Frequency of anti-GQ1b IgG antibody in miller fisher syndrome: a Chinese single center study.

Publication date: Jun 09, 2025

The anti-GQ1b IgG antibody has been traditionally regarded as a sensitive marker for Miller Fisher syndrome (MFS). Nevertheless, its prevalence might vary across regions and could be affected by the coronavirus disease 2019 (COVID-19) pandemic. This retrospective study was designed to evaluate the positivity rate of the anti-GQ1b IgG antibody among MFS patients admitted to a single Chinese center and to examine the influence of the COVID-19 pandemic thereon. We retrospectively analyzed the medical records of patients diagnosed with MFS and admitted to our hospital from January 2018 to March 2024. Anti-ganglioside antibodies were tested in acute-phase serum samples using enzyme-linked immunosorbent assay (ELISA) or immune-dot assays. Of the 72 patients admitted for MFS, 51 were tested for ganglioside antibodies. Only 9 (17. 65%) of the tested patients were found to have the anti-GQ1b IgG antibody. The positivity rate of the antibody was comparable between patients with the complete form of MFS and those with the incomplete form (17. 39% vs. 17. 86%, P = 0. 965). Additionally, the positivity rate was significantly lower during and after the COVID-19 pandemic compared to before the pandemic (8. 33% vs. 40. 00%, P = 0. 007). The anti-GQ1b IgG antibody is infrequently detected in MFS patients admitted to our center, especially during and after the COVID-19 pandemic. Future prospective multicenter investigations are expected to contribute significantly to the further clarification of the prevalence of anti-GQ1b IgG antibody in MFS patients across various regions of China.

Concepts Keywords
Antibodies China
China Coronavirus disease 2019
Coronavirus Miller fisher syndrome
January

Semantics

Type Source Name
disease MESH miller fisher syndrome
disease MESH coronavirus disease 2019
disease IDO assay

Original Article

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