系统性自身免疫性疾病(SAD)中天然抗体和感染诱导抗体的关系:SLE、SSc 和 RA。
Relationship between natural and infection-induced antibodies in systemic autoimmune diseases (SAD): SLE, SSc and RA.
机构信息
Department of Immunology and Biotechnology, University of Pécs Medical School, Pécs, Hungary.
Department of Rheumatology and Immunology, University of Pécs, Medical School, Pécs, Hungary.
出版信息
Clin Exp Immunol. 2021 Jan;203(1):32-40. doi: 10.1111/cei.13521. Epub 2020 Oct 13.
Infection or vaccine-induced T cell-dependent immune response and the subsequent high-affinity neutralizing antibody production have been extensively studied, while the connection between natural autoantibodies (nAAbs) and disease-specific antibodies has not been thoroughly investigated. Our goal was to find the relationship between immunoglobulin (Ig)M and IgG isotype nAAbs and infection or vaccine-induced and disease-related autoantibody levels in systemic autoimmune diseases (SAD). A previously described indirect enzyme-linked immunosorbent assay (ELISA) test was used for detection of IgM/IgG nAAbs against citrate synthase (anti-CS) and F4 fragment (anti-F4) of DNA topoisomerase I in 374 SAD samples, with a special focus on systemic lupus erythematosus (SLE) (n = 92), rheumatoid arthritis (n = 73) and systemic sclerosis (n = 157) disease groups. Anti-measles IgG and anti-dsDNA IgG/IgM autoantibodies were measured using commercial and in-house indirect ELISA tests. In all SAD groups the anti-measles IgG-seropositive cases showed significantly higher anti-CS IgG titers (P = 0·011). In anti-dsDNA IgG-positive SLE patients, we detected significantly higher levels of anti-CS and anti-F4 IgG nAAbs (P = 0·001 and < 0·001, respectively). Additionally, we found increased levels of IgM isotypes of anti-CS and anti-F4 nAAbs in anti-dsDNA IgM-positive SLE patients (P = 0·002 and 0·016, respectively). The association between IgG isotypes of pathogen- or autoimmune disease-related antibodies and the IgG nAAbs may underscore the immune response-inducible nature of the diseases investigated. The relationship between protective anti-dsDNA IgM and the IgM isotype of anti-F4 and anti-CS may provide immunoserological evidence for the beneficial roles of nAAbs in SLE patients.
感染或疫苗诱导的 T 细胞依赖性免疫反应以及随后产生的高亲和力中和抗体已得到广泛研究,而天然自身抗体(nAAb)与疾病特异性抗体之间的联系尚未得到彻底研究。我们的目标是在系统性自身免疫性疾病(SAD)中寻找免疫球蛋白(Ig)M 和 IgG 同种型 nAAb 与感染或疫苗诱导以及与疾病相关的自身抗体水平之间的关系。我们使用先前描述的间接酶联免疫吸附试验(ELISA)检测了 374 例 SAD 样本中针对柠檬酸合酶(抗-CS)和 DNA 拓扑异构酶 I 的 F4 片段(抗-F4)的 IgM/IgG nAAb,特别关注系统性红斑狼疮(SLE)(n=92)、类风湿关节炎(n=73)和系统性硬化症(n=157)疾病组。使用商业和内部间接 ELISA 检测抗麻疹 IgG 和抗 dsDNA IgG/IgM 自身抗体。在所有 SAD 组中,抗麻疹 IgG 血清阳性病例的抗-CS IgG 滴度明显更高(P=0.011)。在抗 dsDNA IgG 阳性的 SLE 患者中,我们检测到抗-CS 和抗-F4 IgG nAAb 的水平明显更高(P=0.001 和 <0.001)。此外,我们在抗 dsDNA IgM 阳性的 SLE 患者中发现抗-CS 和抗-F4 nAAb 的 IgM 同种型水平升高(P=0.002 和 0.016)。病原体或自身免疫性疾病相关抗体的 IgG 同种型与 nAAb 之间的关联可能强调了所研究疾病的免疫反应诱导性质。保护性抗 dsDNA IgM 与抗-F4 和抗-CS 的 IgM 同种型之间的关系可为 nAAb 在 SLE 患者中的有益作用提供免疫血清学证据。