Hatakeyama A, Sasaki T, Muryoi T, Murai C, Yoshinaga K
Second Department of Internal Medicine, Tohoku University School of Medicine, Sendai.
Tohoku J Exp Med. 1990 Mar;160(3):213-21. doi: 10.1620/tjem.160.213.
We analyzed isoelectrofocusing (IEF) patterns of anti-DNA antibodies originated from sera and the renal eluates of patients with systemic lupus erythematosus (SLE). The spectrotypic patterns of serum anti-DNA-antibodies were heterogenous and bands with single-stranded (ss) and double-stranded (ds) DNA were detected in the PI 5.5-6.5 and PI 8-9.5 regions when SLE sera were tested, whereas healthy subjects failed to form bands even at different saline concentrations. The renal eluates from normal subjects never bound to DNA whereas those from SLE glomeruli showed relatively restricted IEF patterns which were detected mainly in PI 6.0 and PI 8.5, showing that some anti-DNA antibodies may be nephritogenic. However, the spectrotypic patterns of serum anti-DNA antibodies in patients with active lupus nephritis were similar with those in patients lacking renal lesions. The reasons why IEF analysis failed to indentify specific clonotypes of nephritogenic anti-DNA antibodies are discussed in association with pathogenesis of lupus nephritis. This study also suggests that the use of a high concentration of 6M urea in an IEF analysis may be able to expose antigen-binding sites of the circulating immune complex (IC)-derived antibodies.
我们分析了系统性红斑狼疮(SLE)患者血清及肾脏洗脱液中抗DNA抗体的等电聚焦(IEF)图谱。检测SLE患者血清时,血清抗DNA抗体的光谱型图谱具有异质性,在pH值5.5 - 6.5和pH值8 - 9.5区域检测到与单链(ss)和双链(ds)DNA结合的条带,而健康受试者即使在不同盐浓度下也未能形成条带。正常受试者的肾脏洗脱液从不与DNA结合,而SLE肾小球的洗脱液显示出相对受限的IEF图谱,主要在pH值6.0和pH值8.5处检测到,表明某些抗DNA抗体可能具有致肾炎性。然而,活动性狼疮肾炎患者血清抗DNA抗体的光谱型图谱与无肾脏病变患者的相似。结合狼疮肾炎的发病机制,讨论了IEF分析未能鉴定出致肾炎性抗DNA抗体特定克隆型的原因。本研究还表明,在IEF分析中使用高浓度的6M尿素可能能够暴露循环免疫复合物(IC)衍生抗体的抗原结合位点。