Gilkeson G S, Bernstein K, Pippen A M, Clarke S H, Marion T, Pisetsky D S, Ruiz P, Lefkowith J B
Durham VA Medical Center, Duke University Medical Center, North Carolina 27705, USA.
Clin Immunol Immunopathol. 1995 Jul;76(1 Pt 1):59-67. doi: 10.1006/clin.1995.1088.
Antibodies to DNA (anti-DNA) occur prominently in systemic lupus erythematosus and provoke inflammatory damage in the kidneys. To determine the factors that confer pathogenicity on antibodies of this specificity, we investigated the in vitro and in vivo glomerular binding by members of four clonally related sets of monoclonal anti-DNA antibodies from lupus mice. Somatic mutations within the clonal sets enhanced binding to double-stranded DNA (dsDNA). Binding to permeabilized glomeruli in vitro was observed among affinity-purified preparations of these antibodies independent of specificity for dsDNA. In normal mice injected with hybridoma cell lines, nephritis as assessed by histology and immunofluorescence did not correlate with antibody affinity for DNA. By multivariate analysis, in vitro glomerular binding was the most predictive parameter of histologic outcome. These findings indicate that somatic mutations occurring during maturation of the autoimmune response do not necessarily enhance pathogenicity.
抗DNA抗体(抗DNA)在系统性红斑狼疮中显著出现,并引发肾脏的炎症性损伤。为了确定赋予这种特异性抗体致病性的因素,我们研究了来自狼疮小鼠的四组克隆相关的单克隆抗DNA抗体成员在体外和体内与肾小球的结合情况。克隆组内的体细胞突变增强了与双链DNA(dsDNA)的结合。在这些抗体的亲和纯化制剂中观察到它们在体外与通透化的肾小球结合,且与对dsDNA的特异性无关。在注射杂交瘤细胞系的正常小鼠中,通过组织学和免疫荧光评估的肾炎与抗体对DNA的亲和力无关。通过多变量分析,体外肾小球结合是组织学结果最具预测性的参数。这些发现表明,自身免疫反应成熟过程中发生的体细胞突变不一定会增强致病性。