MOG IgG3-Subclass Antibodies in MOG-Associated Disease

This case highlights the potential role of subclinical IgG1 deficiency in shaping the predominance or selective detection of MOG-IgG3 in MOGAD. While most MOG antibodies are predominantly of the IgG1 isotype, our review identified a few cases with isolated MOG-IgG3 antibodies. A possible contribution to pathogenesis cannot be excluded, and the patient's inability to produce a balanced IgG subclass profile could have favored a sustained IgG3 response. Larger studies are needed to clarify the clinical significance of MOG-IgG3 in MOGAD.

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Publication Details

Journal
Neurology Neuroimmunology & Neuroinflammation
Published
2025-12-17
DOI
https://doi.org/10.1212/nxi.0000000000200523
Primary Topic
IgG4-Related and Inflammatory Diseases
Type
article
Field-Weighted Citation Impact
0.00

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article

MOG IgG3-Subclass Antibodies in MOG-Associated Disease

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IgG4-Related and Inflammatory Diseases
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MOG IgG3-Subclass Antibodies in MOG-Associated Disease

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article en

Abstract

This case highlights the potential role of subclinical IgG1 deficiency in shaping the predominance or selective detection of MOG-IgG3 in MOGAD. While most MOG antibodies are predominantly of the IgG1 isotype, our review identified a few cases with isolated MOG-IgG3 antibodies. A possible contribution to pathogenesis cannot be excluded, and the patient's inability to produce a balanced IgG subclass profile could have favored a sustained IgG3 response. Larger studies are needed to clarify the clinical significance of MOG-IgG3 in MOGAD.

Neurology Neuroimmunology & NeuroinflammationVol. 13(1)
University of Rome Tor Vergata (IT), Azienda USL di Bologna (IT), Istituto delle Scienze Neurologiche di Bologna (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), University of Bologna (IT)
Ministero della Salute
Openalex Percentile: Top 42%
IgG4-Related and Inflammatory Diseases
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