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November 2022; 9 (6) Research ArticleOpen Access

Temporal Dynamics of MOG Antibodies in Children With Acquired Demyelinating Syndrome

Eva Maria Wendel, Helen Sophie Thonke, Annikki Bertolini, View ORCID ProfileMatthias Baumann, Astrid Blaschek, Andreas Merkenschlager, Michael Karenfort, View ORCID ProfileBarbara Kornek, Christian Lechner, View ORCID ProfileDaniela Pohl, Martin Pritsch, Kathrin Schanda, Mareike Schimmel, Charlotte Thiels, Stephan Waltz, View ORCID ProfileGert Wiegand, Banu Anlar, Nina Barisic, Christian Blank, View ORCID ProfileMarkus Breu, View ORCID ProfilePhilip Broser, View ORCID ProfileAdela Della Marina, Katharina Diepold, View ORCID ProfileMatthias Eckenweiler, Astrid Eisenkölbl, Michael Freilinger, Ursula Gruber-Sedlmayr, View ORCID ProfileAnnette Hackenberg, Tobias Iff, Ellen Knierim, Johannes Koch, Georg Kutschke, Steffen Leiz, Grischa Lischetzki, Margherita Nosadini, Alexander Pschibul, Edith Reiter-Fink, Doris Rohrbach, Michela Salandin, Stefano Sartori, Jan-Ulrich Schlump, Johannes Stoffels, Jurgis Strautmanis, View ORCID ProfileDaniel Tibussek, Victoria Tüngler, Norbert Utzig, View ORCID ProfileMarkus Reindl, Kevin Rostásy
First published October 13, 2022, DOI: https://doi.org/10.1212/NXI.0000000000200035
Eva Maria Wendel
From the Department of Pediatric Neurology (E.M.W.), Olgahospital/Klinikum Stuttgart; Department of Pediatric Neurology (H.S.T., A. Bertolini, K.R.), Witten/Herdecke University, Datteln, Germany; Department of Pediatric I (M. Baumann, C.L.), Pediatric Neurology, Medical University of Innsbruck, Innsbruck, Austria; LMU Klinikum (A. Blaschek), Hauner Children´s Hospital, Munich; Division of Pediatric Neurology (A.M.), Department of Pediatrics, Medical University of Leipzig; Department of General Pediatrics (M.K.), Neonatology and Pediatric Cardiology, University Childrens Hospital, Heinrich-Heine- University Duesseldorf, Germany; Department of Neurology (B.K.), Medical University Vienna, Austria; Department of Neurology (D.P.), Children's Hospital of Eastern Ontario, University of Ottawa, Canada; Department of Neuropediatrics (M.P.), Children’s Hospital DRK Siegen, Germany; Clinical Department of Neurology (K.S., M.R.), Medical University of Innsbruck, Austria; Division of Pediatric Neurology (M. Schimmel), Childrens Hospital, Medical University of Augsburg; Department of Neuropediatrics and Social Pediatrics (C.T.), University Hospital for Children and Adolescent Medicine, Ruhr-University Bochum; Division of Neuropediatrics and Social Pediatrics (S.W.), Childrens Hospital, Cologne; Division of Pediatric Neurology (G.W.), Department of Pediatrics, Asklepios Klinik Nord, Heidberg, Germany; Department of Pediatric Neurology (B.A.), Hacettepe University Faculty of Medicine, Ankara, Turkey; Department of Pediatrics (N.B.), University Hospital Zagreb, Medical University Zagreb, Croatia; Department of Pediatric Neurology (C.B.), Kinderkrankenhaus St. Marien gGmbH, Landshut, Germany; Division of Pediatric Pulmonology (M. Breu), Allergology and Endocrinology, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna; Department of Pediatric Neurology (P.B.), Ostschweizer Kinderspital, St. Gallen, Switzerland; Department of Pediatric Neurology (A.D.M.), Centre for Neuromuscular Disorders, Centre for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen; Department of Pediatric Neurology (K.D.), Children’s Hospital Kassel; Department of Neuropediatrics and Muscle Disorders (M.E.), Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Department of Paediatrics and Adolescent Medicine (A.E.), Johannes Kepler University Linz, Kepler University Hospital, Linz, Austria; Department of Pediatric and Adolescent Medicine (M.F.), Medical University Vienna, Austria; Department of Pediatrics (U.G.-S.), LKH Medical University Graz, Austria; Department of Pediatric Neurology (A.H.), University Children’s Hospital, University of Zurich; Zentrum für Kinderneurologie AG (T.I.), Zurich, Schwitzerland; Charité Universitätsmedizin Berlin (E.K.), Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Pediatric Neurology, Germany; Department of Pediatrics (J.K.), Salzburger Landeskliniken (SALK) and Paracelsus Medical University (PMU), Salzburg, Austria; Division of Pediatric Neurology (G.K.), Department of Pediatrics, Caritas-Hospital Bad Mergentheim, Germany; Department of Pediatrics and Adolescent Medicine (S.L.), Hospital Dritter Orden, Munich, Germany; Department of Pediatric Neurology (G.L.), Children’s Hospital Altona, Hamburg, Germany; Paediatric Neurology and Neurophysiology Unit (M.N., S.S.), Department of Women's and Children's Health, University Hospital of Padova, Italy; Neuroimmunology Group (M.N., S.S.), Paediatric Research Institute “Città della Speranza,” Padova, Italy; Department of Neuropediatrics and Muscle Disorders (A.P.), University Medical Center, Faculty of Medicine, University of Freiburg, Germany; Medical University of Vienna (E.R.-F.), Department of Pediatrics; Department of Neuropediatrics (E.R.-F.), St. Anna Children`s Hospital; Department of Social Medicine (D.R.), Donauspital, Vienna, Austria; Department of Pediatrics (M. Salandin), Division of Pediatric Neurology, Hospital Bozen, Italy; Department of Pediatrics (J.-U.S.), Division of Pediatric Neurology, Gemeinschaftskrankenhaus Herdecke, Medical University Witten, Herdecke, Germany; Department of Pediatrics (J. Stoffels), Division of Neuropediatrics, KJF Klinikum Josefinum, Augsburg, Germany; Neurology Department of Children’s University Hospital (J. Strautmanis), Riga Stradins University, Riga, Latvia; Center for Pediatric and Teenage Health Care (D.T.), Child Neurology, Sankt Augustin, Germany; Department of Neuropediatrics (V.T.), University Hospital Carl Gustav Carus, Technische Universität Dresden; and Department of Pediatric Neurology (N.U.), Children’s Hospital, Medical University Greifswald, Germany.
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Helen Sophie Thonke
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Annikki Bertolini
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Citation
Temporal Dynamics of MOG Antibodies in Children With Acquired Demyelinating Syndrome
Eva Maria Wendel, Helen Sophie Thonke, Annikki Bertolini, Matthias Baumann, Astrid Blaschek, Andreas Merkenschlager, Michael Karenfort, Barbara Kornek, Christian Lechner, Daniela Pohl, Martin Pritsch, Kathrin Schanda, Mareike Schimmel, Charlotte Thiels, Stephan Waltz, Gert Wiegand, Banu Anlar, Nina Barisic, Christian Blank, Markus Breu, Philip Broser, Adela Della Marina, Katharina Diepold, Matthias Eckenweiler, Astrid Eisenkölbl, Michael Freilinger, Ursula Gruber-Sedlmayr, Annette Hackenberg, Tobias Iff, Ellen Knierim, Johannes Koch, Georg Kutschke, Steffen Leiz, Grischa Lischetzki, Margherita Nosadini, Alexander Pschibul, Edith Reiter-Fink, Doris Rohrbach, Michela Salandin, Stefano Sartori, Jan-Ulrich Schlump, Johannes Stoffels, Jurgis Strautmanis, Daniel Tibussek, Victoria Tüngler, Norbert Utzig, Markus Reindl, Kevin Rostásy
Neurol Neuroimmunol Neuroinflamm Nov 2022, 9 (6) e200035; DOI: 10.1212/NXI.0000000000200035

