Renaudineau Yves, Dalekos Geogios N, Guéguen Paul, Zachou Kalliopi, Youinou Pierre
Brest University Medical School Hospital, Brest Cedex, France.
Clin Rev Allergy Immunol. 2008 Jun;34(3):321-5. doi: 10.1007/s12016-007-8050-1.
Recently, we have observed that the association of anti-F-actin autoantibodies (Abs) with anti-alpha-actinin Abs (double reactivity) was correlated with liver disease activity in autoimmune hepatitis type 1 (AIH-1; Guéguen et al., J Clin Immunol 26:495-505, 2006). As anti-alpha-actinin Abs are also associated with anti-single-stranded (ss) DNA in 16 of 50 (32%) AIH-1 patients, compared with 16 of 401 (4.0%) liver disease control patients, we sought to characterize these Abs in AIH-1. When associated, anti-ssDNA Abs cross-react with anti-alpha-actinin Abs, but neither with anti-double-stranded DNA Abs nor with anti-F-actin Abs. Furthermore, anti-alpha-actinin Abs are associated with high-avidity anti-ssDNA Abs in AIH-1. In addition, double reactivity against alpha-actinin and ssDNA was correlated with clinical and histological activity of the disease and untreated AIH-1 patients.
最近,我们观察到抗F-肌动蛋白自身抗体(Abs)与抗α-辅肌动蛋白抗体(双重反应性)的关联与1型自身免疫性肝炎(AIH-1)的肝脏疾病活动相关(Guéguen等人,《临床免疫学杂志》26:495-505,2006年)。由于在50例AIH-1患者中有16例(32%)抗α-辅肌动蛋白抗体也与抗单链(ss)DNA相关,而在401例肝病对照患者中只有16例(4.0%)如此,我们试图对AIH-1中的这些抗体进行特征描述。当相关时,抗ssDNA抗体与抗α-辅肌动蛋白抗体发生交叉反应,但与抗双链DNA抗体和抗F-肌动蛋白抗体均无交叉反应。此外,在AIH-1中抗α-辅肌动蛋白抗体与高亲和力抗ssDNA抗体相关。另外,针对α-辅肌动蛋白和ssDNA的双重反应性与疾病的临床和组织学活动以及未经治疗的AIH-1患者相关。