Skip to main content

Advertisement

Log in

Immunoglobulin KM genes in Guillain-Barré syndrome

  • Original Article
  • Published:
Neurogenetics Aims and scope Submit manuscript

Abstract

Guillain-Barré syndrome is associated with antecedent Campylobacter jejuni infection. Only a minority of the infected individuals, however, develops the disease, implying a role for genetic factors in conferring susceptibility. To determine the role of immunoglobulin KM genes (genetic markers of the constant region of κ chains) in the etiology of this syndrome, we genotyped 83 patients and 196 healthy controls from Norway for KM1 and KM3 alleles by polymerase chain reaction-restriction fragment length polymorphism. The frequency of KM3 homozygotes was significantly increased in patients compared with controls (86.7% vs. 74%, P=0.01, odds ratio=2.3). Conversely, the frequency of KM1/KM3 heterozygotes was significantly decreased in patients compared with controls (13.3% vs. 26%, P=0.01, odds ratio=0.4). These results suggest that KM genes may be relevant to the etiology of Guillain-Barré syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Schwerer B (2002) Antibodies against gangliosides: a link between preceding infection and immunopathogenesis of Guillain-Barré syndrome. Microbes Infect 4:373–384

    Article  CAS  PubMed  Google Scholar 

  2. Wucherpfennig KW (2001) Mechanisms for the induction of autoimmunity by infectious agents. J Clin Invest 108:1097–1104

    Article  CAS  PubMed  Google Scholar 

  3. Ma JJ, Nishimura M, Mine H, Kuroki S, Nukina M, Ohta M, Saji H, Obayashi H, Saida T, Kawakami H, Uchiyama T (1998) HLA and T-cell receptor gene polymorphisms in Guillain-Barré syndrome. Neurology 51:379–384

    CAS  PubMed  Google Scholar 

  4. Vedeler CA, Myhr KM, Nyland H (2001) Fc receptors for immunoglobulin G—a role in the pathogenesis of Guillain-Barré syndrome and multiple sclerosis. J Neuroimmunol 118:187–193

    Article  CAS  PubMed  Google Scholar 

  5. Granoff DM, Pandey JP, Boies E, Squires J, Munson RS Jr, Suarez B (1984) Response to immunization with Haemophilus influenzae type b polysaccharide-pertussis vaccine and risk of Haemophilus meningitis in children with the Km(l) immunoglobulin allotype. J Clin Invest 74:1708–1714

    CAS  PubMed  Google Scholar 

  6. Pandey JP, Elson LH, Sutherland SE, Guderian RH, Araujo E, Nutman TB (1995) Immunoglobulin κ chain allotypes (KM) in onchocerciasis. J Clin Invest 96:2732–2734

    CAS  PubMed  Google Scholar 

  7. Dugoujon JM, Cambon-Thomsen A (1995) Immunoglobulin allotypes (GM and KM) and their interactions with HLA antigens in autoimmune diseases: a review. Autoimmunity 22:245–260

    CAS  PubMed  Google Scholar 

  8. Grubb R (1995) Advances in human immunoglobulin allotypes. Exp Clin Immunogenet 12:191–197

    CAS  PubMed  Google Scholar 

  9. Pandey JP (2001) Immunoglobulin GM and KM allotypes and vaccine immunity. Vaccine 19:613–617

    Article  Google Scholar 

  10. Ahnen DJ, Brown WR (1982) Campylobacter enteritis in immune-deficient patients. Ann Intern Med 96:187–188

    CAS  PubMed  Google Scholar 

  11. Blaser MJ, Black RE, Duncan DJ, Amer J (1985) Campylobacter jejuni-specific serum antibodies are elevated in healthy Bangladeshi children. J Clin Microbiol 21:164–167

    CAS  PubMed  Google Scholar 

  12. Blaser MJ, Taylor DN, Echeverria P (1986) Immune response to Campylobacter jejuni in a rural community in Thailand. J Infect Dis 153:249–254

    CAS  PubMed  Google Scholar 

  13. Pandey JP, Blaser MJ (1986) Heterozygosity at the Km locus associated with humoral immunity to Campylobacter jejuni. Exp Clin Immunogenet 3:49–53

