Sera from 65 patients with spongiform virus encephalopathies (29 with kuru, 36 with Creutzfeldt-Jakob disease), 79 with other neurologic diseases, and 65 control subjects were examined for reactivity in immunoblots of preparations of myelinated axons and neuroframents from mouse brain. The sera reacted most frequently with the 200-kDa and 150-kDa neurofilament proteins and less frequently with the 70-kDa neurofilament protein and a 62-kDa neurofilament-associated protein. The sera reacted with the same proteins as those which reacted with rabbit and mouse polyclonal antibodies and mouse monoclonal antibody to neuroframent proteins. Serum reactions were also seen with Trixon X-100 extracts of chimpanzee brain and bovine spinal cord but not with Triton extracts of liver, kidney, and muscle.In the work reported here, the specific subunit proteins of neurofilaments to which individual sera containing autoantibodies to neurofilaments react (1-7) were identified, and the patterns of binding of serum IgG to immunoblots of the specific protein autoantigens in myelinated axons and neurofilament-enriched preparations from mouse brain were studied. The patterns of reactivity of individual sera to the 200-, 150-, and 70-kDa protein components of neurofilaments were studied in 65 sera from patients with subacute spongiform virus encephalopathies (29 kuru, 36 Creutzfeldt-Jakob disease), 79 sera from patients with other neurologic diseases, and 65 sera from normal control subjects. Most positive sera reacted with the 200-kDa component; positive sera reacted next most frequently with the 150-kDa component and infrequently with the 70-kDa protein. A 62-kDa protein which may be a component of neurofilaments was also only rarely reactive. Individual patterns ofreactivity were found in some sera that reacted mainly with the 150-, 70-, and 62-kDa components.Bahmanyar et al. (6) have shown recently that the autoantibody that developed in one chimpanzee infected with Creutzfeldt-Jakob disease reacted principally with the 200-kDa component of neurofilaments but only weakly with the 150-kDa component and not at all with the 70-kDa protein of the triad which comprise neurofilaments.Specificity of the serum reaction for axonal neurofilaments, previously demonstrated by using cultured neurons as subtrate (1, 2), was further supported by the nonreactivity of the sera for other axonal proteins in the immunoblots and by the identical reactivity obtained with heterologous rabbit and mouse polyclonal and mouse monoclonal antibodies to neurofilament proteins. and other axonal proteins, were prepared by the axon-floatation method described in detail elsewhere (8). Whole brains were homogenized in 0.85 M sucrose/30 mM KCl/mM EDTA/20 mM sodium phosphate, pH 6.5, and the axons were recovered as a floating pad after centrifugation for 15 min at 12,000 x g. Neurofilament-enriched preparations were made by extracting whole brain with a Triton X-100 solution, leaving behind Triton-insoluble proteins including those of the neurofilament triplet...