M O I P A R M A

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What is gMG?

Generalized myasthenia gravis (gMG) is the most common form of myasthenia gravis (MG), a rare autoimmune neuromuscular disease that interrupts the communication between the nerves and muscles, causing muscle weakness and tiredness.

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Symptoms & impact on daily life

Each person experiences gMG differently.

gMG is sometimes called a “snowflake disease” because symptoms can vary from person to person.
Common symptoms include:

  • Muscle fatigue
  • Muscle weakness in areas such as arms, hands, legs, or feet
  • Trouble breathing
  • Trouble speaking
  • Trouble swallowing
  • Changes in vision

How gMG affects the body

gMG interrupts signals between your nerves and muscles.

01

In a healthy individual, nerves send a messenger (neurotransmitter) called acetylcholine that acts as a signal for the muscle.

Acetylcholine attaches to a receptor on the muscle surface called the acetylcholine receptor (AChR), which helps tell the muscles to move. Other receptors, including muscle-specific tyrosine kinase (MuSK), also help the muscles receive the message.

02

In gMG, the body can sometimes mistakenly make harmful immunoglobulin G (IgG) antibodies that target these receptors on the muscle surface, also known as harmful anti-AChR and anti-MuSK antibodies.

03

When harmful IgG antibodies target these receptors, they interrupt the signal between your nerves and muscles. This makes it harder for your nerves to tell your muscles to move.

What are harmful anti-AChR and anti-MuSK antibodies?

In gMG, sometimes harmful anti-AChR and anti-MuSK antibodies can be formed against the AChR and MuSK muscle receptors that are important for relaying messages from nerves to muscles.

Anti-acetylcholine receptor

People with harmful antibodies that target AChR have anti-AChR antibody-positive gMG.
Found in ~80% of people with gMG

Anti-muscle-specific tyrosine kinase

People with harmful antibodies that target MuSK have anti-MuSK antibody-positive gMG.
Found in ~6% of people with gMG

Neonatal fragment crystallizable receptor (FcRn) is a protein found naturally in your body

FcRn helps keep IgG antibodies—including harmful IgG antibodies—in your body longer.

Normally, the purpose of IgG antibodies is to help defend your body against infection and disease that can be caused by foreign proteins such as viruses and bacteria.

FcRn extends the time IgG antibodies are in your body. This is meant to help protect your body from those foreign proteins that can cause illness.

In gMG, the body can mistakenly make harmful IgG antibodies—such as harmful anti-AChR and anti-MuSK antibodies—that interfere with the signal between your nerves and muscles. FcRn can also help keep harmful IgG antibodies in your body longer. This allows them to continue to disrupt the signals between your nerves and muscles.

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