E. Dondi et al., ASSOCIATION OF KM(3) ALLOTYPE WITH INCREASED SERUM LEVELS OF AUTOANTIBODIES AGAINST MUSCLE ACETYLCHOLINE-RECEPTOR IN MYASTHENIA-GRAVIS, Journal of neuroimmunology, 51(2), 1994, pp. 221-224
Association of immunoglobulin allotypes with myasthenia gravis was exa
mined in a set of 84 patients presenting autoantibodies against muscle
acetylcholine receptor (AChR). Km and G1m(f)/G1m(z) allotypes were de
termined by PCR-amplification followed by hybridization with allele-sp
ecific oligonucleotides. The Km(3) kappa light chain allotype was foun
d to be associated with significantly increased serum levels of anti-A
ChR autoantibodies in myasthenic patients (P = 0.014). We hypothesize
that an allelic polymorphism of a regulatory (enhancer) sequence close
ly linked to the CK gene segment could account for our finding.