Binding patterns and functional properties of human antibodies to AQP4 and MOG on murine optic nerve and retina

J Neuroimmunol. 2020 Feb 20:342:577194. doi: 10.1016/j.jneuroim.2020.577194. Online ahead of print.

Abstract

Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune-inflammatory CNS disease affecting spinal cord and optic nerves, mediated by autoantibodies against aquaporin-4 (AQP4) and myelin-oligodendrocyte-glycoprotein (MOG). Effects of those immunoglobulins (Ig) on retina and optic nerve are incompletely understood. We investigated AQP4-IgG and MOG-IgG sera on retina and optic nerve ex vivo and in 2D2 mice, which harbor a transgenic MOG-specific T-cell receptor. Some sera reacted with murine retina and optic nerve showing distinct binding patterns, suggesting different epitopes being targeted in both subgroups. Transfer of total IgG from a MOG-IgG positive patient to 2D2 mice did neither enhance disability nor induce functional or histological alterations in the retina.

Keywords: Aquaporin-4; Autoimmunity; Myelin-oligodendrocyte-glycoprotein; Neuromyelitis optica spectrum disorder; Optic nerve; Retina.