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Immunoglobulin G (IgG) isolated from amyotrophic lateral sclerosis (ALS) patients increase the production of nitric oxide (NO) and malondialdehyde (MDA) in BV-2 cells. NO production (A) and MDA production in BV-2 cells (B) were measured 24 h after treatments with control IgG and ALS IgG (0.1 mg/ml). NO production was measured indirectly using Griess assay and is expressed as NO2⁻ concentration. The results for each group are presented as mean ± SEM; ***p < 0.001 compared with untreated control group, ###p < 0.001 compared with the group treated with control IgG. The numbers in brackets indicate the number of different control IgG and ALS IgG samples examined and the number of untreated controls.

Immunoglobulin G (IgG) isolated from amyotrophic lateral sclerosis (ALS) patients increase the production of nitric oxide (NO) and malondialdehyde (MDA) in BV-2 cells. NO production (A) and MDA production in BV-2 cells (B) were measured 24 h after treatments with control IgG and ALS IgG (0.1 mg/ml). NO production was measured indirectly using Griess assay and is expressed as NO2⁻ concentration. The results for each group are presented as mean ± SEM; ***p < 0.001 compared with untreated control group, ###p < 0.001 compared with the group treated with control IgG. The numbers in brackets indicate the number of different control IgG and ALS IgG samples examined and the number of untreated controls.

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Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder with a very fast progression, no diagnostic tool for the presymptomatic phase, and still no effective treatment of the disease. Although ALS affects motor neurons, the overall pathophysiological condition points out to the non-cell autonomous mechanisms, where astrocytes and microg...

