IGE-CONTAINING IMMUNE-COMPLEXES IN SYNOVIAL-FLUID OF PATIENTS WITH RHEUMATOID-ARTHRITIS

被引:10
作者
DECLERCK, LS [1 ]
STRUYF, NJ [1 ]
BRIDTS, CH [1 ]
BREEDVELD, FC [1 ]
WESTEDT, ML [1 ]
CATS, A [1 ]
STEVENS, WJ [1 ]
机构
[1] UNIV INSTELLING ANTWERP,DEPT IMMUNOL & RHEUMATOL,UNIV SPL 1,B-2610 WILRIJK,BELGIUM
关键词
IgE; Immune Complexes; Rheumatoid Arthritis; Synovial Fluid;
D O I
10.1007/BF02031965
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prevalence and composition of IgE-containing immune complexes in paired synovial fluid and serum of 42 patients with classical or definite rheumatoid arthritis were studied. IgE-containing immune complexes were found in 15/42 synovial fluids; 15 sera were also positive. The correlation between serum and synovial fluid complexed IgE levels was high (r=0.77). The mean ratio of synovial fluid/serum levels was 1.96, i.e. significantly higher than 0.33, the synovial fluid/serum ratio for alpha-2-macroglobulin (molecular weight 820 kD), which was taken as high molecular weight control protein (p<0.0001). Apart from IgE in immune complex form, monomeric IgE was also significantly higher in synovial fluid compared to serum (ratio = 2.94). Other constituents which could be found in the immune complexes, i.e. anti-IgE antibodies, rheumatoid factors and anticollagen antibodies, were also higher in synovial fluid than predicted. Our results suggest intra-articular production of IgE-containing complexes in the synovial fluid, in addition to possible exudation of the complexes from the serum. These findings provide further evidence for the role of IgE-containing immune complexes in rheumatoid synovitis. © 1990 Springer-Verlag.
引用
收藏
页码:176 / 181
页数:6
相关论文
共 16 条
[1]  
Crisp A.J., Mast cells in rheumatoid arthritis, J R Soc Med, 77, pp. 450-351, (1984)
[2]  
Godfrey H.P., Ilardi C., Engber W., Graziano F.M., Quantitation of human synovial mast cells in rheumatoid arthritis and other rheumatic diseases, Arthritis Rheum, 27, pp. 852-856, (1984)
[3]  
Wasserman S.I., The mast cell and synovial inflammation, Arthritis Rheum, 27, pp. 841-844, (1984)
[4]  
Gruber B., Poznansky M., Boss E., Partin J., Gorevic P., Kaplan A.P., Characterization and functional studies of rheumatoid synovial mast cells, Arthritis Rheum, 29, pp. 944-955, (1986)
[5]  
De Clerck L.S., Struyf N.J., Bridts C.H., Francx L., Van Offel J.F., Empsten F.A., Westedt M.L., Breedveld F.C., Cats A., Stevens W.J., Humoral immunity and composition of immune complexes in patients with rheumatoid arthritis with special reference to IgE-containing immune complexes, Clin Exp Rheumatol, 7, pp. 485-492, (1989)
[6]  
De Clerck L.S., Westedt M.L., Cats A., Vermeer B.J., Welltevreden E.F., Bridts C.H., Stevens W.J., IgE deposition in normal skin of patients with rheumatoid arthritis in relation to clinical and laboratory findings, Ann Rheum Dis, 44, pp. 772-777, (1985)
[7]  
Cecere F., Lessard J., McDuffy S., Pope R.M., Evidence for the local production and utilization of immmune reactants in rheumatoid arthritis, Arthritis Rheum, 25, pp. 1307-1315, (1982)
[8]  
Jones V., Taylor P.C., Jacoby R.K., Wallington T.B., Synovial synthesis of rheumatoid factors and immune complex constituents in early arthritis, Ann Rheum Dis, 43, pp. 235-239, (1984)
[9]  
Swaak A.J., Van Rooyen A., Planten O., Han H., Hattinck O., Hack E., An analysis of the levels of complement components in the synovial fluid in rheumatic diseases, Clin Rheumatol, 6, pp. 350-357, (1987)
[10]  
Stevens W.J., Bridts C., A method for rapid determination of IgG-containing circulating immune complexes using polyethyleneglycol and radioactively labeled protein A, Immunol Lett, 3, pp. 1-4, (1981)