Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1983 Jun;46(6):547–550. doi: 10.1136/jnnp.46.6.547

Sequential changes in oligoclonal patterns during the course of multiple sclerosis.

E J Thompson, P Kaufmann, P Rudge
PMCID: PMC1027446  PMID: 6875587

Abstract

The majority of patients with multiple sclerosis have an abnormality of their spinal fluid immunoglobulins. This alteration is manifested as patterns of diffuse protein bands in the gamma globulin region following electrophoresis. This pattern has been termed one of restricted heterogeneity, or an oligoclonal pattern. We have found changes in the banding pattern of some patients studied longitudinally. Since the significance of these findings may be relevant to the pathogenesis of this notoriously waxing and waning disease, we discuss the importance of methodologies as well as the concept that IgM and IgA may be relevant to the interpretation of these observations.

Full text

PDF
550

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bloom B. R. Immunological changes in multiple sclerosis. Nature. 1980 Sep 25;287(5780):275–276. doi: 10.1038/287275a0. [DOI] [PubMed] [Google Scholar]
  2. DAVIS B. J. DISC ELECTROPHORESIS. II. METHOD AND APPLICATION TO HUMAN SERUM PROTEINS. Ann N Y Acad Sci. 1964 Dec 28;121:404–427. doi: 10.1111/j.1749-6632.1964.tb14213.x. [DOI] [PubMed] [Google Scholar]
  3. Delmotte P., Gonsette R. Biochemical findings in multiple sclerosis IV. Isoelectric focusing of the CSF gamma globulins in multiple sclerosis (262 cases) and other neurological diseases (272 cases). J Neurol. 1977 Apr 28;215(1):27–37. doi: 10.1007/BF00312547. [DOI] [PubMed] [Google Scholar]
  4. Haire M. Significance of virus antibodies in multiple sclerosis. Br Med Bull. 1977 Jan;33(1):40–44. doi: 10.1093/oxfordjournals.bmb.a071394. [DOI] [PubMed] [Google Scholar]
  5. Keshgegian A. A., Coblentz J., Lisak R. P. (University of Pennsylvania Case Conference): oligoclonal immunoglobulins in cerebrospinal fluid in multiple sclerosis. Clin Chem. 1980 Aug;26(9):1340–1345. [PubMed] [Google Scholar]
  6. Kleine T. O., Stroh J. Neue Mikroelektrophorese für nativen Lumballiquor. Unterschiede im Pherogramm von nativen und konzentrierten Proteinen. Zur Methodik der Proteinelektrophorese auf Celluloseacetatfolie im Liquor cerebrospinalis. II. Z Klin Chem Klin Biochem. 1974 Feb;12(2):73–80. [PubMed] [Google Scholar]
  7. Maidment B. W., Jr, Papsidero L. D., Chu T. M. Isoelectric focusing--a new approach to the study of immune complexes. J Immunol Methods. 1980;35(3-4):297–306. doi: 10.1016/0022-1759(80)90256-2. [DOI] [PubMed] [Google Scholar]
  8. Mattson D. H., Roos R. P., Arnason B. G. Comparison of agar gel electrophoresis and isoelectric focusing in multiple sclerosis and subacute sclerosing panencephalitis. Ann Neurol. 1981 Jan;9(1):34–41. doi: 10.1002/ana.410090107. [DOI] [PubMed] [Google Scholar]
  9. Mattson D. H., Roos R. P., Arnason B. G. Isoelectric focusing of IgG eluted from multiple sclerosis and subacute sclerosing panencephalitis brains. Nature. 1980 Sep 25;287(5780):335–337. doi: 10.1038/287335a0. [DOI] [PubMed] [Google Scholar]
  10. Olsson J. E., Link H. Immunoglobulin abnormalities in multiple sclerosis. Relation to clinical parameters: exacerbations and remissions. Arch Neurol. 1973 Jun;28(6):392–399. doi: 10.1001/archneur.1973.00490240052009. [DOI] [PubMed] [Google Scholar]
  11. Sandberg-Wollheim M. Optic neuritis: studies on the cerebrospinal fluid in relation to clinical course in 61 patients. Acta Neurol Scand. 1975 Sep;52(3):167–178. doi: 10.1111/j.1600-0404.1975.tb05771.x. [DOI] [PubMed] [Google Scholar]
  12. Sidén A., Kjellin K. G. CSF protein examinations with thin-layer isoelectric focusing in multiple sclerosis. J Neurol Sci. 1978 Nov;39(1):131–146. doi: 10.1016/0022-510x(78)90194-6. [DOI] [PubMed] [Google Scholar]
  13. Thompson E. J., Kaufmann P., Shortman R. C., Rudge P., McDonald W. I. Oligoclonal immunoglobulins and plasma cells in spinal fluid of patients with multiple sclerosis. Br Med J. 1979 Jan 6;1(6155):16–17. doi: 10.1136/bmj.1.6155.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Vandvik B., Norrby E., Nordal H. J., Degré M. Oligoclonal measles virus-specific IgG antibodies isolated from cerebrospinal fluids, brain extracts, and sera from patients with subacute sclerosing panencephalitis and multiple sclerosis. Scand J Immunol. 1976;5(8):979–992. doi: 10.1111/j.1365-3083.1976.tb03050.x. [DOI] [PubMed] [Google Scholar]
  15. Vandvik B. Oligoclonal IgG and free light chains in the cerebrospinal fluid of patients with multiple sclerosis and infectious diseases of the central nervous system. Scand J Immunol. 1977;6(9):913–922. doi: 10.1111/j.1365-3083.1977.tb00412.x. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES