Autoantibodies in systemic lupus erythematosus

Curr Opin Rheumatol. 1997 Sep;9(5):387-92. doi: 10.1097/00002281-199709000-00003.

Abstract

Research on pathogenic and nonpathogenic anti-DNA antibodies has shown that the charge and affinity for double-stranded DNA may not be adequate predictors of their pathogenicity. In turn, anti-DNA-induced renal damage could be caused by differences in fine specificities. Penetration of anti-double-stranded DNA monoclonal antibodies into live cells appears to require DNA or a DNA-like membrane receptor. Anti-U1 ribonucleoproteins penetrate live cells and induce apoptosis. HLA-DRB1*1501 or HLA-DRB1*1503, DQA1*0102, and DQB1*0602 haplotypes were increased in patients with systemic lupus erythematosus with anti-ribosomal protein P (anti-P) antibodies, particularly in whites, blacks, and Mexican-Americans. Anti-Ro/Sjögren's syndrome antigen A antibodies had a strong predictive diagnostic value for systemic lupus erythematosus among patients positive for antinuclear antibodies and negative for double-stranded DNA but had no utility among those positive for both antinuclear antibodies and anti-DNA antibodies. True antiphospholipid murine monoclonal antibodies display an unusual number of cationic residues in the H-chain CD3 region, whereas anti-beta 2-glycoprotein-I monoclonal antibodies lack them. The association of IgG anti-beta 2-glycoprotein-I with a history of thrombosis in systemic lupus erythematosus has been largely confirmed. Apoptotic thymocytes bind antiphospholipid antibodies in a beta 2-glycoprotein-I-dependent manner and may constitute a source of immunogen in autoimmune disease.

Publication types

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

MeSH terms

  • Animals
  • Antibodies, Antinuclear / analysis
  • Antibodies, Antiphospholipid / analysis
  • Autoantibodies / analysis*
  • DNA / immunology
  • Humans
  • Lupus Erythematosus, Systemic / immunology*
  • Protozoan Proteins*
  • Ribonucleoprotein, U1 Small Nuclear / immunology
  • Ribosomal Proteins / immunology

Substances

  • Antibodies, Antinuclear
  • Antibodies, Antiphospholipid
  • Autoantibodies
  • L12E protein, Trypanosoma cruzi
  • Protozoan Proteins
  • Ribonucleoprotein, U1 Small Nuclear
  • Ribosomal Proteins
  • SS-A antibodies
  • SS-B antibodies
  • DNA