Sequential development of antibodies to specific Sm polypeptides in a patient with systemic lupus erythematosus: evidence for independent regulation of anti-double-stranded DNA and anti-Sm antibody production

Arthritis Rheum. 1988 Dec;31(12):1563-7. doi: 10.1002/art.1780311215.

Abstract

We describe a patient with systemic lupus erythematosus who, after a disease flare, sequentially produced antibodies to specific Sm polypeptides (demonstrated by counterimmunoelectrophoresis, immunoblotting, and RNA immunoprecipitation) concomitantly with the disappearance of anti-double-stranded DNA antibodies. Immunoblotting studies revealed that antibodies to the D polypeptide appeared first, followed by antibodies to BB' and E polypeptides, respectively. Our findings suggest that antibodies to the Sm-specific polypeptides do not occur simultaneously and that the regulation of their production is independent of that of antibodies to double-stranded DNA.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Antinuclear / biosynthesis
  • Autoantibodies / biosynthesis*
  • Autoantigens / immunology*
  • Counterimmunoelectrophoresis
  • DNA / immunology*
  • Female
  • Humans
  • Immunoblotting
  • Lupus Erythematosus, Systemic / immunology*
  • Precipitin Tests
  • RNA / analysis
  • Ribonucleoproteins / immunology*
  • Ribonucleoproteins, Small Nuclear*
  • snRNP Core Proteins

Substances

  • Antibodies, Antinuclear
  • Autoantibodies
  • Autoantigens
  • Ribonucleoproteins
  • Ribonucleoproteins, Small Nuclear
  • snRNP Core Proteins
  • RNA
  • DNA