A complete prevention of clinical experimental autoimmune myasthenia gravis
(EAMG) was observed in lymphotoxin (LT)-alpha deficient (LT-alpha (-/-)) m
ice compared to LT-alpha (+/+) mice when immunized with acetylcholine recep
tor. However, only a partial prevention of clinical EAMG incidence was obse
rved in LT-beta (-/-) mice compared to LT-beta (-/-) mice. LT-alpha (-/-) a
nd LT-beta (-/-) mice had lower mean titers of total IgG, IgG(1), IgG(2a) a
nd IgG(2b) and higher or equal mean titers of IgM anti AChR antibodies comp
ared to controls. Therefore. LT-alpha (-/-) and LT-beta (-/-) AChR immunize
d mice are capable of mounting a primary (IgM) humoral immune response to A
ChR, but are less capable of switching to the pathogenic anti-AChR IgG isot
ypes. LT could play a significant role in the pathogenesis of myasthenia gr
avis. (C) 2001 Elsevier Science B.V. All rights reserved.