Myelin oligodendrocyte glycoprotein
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Myelin Oligodendrocyte Glycoprotein (MOG) is a glycoprotein believed to be important in the myelination of nerves in the central nervous system (CNS). In humans this protein is encoded by the MOG gene.[2][3][4] It is speculated to serve as a necessary “adhesion molecule” to provide structural integrity to the myelin sheath and is known to develop late on the oligodendrocyte.[5]
Molecular function
While the primary molecular function of MOG is not yet known, its likely role with the myelin sheath is either in sheath “completion and/or maintenance”.[4] More specifically, MOG is speculated to be “necessary” as an "adhesion molecule" on the myelin sheath of the CNS to provide the structural integrity of the myelin sheath.[5]”
MOG’s cDNA coding region in humans have been shown to be “highly homologous”[6] to rats, mice, and bovine, and hence highly conserved. This suggests “an important biological role for this protein”.[4]
Physiology
The gene for MOG, found on chromosome 6p21.3-p22,[7] was first sequenced in 1995.[5] It is a transmembrane protein expressed on the surface of oligodendrocyte cell and on the outermost surface of myelin sheaths. “MOG is a quantitatively minor type I transmembrane protein,[8] and is found exclusively in the CNS. “A single Ig-domain is exposed to the extracellular space"[8] and consequently allows autoantibodies easy access. and therefore easily accessible for autoantibodies.[4][8] The MOG “primary nuclear transcript … is 15,561 nucleotides in length"[4] and, for humans, it has eight exons which are “separated by seven introns".[4] The introns "contain numerous reptitive [sic] DNA[4]" sequences, among which is "14 Alu sequences within 3 introns",[4] and have a range varying from 242 to 6484 bp.
Structure
Because of alternatively spliced from human mRNA of MOG gene forming at least nine isoforms.[9]
The crystal structure of myelin oligodendrocyte glycoprotein was determined by x-ray diffraction at a resolution of 1.45 Angstrom, using protein from the Norway rat. This protein is 139 residues long, and is a member of the immunoglobulin superfamily.[10] The dssp secondary structure of the protein is 6% helical and 43% beta sheet: there are three short helical segments and ten beta strands.[11] The beta strands are within two antiparallel beta sheets that form an immunoglobulin-like beta-sandwich fold.[12] Several features of the protein structure suggest MOG has a role as an "adhesin in the completion and/or compaction of the myelin sheath." There is a "significant strip" of electronegative charge beginning near the N-terminus and running about half the length of the molecule. Also, MOG was shown to dimerize in solution, and the shape complementarity index is high at the dimer interface, suggesting a "biologically relevant MOG dimer."[13]
Synthesis
Developmentally, MOG is formed "very late on oligodendrocytes and the myelin sheath".[5]
Role in disease
Non-inflammatory demyelinating diseases
Interest in MOG has centered on its role in demyelinating diseases. Some of them are not-inflammatory, such as adrenoleukodystrophy, vanishing white matter disease, and Rubella induced mental retardation.[14]
Anti-MOG associated inflammatory demyelinating diseases
MOG has received much of its laboratory attention in studies dealing with MS. Several studies have shown a role for antibodies against MOG in the pathogenesis of MS.,[5][15] though most of them were written before the discovery of NMO-IgG and the NMO spectrum of diseases.
Anti-MOG status is different depending whether it is measured by ELISA or by microarray (CBA). The proper way to identify it is by microarray, reacting patient serum with living cells, and detecting the binding IgG via a fluorescent-labeled secondary antibody.[16]
In animal models
Animal models of MS, EAE, have shown that “MOG-specific EAE models (of different animal strains) display/mirror human multiple sclerosis",[5] but basically explains the part involved in the optic neuritis[17] These models with anti-MOG antibodies have been investigated extensively and are considered the only antibodies with demyelinating capacity[5] but again, EAE pathology is closer to NMO and ADEM than to the confluent demyelination observed in MS.