    CAS  PubMed  Google Scholar 

  14. Asbury AK, Cornblath DR (1990) Assessment of current diagnostic criteria for Guillain-Barré syndrome. Ann Neurol 27:S21–S24

    PubMed  Google Scholar 

  15. Vedeler CA, Wik E, Nyland H (1997) The long-term prognosis of Guillain-Barré syndrome. Evaluation of prognostic factors including plasma exchange. Acta Neurol Scand 95:298–302

    CAS  PubMed  Google Scholar 

  16. Moxley G, Gibbs RS (1992) Polymerase chain reaction-based genotyping for allotypic markers of immunoglobulin kappa shows allelic association of Km with kappa variable segment. Genomics 13:104–108

    CAS  PubMed  Google Scholar 

  17. Morahan G, Berek C, Miller JFAP (1983) An idiotypic determinant formed by both immunoglobulin constant and variable regions. Nature 301:720–722

    CAS  PubMed  Google Scholar 

  18. Cooper LJN, Schimenti JC, Glass DD, Greenspan NS (1991) H chain C domains influence the strength of binding of IgG for streptococcal group A carbohydrate. J Immunol 146:2659–2663

    CAS  PubMed  Google Scholar 

  19. Cooper LJN, Shikhman AR, Glass DD, Kangisser D, Cunningham MW, Greenspan NS (1993) Role of heavy chain constant domains in antibody-antigen interaction. Apparent specificity differences among streptococcal IgG antibodies expressing identical variable domains. J Immunol 150:2231–2242

    CAS  PubMed  Google Scholar 

  20. Cooper LJN, Robertson D, Granzow R, Greenspan NS (1994) Variable domain-identical antibodies exhibit IgG subclass-related differences in affinity and kinetic constants as determined by surface plasmon resonance. Mol Immunol 31:577–584

    Article  CAS  PubMed  Google Scholar 

  21. Pritsch O, Hudry-Clergeon G, Buckle M, Petillot Y, Bouvet JP, Gagnon J, Dighiero G (1996) Can immunoglobulin CH1 constant region domain modulate antigen binding affinity of antibodies? J Clin Invest 98:2235–2243

    CAS  PubMed  Google Scholar 

  22. McLean GR, Torres M, Elguezabal N, Nakouzi A, Casadevall A (2002) Isotype can affect the fine specificity of an antibody for a polysaccharide antigen. J Immunol 169:1379–1386

    CAS  PubMed  Google Scholar 

  23. Primi D, Drapier AM, Cazenave PA (1987) Highly preferential VH-VL pairing in normal B cells results in antigen-independent selection of the available repertoire. J Immunol 138:1607–1612

    CAS  PubMed  Google Scholar 

  24. Spielman RS, Ewens WJ (1998) A sibship test for linkage in the presence of association: the sib transmission/disequilibrium test. Am J Hum Genet 62:450–458

    CAS  PubMed  Google Scholar 

  25. Pandey JP, Fudenberg HH, Virella G, Kyong CU, Loadholt CB, Galbraith RM, Gotschlich EC, Parke JC (1979) Association between immunoglobulin allotypes and immune responses to Haemophilus influenzae and meningococcus polysaccharides. Lancet I:190–192

    Google Scholar 

  26. Ambrosino DM, Barrus VA, DeLange GG, Siber GR (1986) Correlation of the Km(1) immunoglobulin allotype with anti-polysaccharide antibodies in Caucasian adults. J Clin Invest 78:361–365

    CAS  PubMed  Google Scholar 

  27. Koga M, Yuki N, Tai T, Hirata K (2001) Miller Fisher syndrome and Haemophilus influenzae infection. Neurology 57:686–691

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported in part by funds from the U.S. Department of Energy cooperative agreement DE-FC02–02CH11109, Odd Fellow Norway, Norwegian Society of MS, and Kjell Almes Legacy. We thank Mr. Keith Rocca for expert technical assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Janardan P. Pandey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pandey, J.P., Vedeler, C.A. Immunoglobulin KM genes in Guillain-Barré syndrome. Neurogenetics 4, 147–149 (2003). https://doi.org/10.1007/s10048-003-0144-1

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10048-003-0144-1

Keywords

Navigation