Kiss M, Husz S, Dobozy A
Börgyógyászati Klinika, Szent-Györgyi Albert Orvostudományi Egyetem, Szeged.
Orv Hetil. 1992 May 3;133(18):1103-4, 1109-10.
Antibodies against ENA (Extractable Nuclear Antigens), SSA/Ro and SSB/La were investigated in parallel in the serum and the immune complex precipitates of 41 patients with autoimmune disease (10 systemic lupus erythematosus, 23 discoid lupus erythematosus, 3 subacute cutaneous lupus erythematosus, and 5 progressive systemic sclerosis). It was demonstrated that in some cases the autoantibody spectrum of the serum did not coincide with that of the immune complex precipitate. In the majority of patients the protein content of isolated immune complexes was increased and the increase was attributed to IgG solely. In some patients antibodies appeared not only in the serum but also in immune complex, even in 4 patients (2 systemic lupus erythematosus, 1 subacute cutaneous lupus erythematosus, and 1 progressive systemic sclerosis) antibodies were detected only in the immune complex precipitate.
对41例自身免疫性疾病患者(10例系统性红斑狼疮、23例盘状红斑狼疮、3例亚急性皮肤型红斑狼疮和5例进行性系统性硬化症)的血清和免疫复合物沉淀物同时进行了抗可提取核抗原(ENA)、抗SSA/Ro和抗SSB/La抗体的检测。结果表明,在某些情况下,血清中的自身抗体谱与免疫复合物沉淀物的自身抗体谱不一致。大多数患者分离出的免疫复合物的蛋白质含量增加,且这种增加仅归因于IgG。在一些患者中,抗体不仅出现在血清中,也出现在免疫复合物中,甚至在4例患者(2例系统性红斑狼疮、1例亚急性皮肤型红斑狼疮和1例进行性系统性硬化症)中,仅在免疫复合物沉淀物中检测到抗体。