Fcγ receptor polymorphisms do not predict response to intravenous immunoglobulin in myasthenia gravis

J Clin Neuromuscul Dis. 2012 Sep;14(1):1-6. doi: 10.1097/CND.0b013e31825c566b.

Abstract

We studied 63 patients with myasthenia gravis (MG) requiring treatment with intravenous immunoglobulin, to determine if polymorphisms within the FCγR2A (rs1801274), FCγR2B (rs1050501), FCγR3A (rs396991), and FCγR3B (NA1/NA2) genes are correlated with response to treatment. There was no significant difference in any of the polymorphisms studied between responders and nonresponders. Patients with the FCγR2B-232I/I polymorphism had higher disease severity measured by the quatitative myasthenia gravis score (QMGS). There was no difference in the distribution of the FCγR2B-232 polymorphisms between the patients and 90 healthy controls. The finding of greater disease severity in patients with the FCγR2B-232I/I polymorphism requires confirmation in a larger population of patients with myasthenia gravis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Chi-Square Distribution
  • Electromyography
  • Evoked Potentials, Motor / drug effects
  • Female
  • Humans
  • Immunoglobulins, Intravenous / genetics
  • Immunoglobulins, Intravenous / therapeutic use*
  • Immunologic Factors / genetics*
  • Immunologic Factors / therapeutic use*
  • Male
  • Middle Aged
  • Myasthenia Gravis / drug therapy*
  • Myasthenia Gravis / pathology
  • Polymorphism, Genetic / genetics*
  • Receptors, IgG / genetics*
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Immunoglobulins, Intravenous
  • Immunologic Factors
  • Receptors, IgG