Danieli M G, Candela M, Ricciatti A M, Reginelli R, Danieli G, Cohen I R, Gabrielli A
Istituto di Clinica Medica dell'Università di Ancona, Italy.
J Autoimmun. 1992 Aug;5(4):443-52. doi: 10.1016/0896-8411(92)90004-a.
It has been reported that immunity to the 65 kDa heat shock protein of Mycobacterium tuberculosis (MT-hsp65) not only accompanies rheumatoid arthritis (RA), but may also be characteristic of chronic inflammation. We now report serum antibodies to MT-hsp65 in 47% of systemic sclerosis (SSc), 38% of primary Raynaud's phenomenon (PRP) and 5% of systemic lupus erythematosus (SLE). Antibody levels were higher in patients with active or progressive SSc and correlated with the degree of skin fibrosis. Thus, immunity to MT-hsp65 appears in SSc and is not limited to RA. However, it does show some degree of specificity beyond chronic inflammation: PRP patients have a higher reactivity than do SLE patients.
据报道,对结核分枝杆菌65kDa热休克蛋白(MT-hsp65)的免疫不仅伴随类风湿性关节炎(RA),还可能是慢性炎症的特征。我们现在报告,47%的系统性硬化症(SSc)、38%的原发性雷诺现象(PRP)和5%的系统性红斑狼疮(SLE)患者血清中存在抗MT-hsp65抗体。活动性或进行性SSc患者的抗体水平更高,且与皮肤纤维化程度相关。因此,对MT-hsp65的免疫出现在SSc中,并不局限于RA。然而,它确实表现出一定程度的超越慢性炎症的特异性:PRP患者的反应性高于SLE患者。