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Tolerance of a Transgenic Self Antigen Expressed in the Thymus: Implication for Myasthenia gravis

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Abstract

The thymus plays a central and probably a primary role in MG, as thymectomy is an effective therapy for many patients [1]. Further, thymic abnormalities (hyperplasia or thymoma) are found histologically in 70 to 80% of MG patients [2]. The presence of an autoantigen in the thymus has been suggested by several studies, but its low expression has made it difficult to detect, except in very rare myoid cells [3]. Other cell types have also been reported to contain antigens that cross-react with antibodies to AChR [4], namely epithelial cells from thymomas [5]. By molecular biology approaches, murine epithelial cell lines from the thymic cortex and medulla, as well as human thymic epithelial cells in culture, were shown to express the α-subunit AChR mRNA [6, 7].

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References

  1. Le Brigand, H., P. Levasseur, A.R. Miranda, C. Gaud and I. Wojakowski. 1980. Surgical treatment of myasthenia gravis by thymectomy: A report on 248 cases. Ann. Chir. 34: 169–172.

    PubMed  Google Scholar 

  2. Berrih-Aknin, S., E. Morel, F. Raimond, D. Safar, C. Gaud, J.P. Binet, P. Levasseur and J.F. Bach. 1987. The role of the thymus in myasthenia gravis: Immunohistological and immunological studies in 115 cases. Ann. N.Y. Acad. Sci. 505: 50–70.

    Article  PubMed  CAS  Google Scholar 

  3. Schluep, M., N. Willcox, A. Vincent, G.K. Dhoot and J. Newsom-Davis. 1987. Acetylcholine receptors in human thymic myoid cells in situ: an immunohistological study. Ann. Neurol. 22: 212–222.

    Article  PubMed  CAS  Google Scholar 

  4. Marx, A., T. Kirchner, F. Hoppe, R. O’Conner, B. Schalke, S. Tzartos and H.K. Muller-Hermelink. 1989. Proteins with epitopes of the acetylcholine receptor in epithelial cell cultures of thymomas in myasthenia gravis. Am. J. Pathol. 134: 865–877.

    PubMed  CAS  Google Scholar 

  5. Hara, Y., S. Ueno, T. Uemichi, N. Takahashi, S. Yorifuji, Y. Fujii and S. Tarai. 1991. Neoplastic epithelial cells express α-subunit of muscle nicotinic acetylcholine receptor in thymomas from patients with myasthenia gravis. FEBS Lett. 279: 137–140.

    Article  PubMed  CAS  Google Scholar 

  6. Wheatley, L.M., D. Urso, K. Tumas, J. Maltzman, E. Loh and A.I. Levinson. 1992. Molecular evidence for the expression of nicotinic acetylcholine receptor alpha-chain in mouse thymus. J. Immunol. 148: 3105–3109.

    PubMed  CAS  Google Scholar 

  7. Wakkach, A., T. Guyon, C. Bruand, S. Tzartos, S. Cohen-Kaminsky and S. Berrih-Aknin. 1996. Expression of acetylcholine receptor genes in human thymic epithelial cells. Implications for Myasthenia Gravis. J Immunol 157: 3752–3760.

    PubMed  CAS  Google Scholar 

  8. Klarsfeld, A., J.L. Bessereau, A.M. Salmon, A. Triller, C. Babinet and J.P. Changeux. 1991. An acetylcholine receptor α-subunit promoter conferring preferential synaptic expression in muscle of transgenic mice. EMBO J. 10: 625–632.

    PubMed  CAS  Google Scholar 

  9. Salmon, A.M. and J.P. Changeux. 1992. Regulation of an acetylcholine receptor LacZ transgene by muscle innervation. Neuro Report 3: 973–976.

    CAS  Google Scholar 

  10. Klarsfeld, A. and J.P Changeux. 1985. Activity regulates the levels of acetylcholine receptor α-subunit mRNA in cultured chicken myotubes. Proc. Natl. Acad. Sci. 82: 4558–4562.

