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Analyse en séries chronologiques: la variation du titre d'anticorps anti-récepteur de l'acétylcholine dans la myasthénie est liée à l'incidence des infections à Mycoplasma pneumoniae et au virus de la grippe.
Lu sur :https://www.ncbi.nlm.nih.gov/pubmed/29173125
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Time-series analysis: variation of anti-acetylcholine receptor antibody titer in myasthenia gravis is related to incidence of Mycoplasma pneumoniae and influenza virus infections.
Iwasa K1, Yoshikawa H2, Hamaguchi T1, Sakai K1, Shinohara-Noguchi M1, Samuraki M1, Takahashi K1,3, Yanase D1,4, Ono K1,5, Ishida C1,3, Yoshita M1,6, Nakamura H7, Yamada M1.
Neurol Res. 2017 Nov 24:1-8. doi: 10.1080/01616412.2017.1407021.
Abstract
- Objectives
The exacerbating factors of myasthenia gravis (MG) are unknown. However, it has been speculated that infections may play a role in disease progression.
- Methods
We calculated the adjusted anti-acetylcholine receptor antibody (Adj-AChR-Ab) titers (range, 0-1) in 58 MG patients between 2006 and 2012.
We determined the relationship between Adj-AChR-Ab titer and infection incidence.
- Results
A cross-correlation function (CCF) analysis of Adj-AChR-Ab titer and incidence of Mycoplasma pneumoniae (M. pneumoniae) (r = 0.449, P < 0.0001) and influenza virus (r = 0.411, P < 0.001) infections indicated significant correlations.
MG with thymoma was highly correlated with M. pneumoniae infection (r = 0.798, P < 0.0001).
The relative risk for Adj-AChR-Ab titer was 1.407 for M. pneumoniae (95% CI, 1.193-1.661 for an increase in one infected patient per monitoring point) and 1.158 for influenza (95% CI, 1.071-1.253 for 100 infected patients).
- Conclusion
Variation of Adj-AChR-Ab titer is significantly influenced by the presence of M. pneumoniae and influenza virus infections.
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