Article
Affinity maturation is required for pathogenic monovalent IgG4 autoantibody development in myasthenia gravis.
The Journal of experimental medicine - 7 Dec 2020
Fichtner Miriam L, Vieni Casey, Redler Rachel L, Kolich Ljuvica, Jiang Ruoyi, Takata Kazushiro, Stathopoulos Panos, Suarez Pablo A, Nowak Richard J, Burden Steven J, Ekiert Damian C, O'Connor Kevin C
Abstract excerpt
Pathogenic muscle-specific tyrosine kinase (MuSK)-specific IgG4 autoantibodies in autoimmune myasthenia gravis (MG) are functionally monovalent as a result of Fab-arm exchange. The development of these unique autoantibodies is not well understood. We examined MG patient-derived monoclonal autoantibodies (mAbs), their corresponding germline-encoded unmutated common ancestors (UCAs), and monovalent antigen-binding...
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