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Survivin As Potential Mediator To Support Autoreactive Cell Survival In Myasthenia Gravis: A Human And Animal Model Study, Linda Louise Kusner, Michael J. Ciesielski, Alexander Marx, Henry J. Kaminski, Robert A. Fenstermaker

Pharmacology and Physiology Faculty Publications

The mechanisms that underlie the development and maintenance of autoimmunity in myasthenia gravis are poorly understood. In this investigation, we evaluate the role of survivin, a member of the inhibitor of apoptosis protein family, in humans and in two animal models. We identified survivin expression in cells with B lymphocyte and plasma cells markers, and in the thymuses of patients with myasthenia gravis. A portion of survivin-expressing cells specifically bound a peptide derived from the alpha subunit of acetylcholine receptor indicating that they recognize the peptide. Thymuses of patients with myasthenia gravis had large numbers of survivin-positive cells with fewer …