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    Figure 1 MOG-IgG–Positive Pediatric Patients With Clinical Presentation at the First Event and After at Least 24 Months

    116/155 MOG-IgG–positive pediatric patients were included in the study. Fifty-nine patients presented with ADEM, 21 patients with unilateral ON, 16 patients with bilateral ON, 6 patients with myelitis, 8 patients with NMOSD, and 6 patients with encephalitis. After at least 24 months of a clinical follow-up, further relapses have occurred in 24 patients with ADEM, 12 patients with unilateral ON, 2 patients with bilateral ON, 1 patient with myelitis, 2 patients with NMOSD, and 3 patients with encephalitis. Thirty-nine/155 patients had to be excluded because of the following reasons: no available serum sample from disease onset (n = 7), insufficient clinical (n = 2) or serologic (n = 26) follow-up data, or a final diagnosis of MS (n = 4). ADEM = acute disseminated encephalomyelitis; IgG = immunoglobulin G; MOG = myelin oligodendrocyte glycoprotein; NMOSD = neuromyelitis optica spectrum disorder; ON = optic neuritis.

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    Figure 2 Comparison of MOG-IgG Titers During Disease Course Between Monophasic and Relapsing Pediatric Patients

    Comparison of MOG-IgG titers between monophasic (n = 26) and relapsing (n = 16) pediatric patients in children with serial follow-up in years 1 (months 6–12) and 2 (months 18–24) after onset. MOG-IgG titers show a statistically significant decrease during the first and second years in monophasic patients (A, overall p < 0.001), in contrast to a lower decline during the first and second years in relapsing patients (B, overall p = 0.05). Individual data points in A and B are shown as dots and medians as bars. Groups were statistically compared using the Friedman test and Dunn multiple comparison tests. ***Significant difference to onset at p < 0.001, ns = statistically not significant. IgG = immunoglobulin G; MOG = myelin oligodendrocyte glycoprotein.

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