Myasthenia Gravis

Understanding neuromuscular failure and acetylcholine receptor damage.

Clinical Immunology focuses on the immune system’s health. Learn about the diagnosis and treatment of allergies, autoimmune diseases, and immunodeficiencies.

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Myasthenia Gravis: Overview and Definition

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Myasthenia Gravis (MG) is a long-term autoimmune disorder that causes weakness in the skeletal muscles, which help us breathe and move our arms and legs. Muscle weakness in MG usually gets worse with activity and improves with rest. The name comes from Greek and Latin, meaning “grave, or serious, muscle weakness.” There is no cure yet, but treatments can control symptoms and help people live well. MG affects how nerves communicate with muscles, disrupting the signals at the neuromuscular junction.

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The Neuromuscular Junction Mechanics

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The Role of Acetylcholine

To understand Myasthenia Gravis, it helps to know how muscles contract. When a nerve signal reaches the end of a nerve, it releases a chemical called acetylcholine. This chemical crosses the gap to reach the muscle fiber at the neuromuscular junction.

  • Receptors: The muscle membrane contains many acetylcholine receptors.
  • Activation: When acetylcholine binds to these receptors, the muscle contracts.
  • The Defect: In MG, the immune system produces antibodies that block, alter, or destroy many of these receptors.
  • Result: With fewer receptor sites available, the muscle receives fewer nerve signals, resulting in weakness.
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The Autoimmune Response

IMMUNOLOGY

Disorders of the immune system generally fall into three distinct categories based on how the system is failing:

  1. Hyperse

    This problem happens because the immune system makes a mistake. Instead of defending the body from germs, it attacks the body’s own tissues.

    • Antibodies: The most common antibody targets the acetylcholine receptor (AChR).
    • MuSK Protein: Some patients have antibodies against the muscle-specific kinase (MuSK), which helps organize AChRs on the muscle cell surface.
    • LRP4: A newer discovered antibody targets lipoprotein-related protein 4.
    • Complement System: The antibodies often activate the complement system, a part of the immune system that further damages the muscle membrane.

    nsitivity (Allergy): The immune system “overreacts” to a harmless substance (allergen), such as pollen, food, or medication, causing damage to the body. This includes conditions like hay fever, asthma, food allergies, and eczema.

  2. Autoimmunity: The immune system loses its ability to distinguish “self” from “non-self” and mistakenly attacks the body’s own healthy tissues. This category includes Lupus (SLE), Rheumatoid Arthritis, and Celiac Disease.
  3. Immunodeficiency: The immune system is weak, missing parts, or functioning poorly (“underreacting”), leaving the patient vulnerable to severe and recurrent infections.
    • Primary Immunodeficiency (PID): Genetic defects present from birth (e.g., CVID, SCID).
    • Secondary Immunodeficiency: Acquired later in life due to medications (chemotherapy), infections (HIV), or malnutrition.

Ocular Myasthenia Gravis

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About half of people who get MG first notice problems with their eyes. In this form, the disease only affects the muscles that move the eyes and control the eyelids.

  • Presentation: Patients experience drooping eyelids (ptosis) and double vision (diplopia).
  • Progression: While many patients develop generalized weakness within 2 years, some remain with only ocular symptoms.
  • Differentiation: It is essential to distinguish this from other neurological conditions, as the management may focus more on symptom control than heavy immunosuppression.

Generalized Myasthenia Gravis

Generalized MG causes weakness in more areas of the body. It often begins with the eyes but then spreads to other muscle groups.

  • Bulbar Muscles: Weakness in the muscles of the face and throat, affecting speaking, chewing, and swallowing.
  • Limb Involvement: Weakness in the neck, arms, fingers, and legs.
  • Respiratory Muscles: Involvement of the chest muscles used for breathing, which is the most serious aspect of the disease.
  • Fatigability: The weakness is characteristically variable, worsening with repetitive use and improving with rest.

The Role of the Thymus Gland

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The thymus gland, which is part of the immune system and sits in the chest under the breastbone, plays an important role in MG.

  • Abnormality: In adults with MG, the thymus gland is often abnormally large (thymic hyperplasia).
  • Thymomas: Approximately 10-15% of people with MG have a thymoma, a tumor of the thymus.
  • Instruction Center: It is believed that the thymus gland gives incorrect instructions to developing immune cells, leading them to attack the body’s own cells and tissues.
  • Treatment Implication: Removal of the thymus (thymectomy) is a standard treatment to reduce symptoms and potentially cure the condition.

Seronegative Myasthenia Gravis

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Some people with generalized myasthenia gravis do not have detectable antibodies against AChR, MuSK, or LRP4 in standard blood tests.

  • Diagnosis: These patients are referred to as “seronegative.”
  • Mechanism: They still have an autoimmune disorder, but the specific antibody causing the problem has not yet been identified or is present in levels too low to detect.
  • Clinical Course: Symptoms and response to treatment are generally similar to those of seropositive patients, though diagnosis relies more on clinical features and electrodiagnostic testing.

Transient Neonatal Myasthenia

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This temporary condition can affect babies whose mothers have myasthenia gravis.

  • Transmission: It occurs because antibodies common in MG cross the placenta to the fetus.
  • Symptoms: The baby may be born with weak muscles, a feeble cry, and difficulty sucking or breathing.
  • Duration: The condition is temporary and usually resolves within weeks as the mother’s antibodies are cleared from the baby’s system.
  • Future Risk: Having neonatal myasthenia does not mean the child is at higher risk for developing MG later in life.

Myasthenic Crisis Overview

A myasthenic crisis is a medical emergency. It happens when the breathing muscles become so weak that a person needs a ventilator to help them breathe.

  • Triggers: It may be triggered by infection, fever, an adverse reaction to medication, or emotional stress.
  • Management: Immediate medical intervention is required, often involving intensive care and rapid therapies like plasma exchange.
  • Prevention: Regular monitoring and adherence to treatment plans are essential to prevent the onset of a crisis.

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FREQUENTLY ASKED QUESTIONS

Is Myasthenia Gravis contagious?

No, Myasthenia Gravis is not infectious. It is an autoimmune disorder and cannot be spread from person to person.

MG is not directly inherited in the way that eye color is. However, autoimmune diseases can run in families, suggesting a genetic predisposition.

There is no absolute cure, but treatment can lead to significant improvement. Some patients achieve remission, where they have no symptoms and need no medication.

With current treatments, the life expectancy for people with MG is normal. Most people live whole, active lives.

No, MG does not affect the neuromuscular junction. It does not affect sensation, intelligence, or the central nervous system itself.

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