title: [Current concepts on intrathecal humoral immune response and diagnostic importance of oligoclonal immunoglobulins in multiple sclerosis].
abstract: Multiple sclerosis (MS) is a demyelinating disease of the central nervous system of probable autoimmune origin. In this review of literature, the authors present a constantly broadening list of potential antigens, including myelin and non-myelin structures, that cause the autoimmune reaction. Determination of antibodies to any antigen has not sufficient specificity and sensitivity for the use in routine laboratory practice. Oligoclonal immunoglobulins determined with isoelectric focusing (IEF) technique are currently considered as the main immunological MS markers. The sensitivity and specificity of IEF are 90 and 86%, respectively. The authors have considered the additional markers such as oligoclonal IgM and MRZ-response.
authors.affiliation: City Clinical Hospital 31, Saint-Petersburg Center of multiple sclerosis and other autoimmune diseases, Saint-Petersburg.
authors.forename: G S
authors.initials: GS
authors.lastname: Makshakov
authors.affiliation: Research Guidance Center for molecular medicine, Laboratory of diagnostics of autoimmune diseases, Saint-Petersburg.
authors.forename: S V
authors.initials: SV
authors.lastname: Lapin
authors.affiliation: City Clinical Hospital 31, Saint-Petersburg Center of multiple sclerosis and other autoimmune diseases, Saint-Petersburg; First Saint-Petersburg State I.P. Pavlov Medical University, Neurology and Neurosurgery Department, First Saint-Petersburg State I.P. Pavlov Medical University.
authors.forename: E P
authors.initials: EP
authors.lastname: Evdoshenko
mesh_terms: D002490:Central Nervous System; D003711:Demyelinating Diseases; D006801:Humans; D056724:Immunity, Humoral; D007074:Immunoglobulin G / Q000032:analysis*; D007136:Immunoglobulins; D007525:Isoelectric Focusing; D009103:Multiple Sclerosis / Q000175:diagnosis* / Q000276:immunology; D009186:Myelin Sheath; D043025:Oligoclonal Bands; D012680:Sensitivity and Specificity
chemical_list: D007074:Immunoglobulin G; D007136:Immunoglobulins; D043025:Oligoclonal Bands