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Beyond the Antibodies: Sera Metabolomic Biomarker Signatures Discriminate Myasthenic And Healthy Cohorts

  • Author / Creator
    Blackmore, Derrick
  • Myasthenia Gravis (MG) is a chronic, potentially debilitating autoimmune disease characterized by weakness and rapid fatigue of the voluntary muscles that worsens on exertion and improves on rest. Left untreated, MG symptoms may cause significant morbidity, affecting occupational performance, social activities, and family life. In severe cases, death may occur. To date, no robust biological marker is available to follow the course of the disease. Therefore, new diagnostic approaches and biological markers are essential not only for improved diagnosis of the disease but for improved outcomes.
    The research presented here attempts to provide an alternative biomarker model for the pathogenesis of myasthenia gravis and humoral autoimmune disease in general. The underlying hypothesis was that the metabolomic profile of myasthenia gravis would provide fundamental clues about the functioning of the disease and potential biomarkers to monitor it. The three papers provided have offered proof of concept that metabolomics can profile a disease, differentiate it from other similar diseases and correlate with clinical parameters. These results suggest a new mechanism for the diagnosis and clinical management of myasthenia gravis.

  • Subjects / Keywords
  • Graduation date
    Fall 2018
  • Type of Item
    Thesis
  • Degree
    Doctor of Philosophy
  • DOI
    https://doi.org/10.7939/R3CN6ZF6D
  • License
    Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.