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Physiology General physiology 55439cca

All of the following statements about Myasthenia Gravis are true, except:

A
Anti-AChR antibodies are the most common antibodies in generalized myasthenia gravis
B
The pathogenic Anti-AChR antibodies are IgG antibodies
C
Anti-MuSK antibodies are directed against muscarinic ACh receptors
D
The major defect is a decrease in the number of available ACh receptors
High-Yield Explanation
Anti-MuSK antibodies are autoantibodies directed against muscle-specific tyrosine kinase (MuSK) Anti-ChR antibodies and Anti-MuSK Antibodies directed against muscle-specific tyrosine kinase (MuSK) Anti-AChR antibodies are the most common antibodies in generalized myasthenia gravis. The pathogenic antibodies aee IgG and are T cell dependent The chief target of the autoimmune attack (Anti-AChR antibodies) in most cases of myasthenia gravis is the skeletal muscle nicotinic acetylcholine receptor (nAChR) The underlying defect is a decrease in the number of available Nicotinic ACh Receptors (nAChR) on the motor end plate at the "Neuromuscular junction" due to an antibody mediated autoimmune attack. Anti-MuSK antibody occurs in about 40% of patients without AChR antibody. Muscle -specific kinase (MuSK) is a protein involved in AChR clustering at neuromuscular junctions. An immune response to muscle-specific kinase (MuSK), can also result in MG, with reduction of AChR demonstrated experimentally. Anti-MuSK antibody occurs in about 40% of patients without AChR antibody. Ref: Harrison&;s 19th edition Pgno: 2701

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