Engineered agrin attenuates the severity of experimental autoimmune myasthenia gravis

Muscle Nerve. 2018 May;57(5):814-820. doi: 10.1002/mus.26025. Epub 2018 Jan 8.

Abstract

Introduction: Agrin is essential for the formation and maintenance of neuromuscular junctions (NMJs). NT-1654 is a C-terminal fragment of mouse neural agrin. In this study, we determined the effects of NT-1654 on the severity of experimental autoimmune myasthenia gravis (EAMG).

Methods: EAMG was induced in female Lewis rats by immunization with the Torpedo acetylcholine receptor (tAChR) and complete Freund's adjuvant (CFA). NT-1654 was dissolved in phosphate-buffered saline (PBS) and injected daily subcutaneously into tAChR immunized rats during the first 10 days after immunization, and then every other day for the following 20 days.

Results: We showed that NT-1654 attenuated clinical severity, effectively promoted the clustering of AChRs at NMJs, and alleviated the impairment of NMJ transmission and the reduction of muscle-specific kinase (MuSK) in EAMG rats.

Discussion: We demonstrated that NT-1654 attenuated clinical severity, effectively promoted the clustering of AChRs at NMJs, and alleviated the impairment of NMJ transmission and the reduction of muscle-specific kinase (MuSK) in EAMG rats. Muscle Nerve 57: 814-820, 2018.

Keywords: acetylcholine receptor; agrin; myasthenia gravis; neuromuscular junctions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / physiology
  • Agrin / biosynthesis
  • Agrin / chemistry
  • Agrin / therapeutic use*
  • Animals
  • Autoantibodies / metabolism
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Electromyography
  • Female
  • Freund's Adjuvant / toxicity
  • Gene Expression Regulation / drug effects
  • Immunization / adverse effects*
  • Membrane Glycoproteins / metabolism
  • Muscle, Skeletal / pathology
  • Muscular Atrophy / etiology
  • Muscular Atrophy / therapy
  • Myasthenia Gravis, Autoimmune, Experimental / drug therapy*
  • Myasthenia Gravis, Autoimmune, Experimental / pathology*
  • Nerve Tissue Proteins / metabolism
  • Neurofibromin 1 / metabolism
  • Neuromuscular Junction / pathology
  • Peptide Fragments / biosynthesis
  • Peptide Fragments / chemistry
  • Peptide Fragments / therapeutic use*
  • Rats
  • Rats, Inbred Lew
  • Receptors, Cholinergic / immunology
  • Receptors, Cholinergic / metabolism

Substances

  • Agrin
  • Autoantibodies
  • C-terminal agrin fragment
  • Membrane Glycoproteins
  • Nerve Tissue Proteins
  • Neurofibromin 1
  • Peptide Fragments
  • Receptors, Cholinergic
  • Sv2a protein, rat
  • Freund's Adjuvant