The induction of self-tolerance is back on the agenda in myasthenia gravis

According to preclinical work by Spanish researchers, carried out with the help of Rozen Le Panse’s team at the Institute of Myology :

  • intraperitoneal injection of acetylcholine receptors (RACh) encapsulated in liposomes rich in phosphatidylserine decreases the anti-RACh antibody level and improves physical performance (Global clinical score or GCS) in an myasthenia gravis experimental mouse model;
  • this original method for restoring self-tolerance is based on a physiological process, efferocytosis;
  • the same researchers have also used it, still at the preclinical stage, in type 1 diabetes, multiple sclerosis and rheumatoid arthritis.

Other teams have already taken this approach in myasthenia with anti-RACh or anti-MuSK, without using liposomes.

 

A new platform for autoimmune diseases. Inducing tolerance with liposomes encapsulating autoantigens. Almenara-Fuentes L, Rodriguez-Fernandez S, Rosell-Mases E et al. Nanomedicine. 2022 Dec 5;48:102635.