Yount W J, Cohen P, Eisenberg R A
Department of Medicine, University of North Carolina, Chapel Hill.
Monogr Allergy. 1988;23:41-56.
The IgG subclass distribution of human autoantibodies to Sm, double-stranded DNA (ds-DNA), ribonucleoprotein (RNP), SS-B (La), and IgG rheumatoid factor (RF) have been determined using sensitive ELISA or by indirect immunofluorescence on Crithidia lucilia in sera from patients with systemic lupus erythematosus (SLE), Sjögren's syndrome, and rheumatoid arthritis. For anti-Sm and anti-RNP, IgG1 was the predominant isotype. For anti-ds-DNA and anti-SS-B, IgG1 and a lesser contribution of IgG3 was found. In contrast, IgG1 and IgG4 were the predominant isotypes of human IgG RF. The preponderance of isotypes noted for these autoantibodies did not extend to the IgG subclass distribution for antibodies to trinitrophenol-bovine serum albumin (TNP), tetanus toxoid (Tet. tox.), pneumococcal polysaccharides (Pneumo), and group A streptococcal cell walls (Strep.). The restriction of human humoral responses as well as autoantibodies has both pathogenetic and immunoregulatory implications, and suggests that for these autoantibodies, T-cell-dependent responses, probably driven by antigen, are of importance.
利用灵敏的酶联免疫吸附测定(ELISA)或通过对来自系统性红斑狼疮(SLE)、干燥综合征和类风湿性关节炎患者血清中的利什曼原虫进行间接免疫荧光法,已确定了人类针对Sm、双链DNA(ds-DNA)、核糖核蛋白(RNP)、SS-B(La)和IgG类风湿因子(RF)的自身抗体的IgG亚类分布。对于抗Sm和抗RNP,IgG1是主要的同种型。对于抗ds-DNA和抗SS-B,发现了IgG1以及占比小一些的IgG3。相比之下,IgG1和IgG4是人类IgG RF的主要同种型。这些自身抗体所显示的同种型优势并未扩展至针对三硝基苯酚 - 牛血清白蛋白(TNP)、破伤风类毒素(Tet. tox.)、肺炎球菌多糖(Pneumo)和A组链球菌细胞壁(Strep.)的抗体的IgG亚类分布。人类体液反应以及自身抗体的这种限制具有致病和免疫调节意义,并表明对于这些自身抗体而言,可能由抗原驱动的T细胞依赖性反应很重要。