Zhu Li-Na, Hou Hai-Man, Wang Sai, Zhang Shuang, Wang Ge-Ge, Guo Zi-Yan, Wu Jun
Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.
Neural Regen Res. 2023 Aug;18(8):1637-1644. doi: 10.4103/1673-5374.363824.
Myasthenia gravis is an acquired, humoral immunity-mediated autoimmune disease characterized by the production of autoantibodies that impair synaptic transmission at the neuromuscular junction. The intervention-mediated clearance of immunoglobulin G (IgG) was shown to be effective in controlling the progression of the disease. The neonatal Fc receptor (FcRn) plays a key role in prolonging the serum half-life of IgG. Antagonizing FcRn to prevent its binding to IgG can accelerate the catabolism of the latter, resulting in decreased levels of IgG, including pathogenic autoantibodies, thereby achieving a therapeutic effect. In this review, we detail the substantial research progress, both basic and clinical, relating to the use of FcRn inhibitors in the treatment of myasthenia gravis.
重症肌无力是一种获得性、体液免疫介导的自身免疫性疾病,其特征是产生自身抗体,损害神经肌肉接头处的突触传递。免疫球蛋白G(IgG)的干预介导清除被证明对控制疾病进展有效。新生儿Fc受体(FcRn)在延长IgG的血清半衰期方面起关键作用。拮抗FcRn以阻止其与IgG结合可加速后者的分解代谢,导致IgG水平降低,包括致病性自身抗体,从而实现治疗效果。在这篇综述中,我们详细介绍了关于使用FcRn抑制剂治疗重症肌无力的基础和临床方面的重大研究进展。