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- W2015017080 abstract "Purpose of review Myasthenic disorders are a well characterized group of diseases of the neuromuscular junction. Their pathogenesis is diverse, including genetic and autoimmune mechanisms. We review recent findings on risk factors, pathogenesis and treatment of autoimmune myasthenia gravis. Recent findings Better knowledge of congenital myasthenia has led to the development of efficient diagnostic algorithms that have therapeutic implications. New epidemiological and genetic risk factors have been identified and are considered to play a role in the development of myasthenia gravis. The study of the role of innate immunity in myasthenia gravis has identified relevant pathways to explain myasthenia gravis causes. The description of the pathogenic role of IgG4 anti-MuSK antibodies has revealed heterogeneous immune mechanisms that should lead to more specific therapies. Rituximab seems to be particularly effective in MuSK+ myasthenia gravis, and eculizumab arises as an option in refractory AChR+ myasthenia gravis. Therapeutic algorithms need to be tailored to each myasthenia subtype. Summary Increasing knowledge about the environmental and genetic risk factors and basic immunopathogenesis of myasthenia gravis, including the role of innate immunity, regulatory T cell impairment and autoantibody heterogeneity, is providing a rationale for treatment with new biological agents. Current immunotherapies in myasthenia gravis undoubtedly provide benefits, but also cause side-effects. Controlled trials are, therefore, needed to confirm initial results from pilot studies." @default.
- W2015017080 created "2016-06-24" @default.
- W2015017080 creator A5010308866 @default.
- W2015017080 creator A5048129993 @default.
- W2015017080 date "2013-10-01" @default.
- W2015017080 modified "2023-10-16" @default.
- W2015017080 title "Myasthenia gravis and the neuromuscular junction" @default.
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- W2015017080 doi "https://doi.org/10.1097/wco.0b013e328364c079" @default.
- W2015017080 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23945282" @default.
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