Abstract
Myasthenia gravis is one of the typical organ specific autoimmune disease and
the CD5+ B-lymphocytes are known to be associated with the secretion of
autoimmune antibodies. The authors performed the study to establish an animal
model of experimental autoimmune myasthenia gravis (EAMG) by immunizing the
nicotinic acetylcholine receptor (AChR) and to understand CD5+ B-lymphocyte
changes in peripheral blood of EAMGs. Lewis rats weighing 150-200 g were
injected subcutaneously three times with 50 µg AChR purified from the
electric organ of Torpedo marmorata and Freund's adjuvant. The EAMG induction
was assessed by evaluating clinical manifestations. The CD5+ B-lymphocyte was
double stained using monoclonal PE conjugated anti-CD5+ and FITC conjugated
anti-rat CD45R antibodies and calculated using a fluorescence-activated cell
sorter (FACS). In three out of ten Lewis rats injected with purified AChR, the
EAMG models were established. The animals showed definite clinical weakness
responded to neostigmine; they had difficulty in climbing the slope, or easily
fell down from a vertical cage. The range of CD5+ B-lymphocytes of peripheral
blood in the EAMG models was 10.2%-17.5%, which was higher than in controls. In
conclusion, the EAMG models were successfully established and the CD5+
B-lymphocyte expression in peripheral blood increased in EAMGs. This provided
indirect evidence of the autoimmune pathomechanism of human myasthenia gravis.