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Erschienen in: Arthritis Research & Therapy 2/2005

01.12.2005 | Commentary

Is closer linkage between systemic lupus erythematosus and anti-double-stranded DNA antibodies a desirable and attainable goal?

verfasst von: Hans C Nossent, Ole Petter Rekvig

Erschienen in: Arthritis Research & Therapy | Ausgabe 2/2005

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Abstract

The anti-double-stranded DNA (anti-dsDNA) antibody test incorporated in the 1982 revised American College of Rheumatology criteria for the classification of systemic lupus erythematosus needs updating to reflect current insights and technical achievements, including allowance for the presence of nonpathogenic anti-dsDNA antibodies. As we need to develop at least some measure of pathogenicity of anti-dsDNA antibodies, we propose that initial anti-dsDNA antibody screening is done by sensitive ELISA and supplemented by more stringent assays. Simultaneously the relevance of anti-dsDNA antibody presence needs to be restricted to clinical manifestations, thought to be caused by anti-dsDNA antibody and within an appropriate time frame.
Literatur
1.
Zurück zum Zitat Kaposi M: Neue Beitrage zur Kenntnis des Lupus Erythematosus. Arch Dermatol Syphil. 1872, 4: 36-78.CrossRef Kaposi M: Neue Beitrage zur Kenntnis des Lupus Erythematosus. Arch Dermatol Syphil. 1872, 4: 36-78.CrossRef
2.
Zurück zum Zitat Klemperer P, Pollack AD, Baehr G: The pathology of disseminated lupus erythematosus. Arch Pathol. 1941, 32: 569-631. Klemperer P, Pollack AD, Baehr G: The pathology of disseminated lupus erythematosus. Arch Pathol. 1941, 32: 569-631.
3.
Zurück zum Zitat Cohen AS, Reynolds WE, Franklin EC, Knlka JP, Ropes MW, Shulman LE, Wallace SL: Preliminary criteria for the classification of systemic lupus erythematosus. Bull Rheum Dis. 1971, 21: 643-648. Cohen AS, Reynolds WE, Franklin EC, Knlka JP, Ropes MW, Shulman LE, Wallace SL: Preliminary criteria for the classification of systemic lupus erythematosus. Bull Rheum Dis. 1971, 21: 643-648.
4.
Zurück zum Zitat Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ: The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982, 25: 1271-1277.CrossRefPubMed Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ: The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982, 25: 1271-1277.CrossRefPubMed
5.
Zurück zum Zitat Petri M, Magder L: Classification criteria for systemic lupus erythematosus: a review. Lupus. 2004, 13: 829-837. 10.1191/0961203304lu2019oa.CrossRefPubMed Petri M, Magder L: Classification criteria for systemic lupus erythematosus: a review. Lupus. 2004, 13: 829-837. 10.1191/0961203304lu2019oa.CrossRefPubMed
6.
Zurück zum Zitat Rekvig OP, Andreassen K, Moens U: Antibodies to DNA – towards an understanding of their origin and pathophysiological impact in systemic lupus erythematosus. Scand J Rheumatol. 1998, 27: 1-6. 10.1080/030097498441100.CrossRefPubMed Rekvig OP, Andreassen K, Moens U: Antibodies to DNA – towards an understanding of their origin and pathophysiological impact in systemic lupus erythematosus. Scand J Rheumatol. 1998, 27: 1-6. 10.1080/030097498441100.CrossRefPubMed
7.
Zurück zum Zitat Kaliyaperumal A, Mohan C, Wu W, Datta SK: Nucleosomal peptide epitopes for nephritis-inducing T helper cells of murine lupus. J Exp Med. 1996, 183: 2459-2469. 10.1084/jem.183.6.2459.CrossRefPubMed Kaliyaperumal A, Mohan C, Wu W, Datta SK: Nucleosomal peptide epitopes for nephritis-inducing T helper cells of murine lupus. J Exp Med. 1996, 183: 2459-2469. 10.1084/jem.183.6.2459.CrossRefPubMed
8.
Zurück zum Zitat Chen C, Nagy Z, Radic MZ, Hardy RR, Huszar D, Camper SA, Weigert M: The site and stage of anti-DNA B-cell deletion. Nature. 1995, 373: 252-255. 10.1038/373252a0.CrossRefPubMed Chen C, Nagy Z, Radic MZ, Hardy RR, Huszar D, Camper SA, Weigert M: The site and stage of anti-DNA B-cell deletion. Nature. 1995, 373: 252-255. 10.1038/373252a0.CrossRefPubMed
9.
