[Antinuclear and anticytoplasmic antibodies in 24 cases of dermatomyositis. Value of western blotting]

Ann Med Interne (Paris). 1989;140(6):449-52.
[Article in French]

Abstract

Antinuclear and anticytoplasmic antibodies were detected, using 4 methods, in 96% of the sera (23/24) from 24 dermato- or polymyositis patients, who were followed in the Rheumatology Department. Immunofluorescent (IF) labeling of Hep-2 cell smears was more sensitive than IF staining of liver sections (72 vs 67%), and the patterns observed were in agreement 20/24 times. Gelose precipitation is even less sensitive (29%), but enables a characterization of the antigens recognized: 3 anti-RNP, 3 anti-J01, 1 anti-PMScl, 1 anti-SSB and 1 anti-Ro; the latter two specificities were associated with a sicca syndrome. Western-blotting was the most informative method because it was highly sensitive (79%) and identified the principle antigen-antibody systems: anti-U1-RNP (33%) and anti-Scl70 (33%), both associated with myositis with an overlap syndrome (p less than 0.02); anti-J01 (25%) associated with various forms of myositis; and, more rarely, anti-SSB and anti-Ro (both 4%) when a sicca syndrome was present. Finally, non-identified specificities were observed in 37% of the cases.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antibodies, Antinuclear / analysis
  • Autoantibodies / analysis*
  • Blotting, Western*
  • Connective Tissue Diseases / complications
  • Connective Tissue Diseases / immunology
  • Cytoplasm / immunology*
  • Dermatomyositis / complications
  • Dermatomyositis / immunology*
  • Female
  • Fluorescent Antibody Technique
  • Humans
  • Male
  • Middle Aged
  • Precipitin Tests

Substances

  • Antibodies, Antinuclear
  • Autoantibodies