    Article  PubMed  CAS  Google Scholar 

  11. Engel, W.K., J.L. Trotter, D.E. McFarlin and C.L. Mcintosh. 1977. Thymic epithelial cell contains acetylcholine receptor. Lancet 1: 1310–1311.

    Article  PubMed  CAS  Google Scholar 

  12. Kao, I. and D.B. Drachman. 1978. Thymic muscle cells bear acetylcholine receptors: possible relation to myasthenia gravis. Science 195: 74–75.

    Article  Google Scholar 

  13. Wekerle, H., U.P. Ketelson, A.D. Zum and B.W. Fulpius. 1978. Intrathymic pathogenesis of myasthenia gravis: transient expression of acetylcholine receptors on thymus-derived myogenic cells. Eur. J. Immunol. 8: 579–582.

    Article  PubMed  CAS  Google Scholar 

  14. Marx, A., T. Kirchner, F. Hoppe, R. O’Conner, B. Schalke, S. Tzartos and H.K. Müller-Hermelink. 1989. Proteins with epitopes of the acetylcholine receptor in epithelial cell cultures of thymomas in myasthenia gravis. Am. J. Pathol. 134: 865–877.

    PubMed  CAS  Google Scholar 

  15. Marx, A., R. O’Connor, K.I. Geuder, F. Hoppe, B. Schalke, S. Tzartos, I. Kalies, T. Kirchner and H.K. Muller-Hermelink. 1990. Characterization of a protein with an acetylcholine receptor epitope from myasthenia gravis-associated thymomas. Lab. Invest. 62: 279–286.

    PubMed  CAS  Google Scholar 

  16. Geuder, K.I.R., R. Schoepfer, T. Kirchner, A. Marx and H.K. Muller-Hermelink. 1989. The gene of the α-subunit of the acetylcholine receptor: molecular Organization and transcription in myasthenia-associated thymomas. Thymus 14: 179–186.

    PubMed  CAS  Google Scholar 

  17. Kaminski, H.J., R.A.F. Fenstermaker, W. Abdul-Karim, J. Clayman and R.L. Ruff. 1993. Acetylcholine receptor subunit gene expression in thymic tissue. Muscle Nerve 16: 1332–1337.

    Article  PubMed  CAS  Google Scholar 

  18. Salmon A.M., C. Bruand, A. Cardona, J.P. Changeux and S. Berrih-Aknin. 1998. An acetylcholine receptor α subunit promoter confers intrathymic expression in transgenic mice. Implications for tolerance of a transgenic self antigen and for autoreactivity in myasthenia gravis. J. Clin. Invest. 101: 2340–2350.

    Article  PubMed  CAS  Google Scholar 

  19. Nossal, G.J.V. 1994. Negative selection of lymphocytes. Cell 76: 229–239.

    Article  PubMed  CAS  Google Scholar 

  20. Kappler, J.W., N. Roehm and P. Marrack. 1987. T cell tolerance by clonal elimination in the thymus. Cell 49: 273–280.

    Article  PubMed  CAS  Google Scholar 

  21. Kisielow, P., H. Blüthmann, U.D. Staerz, M. Steinmetz and H. Von Boehmer. 1988. Tolerance in T-cell-receptor transgenic mice involves deletion of nonmature CD4+8+ thymocytes. Nature 333: 742–746.

    Article  PubMed  CAS  Google Scholar 

  22. Posselt, A.M., C.F. Barker, J.E. Tomaszewski, J.F. Markmann, M.A. Choti, A. Naji. 1990. Induction of donor-specific unresponsiveness by intrathymic islet transplantation. Science 249: 1293–1295.

    Article  PubMed  CAS  Google Scholar 

  23. Remuzzi, G., M. Rossini, O. Imberti and N. Perico. 1991. Kidney graft survival in rats without immunusuppressants after intrathymic glomerular transplantation. Lancet 337: 750–752.

