A new biomarker for autoimmune muscle rippling

An American team retrospectively studied the clinical and biological data of ten patients with a non-genetic form of muscle rippling. Rippling is a spontaneous or percussion-induced, painless waving phenomenon visible on the surface of the muscle. From this study, it appears that :

  • the disorders were, in most cases, of late onset;
  • a specific autoantibody against cavin-4 was present in eight of the ten people studied;
  • this autoantibody was not found in a control group of 241 healthy or ill individuals
  • muscle biopsy shows a mosaic pattern of cavin-4;
  • patients who are seropositive for this autoantibody appear to respond better to immunotherapy.

 

Identification of Caveolae-Associated Protein 4 Autoantibodies as a Biomarker of Immune-Mediated Rippling Muscle Disease in Adults. Dubey D, Beecher G, Hammami MB et al. JAMA Neurol. 2022 Jun 13