Hiramatsu M, Tsokos G C
Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Md.
Int Arch Allergy Appl Immunol. 1988;86(2):209-14. doi: 10.1159/000234573.
Serum factors activating the alternative pathway of the complement (APC) were detected in 5 of 14 patients with systemic lupus erythematosus (SLE). Epstein-Barr virus (EBV)-transformed B cell lines were subsequently established from these patients and 6 of these produced factors capable of activating the APC. Using a limiting dilution technique, we obtained a clone which was producing a factor activating the APC (AF); by affinity column fractionation and polyacrylamide gel electrophoresis, the AF was found to have heavy and light chains comparable to those of normal human IgG. Normal human serum exhibited C3 split products (demonstrated by immunoelectrophoresis) in the presence of AF and under conditions permitting activation of the APC. Sera devoid of factor B, but not of C2 and C4, failed to catabolize C3 in the presence of AF. The AF failed to stabilize erythrocyte-bound C3bBb or C4b2a convertases, indicating that it was not a nephritic-factor-like molecule. We conclude that IgG molecules present in the sera and produced by EBV-transformed B cell lines from patients with SLE are apparently responsible, at least partially, for complement consumption in these patients.
在14例系统性红斑狼疮(SLE)患者中,有5例检测到激活补体替代途径(APC)的血清因子。随后从这些患者中建立了爱泼斯坦-巴尔病毒(EBV)转化的B细胞系,其中6个产生能够激活APC的因子。使用有限稀释技术,我们获得了一个产生激活APC因子(AF)的克隆;通过亲和柱分级分离和聚丙烯酰胺凝胶电泳,发现AF的重链和轻链与正常人IgG的重链和轻链相当。在AF存在且在允许激活APC的条件下,正常人血清出现C3裂解产物(通过免疫电泳证明)。缺乏因子B但不缺乏C2和C4的血清在AF存在时不能分解代谢C3。AF不能稳定红细胞结合的C3bBb或C4b2a转化酶,表明它不是一种类肾炎因子分子。我们得出结论,SLE患者血清中存在的以及由EBV转化的B细胞系产生的IgG分子显然至少部分地导致了这些患者的补体消耗。