    Article  PubMed  CAS  Google Scholar 

  24. Oehen S.U., P.S. Ohashi, K. Bürki, H. Hengartner, R.M. Zinkernagel and P. Aichele. 1994. Escape of thymocytes and mature T cells from clonal deletion due to limiting tolerogen expression levels. Cell. Immunol. 158: 342–352.

    Article  PubMed  CAS  Google Scholar 

  25. Iwabuchi, K., K.I. Nakayama, R.L. McCoy, F. Wang, T. Nishimura, S. Habu, K.M. Murphy and D.Y. Loh. 1992. Cellular and peptide requirements for in vitro clconal deletion of immature thymocytes. Proc. Natl. Acad. Sci. 9000–9004.

    Google Scholar 

  26. Husby, S., J. Mestecky, Z. Moldoneanu, S. Holland and C.O. Elson. 1994. Oral tolerance in humans. T cell but not B cell tolerance after antigen feeding. J. Immunol. 152: 4663.

    PubMed  CAS  Google Scholar 

  27. Jermy, A., D. Beeson and A. Vincent. 1993. Pathogenic autoimmunity to affinity-purified mouse acetylcholine receptor induced without adjuvant in B ALB/c mice. Eur. J. Immunol. 23: 973–976.

    Article  PubMed  CAS  Google Scholar 

  28. Link, H., O. Olsson, J. Sun, W.Z. Wang, G. Andersson, H.P. Ekre, T. Brenner, O. Abramsky and T. Olsson. 1991. Acetylcholine receptor-reactive T and B cells in myasthenia gravis and controls. J. Clin. Invest. 87: 2191–2195.

    Article  PubMed  CAS  Google Scholar 

  29. Ohshima F., K. Kondo and T. Tsubaki. 1978. Binding of iodine 125 a-bungarotoxin to the thymus of mice. Arch Neurol 35: 31–32.

    Article  PubMed  CAS  Google Scholar 

  30. Ohashi, P.S., S. Oehen, K. Buerki, H. Pircher, C.T. Ohashi, B. Odermatt, B. Malissen, R.M. Zinkernagel and H. Hengartner. 1991. Ablation of tolerance and induction of diabetes by virus infection in viral antigen transgenic mice. Cell 65: 304–317.

    Article  Google Scholar 

  31. Vafiadis P., S.T. Bennett, J.A. Todd, J. Nadeau, R. Grabs, CG. Goodyer, S. Wickramasinghe, E. Colle and C. Polychronakos. 1997. Insulin expression in human thymus is modulated by INS VNTR alleles at the IDDM2 locus. Nature genetics 15: 289–292.

    Article  PubMed  CAS  Google Scholar 

  32. Pugliese A., M. Zeller, A. Fernandez, L.J. Zalcberg, R.J. Bartlett, C. Ricordi, M. Pietropaolo, G.S. Eisenbarth, S.T. Bennett and D.D. Patel. 1997. The insulin gene is transcribed in the human thymus and transcription levels correlate with allelic variation at the INS VNTR-IDDM2 susceptibility locus for type 1 diabetes. Nature genetics 15: 293–297.

    Article  PubMed  CAS  Google Scholar 

  33. Egwuagu C.E., P. Charukamnoetkanok and I. Gery. 1997. Thymic expression of autoantigens correlates with resistance to autoimmune disease. J. Immunol. 159: 3109–3112.

    PubMed  CAS  Google Scholar 

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Salmon, AM., Bruand, C., Cardona, A., Changeux, JP., Berrih-Aknin, S. (2000). Tolerance of a Transgenic Self Antigen Expressed in the Thymus: Implication for Myasthenia gravis. In: Christadoss, P. (eds) Myasthenia Gravis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4060-7_2

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  • DOI: https://doi.org/10.1007/978-94-011-4060-7_2

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5787-5

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