Peripheral nerve P2 basic protein and the Guillain-Barré syndrome. In vitro demonstration of P2-specific antibody-secreting cells

An immune response to the peripheral nerve basic protein P2 may be operative in the pathogenesis of the Guillain-Barré syndrome (GBS). A method is described for the purification of P2 of human origin. Purified P2 was used to investigate whether lymphocytes derived from peripheral blood of GBS patients are capable of producing P2-specific antibodies after stimulation with the antigen in vitro. Peripheral blood lymphocytes (PBL) from 5 GBS patients, from 3 patients with chronic idiopathic polyradiculoneuropathy (CIP) and from 3 normal controls were cultured in vitro in the presence of P2. PBL from the 5 GBS patients were shown to generate an antigen (P2)-specific antibody response. Contrariwise, PBL from the 3 CIP patients as well as from the 3 normal controls did not show this specific response.