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Eur J Neurol. 2015 Aug;22(8):1151-61. doi: 10.1111/ene.12758. Epub 2015 May 29.

The expanding field of IgG4-mediated neurological autoimmune disorders.

Author information

1
Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
2
Department of Human Genetics, Leiden University Medical Center, Leiden, The Netherlands.
3
Department of Neurology, Hospital Santa Creu I Sant Pau, Barcelona, Spain.

Abstract

At least 13 different disease entities affecting the central nervous system, peripheral nervous system and connective tissue of the skin or kidneys are associated with immunoglobulin G4 (IgG4) immune reactivity. IgG4 has always been considered a benign, non-inflammatory subclass of IgG, in contrast to the well-known complement-activating pro-inflammatory IgG1 subclass. A comprehensive review of these IgG4 autoimmune disorders reveals striking similarities in epitope binding and human leukocyte antigen (HLA) associations. Mechanical interference of extracellular ligand-receptor interactions by the associated IgG4 antibodies seems to be the common/converging disease mechanism in these disorders.

KEYWORDS:

CIDP; IgG4; Iglon5; Lgi1; MuSK myasthenia gravis; autoimmunity; membranous nephropathy; neurofascin; pemphigus

PMID:
26032110
DOI:
10.1111/ene.12758
[Indexed for MEDLINE]

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