Disease activity in systemic lupus erythematosus related to a range of antibodies binding DNA and synthetic polynucleotides

Ann Rheum Dis. 1988 Sep;47(9):717-24. doi: 10.1136/ard.47.9.717.

Abstract

Antibodies to dDNA, nDNA, Z-DNA, poly(dT), poly(I), poly(dG.dC), poly(dA.dT), and total IgG and IgM were measured in five serial bleeds from 39 patients with systemic lupus erythematosus (SLE). The main findings were that those patients with renal disease form a distinct subset whose antibody levels correlate well with disease activity; anti-poly(dT) antibodies showed the best overall correlation with disease activity; and discriminant functional analysis demonstrated a major improvement in correlation of disease activity with combinations of antibodies to dDNA/nDNA/Z-DNA/poly(dT) (generally 50% or more were correctly classified) than with dDNA or nDNA alone (generally less than 25% correct). Serum IgG (but not IgM) correlated significantly (p less than 0.01) with six antibodies, suggesting that polyclonal activation plays a part in the development of these antibodies, though antibody cross reactivity is not excluded.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies / immunology*
  • Antibodies, Antinuclear / immunology*
  • DNA / immunology*
  • Humans
  • Immunoglobulin G / analysis
  • Immunoglobulin M / analysis
  • Lupus Erythematosus, Systemic / immunology*
  • Lupus Nephritis / immunology
  • Polynucleotides / immunology*

Substances

  • Antibodies
  • Antibodies, Antinuclear
  • Immunoglobulin G
  • Immunoglobulin M
  • Polynucleotides
  • DNA