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                      <nl_mods:title>Structure of Campylobacter jejuni lipopolysaccharides determines antiganglioside specificity and clinical features of Guillain-Barré and Miller Fisher patients</nl_mods:title>
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                    <nl_mods:abstract>Ganglioside mimicry in the lipopolysaccharide (LPS) fraction of
      Campylobacter jejuni isolated from Guillain-Barre syndrome (GBS) and
      Miller Fisher syndrome (MFS) patients was compared with isolates from
      patients with an uncomplicated enteritis. The antibody response to C.
      jejuni LPS and gangliosides in neuropathy patients and controls was
      compared as well. LPS from GBS and MFS-associated isolates more frequently
      contained ganglioside-like epitopes compared to control isolates. Almost
      all neuropathy patients showed a strong antibody response against LPS and
      multiple gangliosides in contrast to enteritis patients. Isolates from GBS
      patients more frequently had a GM1-like epitope than isolates from MFS
      patients. GQ1b-like epitopes were present in all MFS-associated isolates
      and was associated with anti-GQ1b antibody reactivity and the presence of
      oculomotor symptoms. These results demonstrate that the expression of
      ganglioside mimics is a risk factor for the development of
      post-Campylobacter neuropathy. This study provides additional evidence for
      the hypothesis that the LPS fraction determines the antiganglioside
      specificity and clinical features in post-Campylobacter neuropathy
      patients.</nl_mods:abstract>
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                        <nl_mods:title>Infection and Immunity</nl_mods:title>
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                      <nl_mods:dateIssued encoding="iso8601">2002-01-01</nl_mods:dateIssued>
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                    <nl_mods:subject>
                      <nl_mods:topic>Humans</nl_mods:topic>
                      <nl_mods:topic>Research Support, Non-U.S. Gov't</nl_mods:topic>
                      <nl_mods:topic>Molecular Sequence Data</nl_mods:topic>
                      <nl_mods:topic>Serotyping</nl_mods:topic>
                      <nl_mods:topic>Bacterial Typing Techniques</nl_mods:topic>
                      <nl_mods:topic>Gangliosides/*immunology</nl_mods:topic>
                      <nl_mods:topic>Antibodies, Bacterial/blood</nl_mods:topic>
                      <nl_mods:topic>Carbohydrate Sequence</nl_mods:topic>
                      <nl_mods:topic>Campylobacter Infections/complications</nl_mods:topic>
                      <nl_mods:topic>Campylobacter jejuni/*chemistry/classification/immunology</nl_mods:topic>
                      <nl_mods:topic>Guillain-Barre Syndrome/*etiology/microbiology</nl_mods:topic>
                      <nl_mods:topic>Miller Fisher Syndrome/*etiology/microbiology</nl_mods:topic>
                      <nl_mods:topic>Lipopolysaccharides/*chemistry/immunology</nl_mods:topic>
                      <nl_mods:topic>Molecular Mimicry</nl_mods:topic>
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