Higher MG-ADL scores were associated with lower secretion of several inflammatory and regulatory proteins, including CCL19, IFN-γ, IL10, IL13, LIF, TNF-β, IL-12B, TNF-α, MMP-1, MMP-10, CXCL11, CXCL9, CCL3, and CCL4 (Figure 5A, Supplementary Table 3). This evidence concerns the gene CCL4 and myasthenia gravis.