St Clair E W
Division of Rheumatology and Immunology, Duke University Medical Center, Durham, North Carolina.
Rheum Dis Clin North Am. 1992 May;18(2):359-76.
Anti-La antibodies usually occur in sera with anti-Ro antibodies and represent important serologic markers of Sjögren's syndrome and neonatal lupus erythematosus. In addition to their diagnostic and prognostic significance, anti-La antibodies have proved valuable reagents for molecularly characterizing its antigenic target, which is a 47 kD ribonucleoprotein located in the nucleus and cytoplasm of mammalian cells. The isotype distribution and fine specificity of the anti-La response as well as its associations with HLA-DR and DQ loci suggest that these autoantibodies arise by a T cell-dependent, antigen-driven mechanism. Further insights into the mechanisms of anti-La production in humans may be gained by studying experimental animal models that develop these antibodies spontaneously or through induction by various immunization protocols.
抗La抗体通常出现在含有抗Ro抗体的血清中,是干燥综合征和新生儿红斑狼疮的重要血清学标志物。除了具有诊断和预后意义外,抗La抗体已被证明是用于对其抗原靶点进行分子特征分析的有价值试剂,该抗原靶点是一种位于哺乳动物细胞核和细胞质中的47kD核糖核蛋白。抗La反应的同种型分布和精细特异性以及其与HLA - DR和DQ基因座的关联表明,这些自身抗体是通过T细胞依赖性、抗原驱动机制产生的。通过研究自发产生这些抗体或通过各种免疫方案诱导产生这些抗体的实验动物模型,可能会进一步深入了解人类抗La产生的机制。