PENICILLAMINE-INDUCED MYASTHENIA-GRAVIS - EFFECTS OF PENICILLAMINE ON ACETYLCHOLINE-RECEPTOR

PENICILLAMINE-INDUCED MYASTHENIA-GRAVIS - EFFECTS OF PENICILLAMINE ON ACETYLCHOLINE-RECEPTOR
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DOI:
10.1212/wnl.32.10.1077
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发表时间:
1982-01-01
期刊:
影响因子:
9.9
通讯作者:
BOCK, E
BOCK, E
中科院分区:
医学1区
文献类型:
--
作者:
BEVER, CT;CHANG, HW;BOCK, E

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Autoimmune disease, including myasthenia gravis, occur in patients treated with D-penicillamine. Because D-penicillamine might induce autoantibodies by the mechanism of antigenic alteration, the reaction of D-penicillamine with purified acetylcholine receptor from Torpedo californica was studied. Brief exposure to D-penicillamine resulted in its covalent attachment to 2 receptor subunits, .alpha. (40,000 daltons) and .gamma. (59,000 daltons), presumably by reduction and formation of mixed disulfides. D-Penicillamine treatment resulted in a dramatic modification of the equilibrium acetylcholine binding properties of both purified receptor and receptor-rich membrane fragments.