Autoantibodies to the Sm antigen: immunological approach to clinical aspects of systemic lupus erythematosus

J Rheumatol Suppl. 1987 Jun:14 Suppl 13:188-93.

Abstract

The precise antigenic peptide of Sm antigen (U small nuclear ribonucleoproteins, U snRNP) and the clinical significance of anti-Sm antibodies in systemic lupus erythematosus (SLE) detected by a sensitive radioimmunoassay were studied. By immunoblotting, anti-Sm sera reacted with B'/B peptides of U1 snRNP and D peptide of U1-U2 snRNP, while anti-U1 RNP recognized 68k, A, B'/B and C peptides. Reblotting study using the specific antibodies against each peptide eluted from the blot sheets demonstrated that B'/B and D peptides shared a common Sm antigenic epitope. We purified D peptide from U1 snRNP and established a radioimmunoassay. Anti-Sm antibodies were found in 30% of the patients with SLE using this method, which was more sensitive than the conventional assays. Anti-Sm was associated with late onset renal disease and poor prognosis when analyzed with Cox's regression model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autoantibodies / analysis*
  • Autoantigens / immunology*
  • Epitopes / immunology
  • Humans
  • Lupus Erythematosus, Systemic / diagnosis
  • Lupus Erythematosus, Systemic / immunology*
  • Lupus Nephritis / immunology
  • Prognosis
  • Radioimmunoassay
  • Ribonucleoproteins, Small Nuclear*
  • snRNP Core Proteins

Substances

  • Autoantibodies
  • Autoantigens
  • Epitopes
  • Ribonucleoproteins, Small Nuclear
  • snRNP Core Proteins