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... Microglial cells in culture are affected by ALS IgG in a less apparent way. Namely, a BV-2 microglial cell line displayed a rise in the signal from fluorescent markers of oxidative stress in response to the application of only 4/11 ALS IgG patient samples 15 . It is well known that microglia participate in many neuroinflammatory pathologies, adding to oxidative stress and late progression phase in the non-cell autonomous mechanism of ALS 16 , 17 . ...
... An example was shown here that microglial cells did not respond to ALS IgG with the same vigor as astrocytes. This is in line with the finding of the scarce generation of peroxide in the microglial cell line upon ALS IgG treatment 15 . ...
... Metabolic diseases are a new field of study, and the evidence currently available is insufficient to draw any conclusions about the possible harm to humans. However, the present evidence suggests that more research into the effects of BPA on adiposity, glucose or insulin control, lipids, and other diabetes or metabolic syndrome end-points is needed [19]. ...
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... Proposedly, misfolded SOD1 proteins are deposited on organelles, especially mitochondria, and impair mitochondrial function [7][8][9], and then, the dysfunctional mitochondria cause cellular ROS accumulation, serving as a key mediator in a vicious cycle of oxidative stress and exacerbated mitochondrial dysfunction [10]. Accumulated reactive oxygen species (ROS), such as hydrogen peroxide and hydroxyl free radicals, play a critical role in mediating oxidative stress in ALS, resulting in lipid peroxidation and genotoxicity [11]. ...
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... On the one hand, it comes from the presence of numerous autoimmune IgG antibodies, characterized by the examination of sera from ALS patients [41]. Besides the autoimmune properties, these antibodies can elevate the motoneuronal calcium level [42,43] and induce selective MN apoptosis in rat mixed primary spinal cord cultures [44]. Immunoglobulins from patients with sporadic ALS can bind and modify the function of L-type, P-type, and other neuronal calcium channels [45][46][47], which increase the frequency of miniature end-plate potentials eventually [30]. ...
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Introduction: Previously, we demonstrated the degeneration of axon terminals in mice after repeated injections of blood sera from amyotrophic lateral sclerosis (ALS) patients with identified mutations. However, whether a similar treatment affects the cell body of motor neurons (MNs) remained unresolved. Methods: Sera from healthy individuals or ALS patients with a mutation in different ALS-related genes were intraperitoneally injected into ten-week-old male Balb/c mice (n = 3/serum) for two days. Afterward, the perikaryal calcium level was measured using electron microscopy. Furthermore, the optical disector method was used to evaluate the number of lumbar MNs. Results: The cytoplasmic calcium level of the lumbar MNs of the ALS-serum-treated mice, compared to untreated and healthy-serum-treated controls, was significantly elevated. While injections of the healthy serum did not reduce the number of MNs compared to the untreated control group, ALS sera induced a remarkable loss of MNs. Discussion: Similarly to the distant motor axon terminals, the injection of blood sera of ALS patients has a rapid degenerative effect on MNs. Analogously, the magnitude of the evoked changes was specific to the type of mutation; furthermore, the degeneration was most pronounced in the group treated with sera from ALS patients with a mutation in the chromosome 9 open reading frame 72 gene.
... Intriguingly, immunoglobulin G (IgG) (caption on next page) F. De Marchi et al. has been reported to accumulate in and/or around motor neurons (Donnenfeld et al., 1984;Engelhardt and Appel, 1990). Moreover, administration of IgG from ALS patients can be taken up and/or stimulate motor neurons, astrocytes, and microglia, increase serum and spinal cord cytokine levels, and elicit motor neuron degeneration (Appel et al., 1991;Bataveljic et al., 2014;Milošević et al., 2017;Obál et al., 2016;Pagani et al., 2011;Pullen et al., 2004). Some of the antibodies recognize aggregated proteins and neurofilaments, but their exact pathogenic mechanism is unclear (Malaspina et al., 2015;May et al., 2014). ...
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... Out of these, IgG, also present in post-mortem ALS samples, has been found to favour neurodegeneration, both in vitro and in vivo [49,155,156]. IgG further possesses pro-inflammatory properties, promoting microglia recruitment and upregulation of inflammatory cytokines [124,141,142]. Some of the other chemokines found to be elevated in ALS-CSF include IL-6, TNF-α and TGF-β [81,130,172], with the finding of raised TNF-α levels being particularly interesting, given its associations with glutamate excitotoxicity [43,178,218]. ...
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... Notably, patients with pediatric OMS exhibit increased expression of a microglial marker and proinflammatory cytokines in cerebrospinal fluid (CSF) and some children with OMS are post-infectious [9][10][11]. Furthermore, serum IgG or autoantibody existed in patients enhances microglial activation in Parkinson disease (PD) [12], amyotrophic lateral sclerosis (ALS) [13], and systemic lupus erythematosus (SLE) [14][15][16]. Thus, it is reasonable to hypothesize that serum IgG from children with OMS and NB may impact the activation of microglia. ...
... Moreover, the expression of microglial marker soluble CD14 and proinflammatory cytokines is enhanced in CSF from patients with pediatric OMS [10,11]. Additionally, serum IgG from patients or autoantibody existed in patients directly enhances microglial activation in PD [12], ALS [13], and SLE [14][15][16] or initially binds with astrocytes or neurons and further indirectly affects microglial activation [42,43]. Autoantibodies are also detectable in sera and CSF of children with OMS [25,26] and may be contained in serum IgG from children with OMS and NB in our study, although we did not identify these autoantibodies and autoantibodies include IgM besides IgG. ...
... Consistently, we and others found that IgG-induced neuronal cytolysis occurs in pediatric OMS rather than adult OMS [6,7]. Notably, increased microglial activation is not specific to only OMS, since previous literatures have documented that serum IgG from patients with PD [12] or ALS [13] enhances the activation of microglia and the production of NO, and serum IgG from patients with SLE induced behavioral changes is mediated by microglial activation [14][15][16]. Moreover, several autoantibodies found in patients with OMS [44][45][46][47] also exist in other diseases, such as autoantibody against glycine receptor in progressive encephalomyelitis with rigidity and myoclonus [46,48] or autoantibody against glutamic acid decarboxylase in stiff-person syndrome [48]. ...
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... Macrophages are known to play a critical role in innate immunity, and attack, destroy and ingest foreign substances through the production of cytokines and NO (47), primarily because NO can activate the immune system, and can react with the superoxide anions produced by the respiratory burst of phagocytes to generate a strong oxidant-peroxynitrite (ONOOH), which can kill or inhibit the growth of several pathogenic microorganisms. Therefore, NO serves as a critical cellular defense factor in the anti-infective immunity of an organism (48,49), and NO synthesis is an important mechanism underlying the non-specific immunity of macrophages (50). For teleosts, which rely on non-specific immune processes to enhance their immune response and resist pathogen infection (51), cytokines such as TNF-α, IL-1β, IL-6, IL-10, IL-12, and TGF-β, primarily produced by activated macrophages, also play an important role in the immune system. ...
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... The effect of purified IgG on motoneuronal calcium accumulation was demonstrated in other laboratories, as well [22,23], furthermore various specific effects of ALS IgG were described related to other cell types playing a role in the pathomechanism of ALS. ALS IgG was shown to induce oxidative stress and upregulation of the antioxidative system in a BV-2 microglial cell line [24]. It was also shown to affect cytosolic Ca-homeostasis in cultured rat astrocytes [25]. ...
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In an earlier study, signs of commencing degeneration of spinal motor neurons were induced in mice with short-term intraperitoneal injections of immunoglobulin G (IgG) taken from patients with amyotrophic lateral sclerosis (ALS). Since in that study, neither weakness nor loss of motor neurons was noted, to test whether the ALS IgG in this paradigm has the potential to evoke relentless degeneration of motor neurons, treatment with repeated injections over a longer period was carried out. Mice were systematically injected intraperitoneally with serum taken from ALS patients over a 75-day period. At selected time points, the isometric force of the limbs, number of spinal motor neurons and their intracellular calcium levels were determined. Furthermore, markers of glial activation and the motoneuronal uptake of human IgG were monitored. During this period, gliosis and progressive motoneuronal degeneration developed, which led to gradual loss of spinal motor neurons, more than 40% at day 21, along with decreasing muscle strength in the limbs. The inclusion-like accumulation of IgG appeared in the perikarya with the increase of intracellular calcium in the cell bodies and motor nerve terminals. Our results demonstrate that ALS serum can transfer motor neuron disease to mice.