treatment and screening commercial preparations of IVIG for GAD65 autoantibodies is therefore recommended before treating patients.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
in
Transfusion Medicine
volume
9
issue
4
pages
307 - 310
publisher
Wiley-Blackwell
external identifiers
  • scopus:0033485664
  • pmid:10583884
ISSN
0958-7578
DOI
10.1046/j.1365-3148.1999.00214.x
language
English
LU publication?
no
id
18a3f289-ac97-4252-99b5-891b22ea920e
date added to LUP
2019-06-30 23:21:38
date last changed
2024-10-02 08:30:22
@article{18a3f289-ac97-4252-99b5-891b22ea920e,
  abstract     = {{<p>Intravenous immunoglobulin (IVIG) has been used to treat many autoimmune disorders including Stiff-Man Syndrome (SMS). SMS is a neurological disorder associated with an immune-mediated deficiency of gamma-aminobutyric acid (GABA) due to autoantibodies against the GABA synthesizing enzyme glutamic acid decarboxylase-65 (GAD65). GAD65 autoantibodies are present among 1-2% of healthy individuals. It can therefore not be excluded that GAD65 autoantibodies may be present in IVIG, which is prepared from multiple blood donors. We report here that GAD65 but not IA-2 autoantibodies were present in commercial IVIG preparations. The presence of autoantibodies may affect the outcome of IVIG treatment and screening commercial preparations of IVIG for GAD65 autoantibodies is therefore recommended before treating patients.</p>}},
  author       = {{Hao, W. and Davis, C. and Daniels, T. and Hampe, C. S. and Lernmark, Å}},
  issn         = {{0958-7578}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{4}},
  pages        = {{307--310}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Transfusion Medicine}},
  title        = {{Epitope-specific glutamic acid decarboxylase-65 autoantibodies in intravenous immunoglobulin preparations}},
  url          = {{http://dx.doi.org/10.1046/j.1365-3148.1999.00214.x}},
  doi          = {{10.1046/j.1365-3148.1999.00214.x}},
  volume       = {{9}},
  year         = {{1999}},
}