[Two cases of lupus nephritis having a high titer of anti-(histone-DNA) complex antibody without IgG anti-dsDNA antibody]

Rinsho Byori. 1996 Jun;44(6):585-9.
[Article in Japanese]

Abstract

IgG antibody specific to double-stranded DNA (dsDNA) has been recognized as a predictive indicator of the renal involvement in systemic lupus erythematosus. However, we recently experienced two cases of overt lupus nephritis without IgG anti-dsDNA antibody. In both cases, high titers of antibody to the histone dimer (H2A-H2B)-dsDNA complex were detected. They responded well to the corticosteroid therapy, with a cytotoxic agent in one case, and the titers of anti-(histone-DNA) antibody was decreased along with the improvement of proteinuria. Based on the recent reports suggesting a pathogenic role of this antibody in lupus nephritis, we suggest that measurement of the anti-(histone-DNA) antibody is necessary in lupus nephritis patients, especially when IgG anti-dsDNA antibody is not detectable.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Antibodies, Antinuclear / analysis*
  • Antigen-Antibody Complex / analysis*
  • DNA / immunology*
  • Female
  • Histones / immunology*
  • Humans
  • Immunoglobulin G
  • Lupus Nephritis / diagnosis*

Substances

  • Antibodies, Antinuclear
  • Antigen-Antibody Complex
  • Histones
  • Immunoglobulin G
  • DNA