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Correspondence
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Volume 328:1355-1357 May 6, 1993 Number 18
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Antibodies to L-Type Calcium Channels in Amyotrophic Lateral Sclerosis

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To the Editor: I was rather confused by the article by Smith et al. (Dec. 10 issue)1 and the related editorial by Rowland2. The authors suggest that high-titer antibodies to human motor-neuron voltage-gated calcium channels (VGCCs) present in patients with amyotrophic lateral sclerosis (ALS) cross-react with rabbit L-type VGCC epitopes. Skeletal-muscle L-type channels show only 15 to 45 percent homology with extracellular domains of neuronal L-type channels, and thus high titers are more likely to suggest a reaction to a primary muscle antigen3.

The assay used for L-type VGCCs is novel in that it relies on a sandwich . . . [Full Text of this Article]

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