Which mechanism is involved in the pathophysiology of Myasthenia Gravis?

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Myasthenia Gravis is primarily characterized by the presence of autoimmune antibodies that target acetylcholine receptors at the neuromuscular junction. In this condition, the immune system erroneously produces antibodies that bind to these receptors, leading to a reduction in the number of functional receptors available for acetylcholine, the neurotransmitter responsible for muscle contraction. As a result, this interference inhibits effective communication between nerves and muscles, causing the hallmark symptoms of muscle weakness and fatigue, especially after repeated use of those muscles.

The role of these antibodies is crucial because their presence directly impairs the process of muscle activation. This is unlike other mechanisms listed, where inhibition of dopamine receptors typically relates to neuropsychiatric conditions, and antibodies against nerve growth factors would pertain to neurodegenerative disorders. Additionally, motor neuron destruction is associated with conditions like amyotrophic lateral sclerosis, rather than the receptor-mediated issue seen in Myasthenia Gravis. Thus, the correct mechanism involves the formation of antibodies targeting acetylcholine receptors, which directly correlates to the pathophysiology of the disease.

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