ANTI-SSA/RO AND ANTI-SSB/LA ANTIBODIES IN SERUM AND SALIVA OF PATIENTS WITH SJOGRENS-SYNDROME

被引:45
作者
BENCHETRIT, E
FISCHEL, R
RUBINOW, A
机构
[1] Rheumatology Unit, Dept. of Medicine, Hadassah University Hospital, Jerusalem
关键词
SJOGRENS SYNDROME; SSA/RO ANTIBODIES; SSB/LA ANTIBODIES; SALIVA;
D O I
10.1007/BF02231773
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Autoantibodies to SSA/Ro and SSB/La antigens may have a pathogenic role in photosensitive skin disease and congenital complete heart block. Since salivary glands are the major target organ in Sjogren's syndrome (SS) we wondered whether these autoantibodies are present in saliva and may be involved in the sicca syndrome. Whole saliva and serum were collected from 15 patients with SS; Elisa analysis disclosed that 8 of the patients had anti-SSA/Ro antibodies, while 6 of them also had anti-SSB/La antibodies. Studies of immunoglobulin classes showed that the sera contained mainly IgG and IgM anti-SSA/Ro or SSB/La antibodies. One serum also contained IgA antibodies. Analysis of the saliva showed that in all positive samples IgG and IgA classes were present, while none of them contained IgM. Elisa and immunoblot analysis of sera and saliva from SLE patients without the sicca syndrome disclosed that both fluids contained anti-Sm antibodies. These findings suggest that the presence bf anti-SSA/Ro and anti-SSB/La antibodies in saliva is not a unique phenomenon, characterizing the sicca syndrome. Therefore, their role in the pathogenicity of the Sjogren's syndrome has to be elucidated.
引用
收藏
页码:471 / 474
页数:4
相关论文
共 10 条
[1]
Tan E.M., Antinuclear antibodies: diagnostic markers for autoimmune diseases and probes for cell biology, Adv Immunol, 44, pp. 93-151, (1989)
[2]
Ben-Chetrit E., Fox R.I., Tan E.M., Dissociation of immune responses to the SS-A (Ro) 52 kD and 60 kD polypeptides in systemic lupus erythematosus and Sjogren's syndrome, Arthritis Rheum, 33, pp. 349-355, (1990)
[3]
Lee L.A., Garther K.K., Coulter S.N., Norris D.A., Harley J.B., Pattern of cutaneous immunoglobulin G deposition in subacute cutaneous lupus erythematosus is reproduced by infusing purified anti-Ro (SSA) autoantibodies into human skin-grafted mice, J Clin Invest, 83, pp. 1556-1562, (1989)
[4]
Davis T.L., Lyde C.B., Davis B.M., Sontheimer R.D., Perturbation of experimental ultraviolet light induced erythema by passive transfer of serum from subacute cutaneous lupus erythematosus patients, J Invest Dermatol, 92, pp. 573-577, (1989)
[5]
Buyon J.P., Ben-Chetrit E., Karp S., Roubey R.A.S., Pompeo L., Reeves W.H., Tan E.M., Winchester R., Acquired congenital heart block: pattern of maternal antibody response to biochemically defined antigens of SSA/Ro-SSB/La system in neonatal lupus, J Clin Invest, 84, pp. 627-634, (1989)
[6]
Silverman E., Mamula M., Hardin J.A., Laxter R., Importance of immune response to the Ro/La particle in the development of congenital heart block and neonatal lupus erythematosus, J Rheumatol, 18, pp. 120-124, (1991)
[7]
Fox I.R., Robinson C.A., Curd J.G., Kozin F., Howell F.V., Sjogren's syndrome: proposed criteria for classification, Arthritis Rheum, 29, pp. 577-585, (1986)
[8]
Towbin H., Staehelin T., Gordon J., Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedures and some applications, Proc Natl Acad Sci USA, 76, pp. 4350-4354, (1979)
[9]
Horsfall A.C., Rose L.M., Maini R.N., Autoantibody synthesis in salivary glands of Sjogren's syndrome patients, J Autoimmun, 2, pp. 559-568, (1989)
[10]
Elkon K.B., Gharavi A.E., Patel B.M., Hughes G.R., Frankel A., IgA and IgM rheumatoid factors in serum, saliva and other secretions: relationship to immunoglobulin ratios in systemic sicca syndrome and rheumatoid arthritis, Clin Exp Immunol, 52, pp. 75-84, (1983)