Subclass distribution of IgA and IgG antibodies against Clq in patients with rheumatic diseases

Scand J Immunol. 1995 Apr;41(4):391-7. doi: 10.1111/j.1365-3083.1995.tb03583.x.

Abstract

To obtain insight into the immunoregulatory mechanisms in patients with different rheumatic diseases, the occurrence and the subclass distribution of IgA and IgG antibodies against Clq (anti-ClqAb) was determined. In patients with systemic lupus erythaematosus (SLE) the highest frequency of increased serum levels of IgG anti-ClqAb were found, whereas IgA anti-ClqAb were predominantly present in patients with ankylosing spondylitis (AS) and patients with rheumatoid arthritis complicated by vasculitis (RV). In all the IgA anti-ClqAb positive AS and RV patients the antibody reactivity involved the IgA1 subclass while the IgA2 subclass was found in 47% of the patients. Further characterization of the IgA anti-Clq binding activity in sera of AS patients revealed that both subclasses of IgA anti-ClqAb were predominantly polymeric; the binding of both IgA subclasses with solid phase Clq was inhibitable by aggregated fluid phase Clq; we found no detectable interference of rheumatoid factor in the test system for the measurement of IgA anti-ClqAb. In patients with SLE the IgG anti-ClqAb reactivity was mainly of the IgG2 and IgG3 subclass, whereas in the same patients the IgG anti-tetanus toxoid response was not restricted to these subclasses. The predominance of IgG2 and IgG3 subclass of anti-ClqAb in sera of SLE patients, suggests a skewing of the anti-ClqAb response. The observation that the IgA anti-ClqAb of both subclasses is predominantly polymeric in nature and the notion that polymeric IgA is associated with activation of inflammation cascades, suggests that IgA anti-ClqAb may contribute to tissue damage.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal
  • Chromatography, Gel
  • Complement C1q / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Immunoglobulin A / analysis
  • Immunoglobulin A / classification*
  • Immunoglobulin G / analysis
  • Immunoglobulin G / classification*
  • Immunoglobulin Isotypes / analysis*
  • Rheumatic Diseases / immunology*

Substances

  • Antibodies, Monoclonal
  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin Isotypes
  • Complement C1q