Anti-MOG mediated demyelination was shown to behave similar to NMO in animal models,[17] and currently it is considered even a biomarker against the MS diagnosis[18][19]
In seronegative neuromyelitis optica
Anti-MOG autoimmunity has been found to be involved in the seronegative NMO[20][21] and also in optic neuritis and some fulminant forms of ADEM[22]
In other conditions
The presence of anti-MOG autoantibodies has been associated with the following conditions[23]
- Some cases of aquaporin-4-seronegative neuromyelitis optica: NMO derived from an antiMOG associated encephalomyelitis,[24]
- Some cases of acute disseminated encephalomyelitis, specially the recurrent ones (MDEM)[25] and the fulminant courses[22]
- Some cases of multiple sclerosis[23]
- isolated optic neuritis or transverse myelitis[23]
- Recurrent optic neuritis. The repetition of an idiopatic optic neuritis is considered a distinct clinical condition, and it has been found to be associated with anti-MOG autoantibodies[26]
In pediatric demyelination
The anti-mog spectrum in children is equally variated: Out of a sample of 41 children with MOG-antibodies 29 had clinical NMOSD (17 relapsing), 8 had ADEM (4 relapsing with ADEM-ON), 3 had a single clinical event CIS, and 1 had a relapsing tumefactive disorder. Longitudinal myelitis was evident on MRI in 76[percnt]. It has also been noted that percentage of children with anti-mog antibodies respect a demyelinating sample is higher than for adults[27]
References
- ↑ PDB: 1PKO; Lua error in package.lua at line 80: module 'strict' not found.
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- ↑ 5.0 5.1 5.2 5.3 5.4 5.5 Berger, T., Innsbruck Medical University Dept. of Neurology interviewed by S. Gillooly, Nov. 24, 2008.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
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- ↑ Ichiro Nakashima, Anti-myelin oligodendrocyte glycoprotein antibody in demyelinating diseases [1]
- ↑ 17.0 17.1 Kezuka et al. Relationship Between NMO-Antibody and Anti–MOG Antibody in Optic Neuritis. Journal of Neuro-Ophthalmology: June 2012 - Volume 32 - Issue 2 - p 107–110 doi: 10.1097/WNO.0b013e31823c9b6c
- ↑ Immy A Ketelslegers, Daniëlle E Van Pelt, Susanne Bryde, Rinze F Neuteboom, Coriene E Catsman-Berrevoets, Dörte Hamann, and Rogier Q Hintzen Anti-MOG antibodies plead against MS diagnosis in an Acquired Demyelinating Syndromes cohort Mult Scler 1352458514566666, first published on February 6, 2015 doi:10.1177/1352458514566666
- ↑ Joanna Kitley, et al. Myelin-oligodendrocyte glycoprotein antibodies in adults with a neuromyelitis optica phenotype. Neurology September 18, 2012 vol. 79 no. 12 1273-1277. doi: 10.1212/WNL.0b013e31826aac4e
- ↑ Anne-Katrin Pröbstel et al. Anti-MOG antibodies are present in a subgroup of patients with a neuromyelitis optica phenotype. Journal of Neuroinflammation Volume 12, 2015, 12:46 doi:10.1186/s12974-015-0256-1
- ↑ CYNTHIA MCKELVEY, Press Report, What’s the Role of Myelin Oligodendrocyte Glycoprotein in NMO? [2]
- ↑ 22.0 22.1 Franziska Di Pauli et al. Fulminant demyelinating encephalomyelitis, Neurol Neuroimmunol Neuroinflamm December 2015 vol. 2 no. 6 e175, doi: http://dx.doi.org/10.1212/NXI.0000000000000175
- ↑ 23.0 23.1 23.2 Reindl M, Di Pauli F, Rostásy K, Berger T. The spectrum of MOG autoantibody-associated demyelinating diseases. Nat Rev Neurol. 2013 Aug;9(8):455-61. doi: 10.1038/nrneurol.2013.118. Epub 2013 Jun 25. PMID 23797245
- ↑ Melania Spadaro et al. Histopathology and clinical course of MOG-antibody-associated encephalomyelitis. Annals of Clinical and Translational Neurology Volume 2, Issue 3, pages 295–301, March 2015. DOI: 10.1002/acn3.164
- ↑ M. Baumann, E.M. Hennes, K. Schanda, M. Karenfort, B. Bajer-Kornek, K. Diepold, B. Fiedler, I. Marquardt, J. Strautmanis, S. Vieker, M. Reindl, K. Rostásy. Clinical characteristics and neuroradiological findings in children with multiphasic demyelinating encephalomyelitis and MOG antibodies. European Journal of Paediatric Neurology, Volume 19, Supplement 1, May 2015, Pages S21, Abstracts of the 11th EPNS Congress. 22 May 2015. doi:10.1016/S1090-3798(15)30066-0
- ↑ Konstantina Chalmoukou et al. Recurrent Optic Neuritis (rON) is characterised by Anti-MOG Antibodies: A follow-up study. Neurology April 6, 2015 vol. 84 no. 14 Supplement P5.274
- ↑ Silvia Tenembaum et al. Spectrum of MOG Autoantibody-Associated Inflammatory Diseases in Pediatric Patients, Neurology April 6, 2015 vol. 84 no. 14 Supplement I4-3A
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