Document Detail


Pathogenesis of SLE: immunopathology in man.
MedLine Citation:
PMID:  1754819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Antibodies against native DNA are not only a disease-specific marker for systemic lupus erythematosus (SLE); in addition, there is good direct evidence that these antibodies also play a major part in pathogenic mechanisms leading to systemic and organ-specific disease manifestations. The origin of anti-dsDNA antibodies is still poorly understood, especially as dsDNA per se is not immunogenic. As recently shown, evidence is now accumulating that anti-dsDNA antibodies are not germline-encoded but antigen-driven, as demonstrated by the establishment of human anti-dsDNA antibody clones from SLE patients and sequence analysis. In sera of SLE patients there is an elevated level of nucleic acids, which indicates that defective clearance mechanisms for nucleic acids are present. The question as to whether these nucleic acids could serve as an antigen has been recently addressed by studies of plasma nucleic acids isolated from circulating immune complexes from SLE patients. These studies indicate that plasma nucleic acids in SLE patients have structures of amino acid sequences which have a striking homology with the gag-pol overlap region of HIV-1. Whether these nucleic acids play a role in the pathogenesis of SLE, indicating the involvement of a retrovirus in the pathogenesis, or whether they rather reflect an amino acid homology with an endogenous human retrovirus family is not yet known.
Authors:
J R Kalden; T H Winkler; M Herrmann; F Krapf
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Rheumatology international     Volume:  11     ISSN:  0172-8172     ISO Abbreviation:  Rheumatol. Int.     Publication Date:  1991  
Date Detail:
Created Date:  1992-01-30     Completed Date:  1992-01-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8206885     Medline TA:  Rheumatol Int     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  95-100     Citation Subset:  IM; X    
Affiliation:
Department of Medicine III, University Erlangen-Nürnberg, Federal Republic of Germany.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Antinuclear / immunology
Antigen-Antibody Complex / immunology
Antigen-Antibody Reactions
DNA / immunology
Humans
Lupus Erythematosus, Systemic / immunology*,  pathology
Nucleic Acids / blood
Virus Diseases / complications
Chemical
Reg. No./Substance:
0/Antibodies, Antinuclear; 0/Antigen-Antibody Complex; 0/Nucleic Acids; 9007-49-2/DNA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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