Zurück zum Zitat Rekvig OP, Nossent JC: Anti-double-stranded DNA antibodies, nucleosomes, and systemic lupus erythematosus: a time for new paradigms?. Arthritis Rheum. 2003, 48: 300-312. 10.1002/art.10739.CrossRefPubMed Rekvig OP, Nossent JC: Anti-double-stranded DNA antibodies, nucleosomes, and systemic lupus erythematosus: a time for new paradigms?. Arthritis Rheum. 2003, 48: 300-312. 10.1002/art.10739.CrossRefPubMed
10.
Zurück zum Zitat Kavanaugh A: The utility of immunologic laboratory tests in patients with rheumatic diseases. Arthritis Rheum. 2001, 44: 2221-2223. 10.1002/1529-0131(200110)44:10<2221::AID-ART383>3.0.CO;2-T.CrossRefPubMed Kavanaugh A: The utility of immunologic laboratory tests in patients with rheumatic diseases. Arthritis Rheum. 2001, 44: 2221-2223. 10.1002/1529-0131(200110)44:10<2221::AID-ART383>3.0.CO;2-T.CrossRefPubMed
11.
Zurück zum Zitat Haugbro K, Nossent JC, Winkler T, Figenschau Y, Rekvig OP: Anti-dsDNA antibodies and disease classification in antinuclear antibody positive patients: the role of analytical diversity. Ann Rheum Dis. 2004, 63: 386-394. 10.1136/ard.2003.016303.PubMedCentralCrossRefPubMed Haugbro K, Nossent JC, Winkler T, Figenschau Y, Rekvig OP: Anti-dsDNA antibodies and disease classification in antinuclear antibody positive patients: the role of analytical diversity. Ann Rheum Dis. 2004, 63: 386-394. 10.1136/ard.2003.016303.PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Winfield JB, Faiferman I, Koffler D: Avidity of anti-DNA antibodies in serum and IgG glomerular eluates from patients with systemic lupus erythematosus. Association of high avidity antinative DNA antibody with glomerulonephritis. J Clin Invest. 1977, 59: 90-96.PubMedCentralCrossRefPubMed Winfield JB, Faiferman I, Koffler D: Avidity of anti-DNA antibodies in serum and IgG glomerular eluates from patients with systemic lupus erythematosus. Association of high avidity antinative DNA antibody with glomerulonephritis. J Clin Invest. 1977, 59: 90-96.PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Nossent HC, Henzen-Logmans SC, Vroom TM, Berden JH, Swaak TJ: Contribution of renal biopsy data in predicting outcome in lupus nephritis. Analysis of 116 patients. Arthritis Rheum. 1990, 33: 970-977.CrossRefPubMed Nossent HC, Henzen-Logmans SC, Vroom TM, Berden JH, Swaak TJ: Contribution of renal biopsy data in predicting outcome in lupus nephritis. Analysis of 116 patients. Arthritis Rheum. 1990, 33: 970-977.CrossRefPubMed
14.
Zurück zum Zitat Crowson AN, Magro C: The cutaneous pathology of lupus erythematosus: a review. J Cutan Pathol. 2001, 28: 1-23. 10.1034/j.1600-0560.2001.280101.x.CrossRefPubMed Crowson AN, Magro C: The cutaneous pathology of lupus erythematosus: a review. J Cutan Pathol. 2001, 28: 1-23. 10.1034/j.1600-0560.2001.280101.x.CrossRefPubMed
15.
Zurück zum Zitat DeGiorgio LA, Konstantinov KN, Lee SC, Hardin JA, Volpe BT, Diamond B: A subset of lupus anti-DNA antibodies cross-reacts with the NR2 glutamate receptor in systemic lupus erythematosus. Nat Med. 2001, 7: 1189-1193. 10.1038/nm1101-1189.CrossRefPubMed DeGiorgio LA, Konstantinov KN, Lee SC, Hardin JA, Volpe BT, Diamond B: A subset of lupus anti-DNA antibodies cross-reacts with the NR2 glutamate receptor in systemic lupus erythematosus. Nat Med. 2001, 7: 1189-1193. 10.1038/nm1101-1189.CrossRefPubMed
16.
17.
Zurück zum Zitat Arbuckle MR, McClain MT, Rubertone MV, Scofield RH, Dennis GJ, James JA, Harley JB: Development of autoantibodies before the clinical onset of systemic lupus erythematosus. N Engl J Med. 2003, 349: 1526-1533. 10.1056/NEJMoa021933.CrossRefPubMed Arbuckle MR, McClain MT, Rubertone MV, Scofield RH, Dennis GJ, James JA, Harley JB: Development of autoantibodies before the clinical onset of systemic lupus erythematosus. N Engl J Med. 2003, 349: 1526-1533. 10.1056/NEJMoa021933.CrossRefPubMed
18.
Zurück zum Zitat Isenberg DA, Ravirajan CT, Rahman A, Kalsi J: The role of antibodies to DNA in systemic lupus erythematosus – a review and introduction to an international workshop on DNA antibodies held in London, May 1996. Lupus. 1997, 6: 290-304.CrossRefPubMed Isenberg DA, Ravirajan CT, Rahman A, Kalsi J: The role of antibodies to DNA in systemic lupus erythematosus – a review and introduction to an international workshop on DNA antibodies held in London, May 1996. Lupus. 1997, 6: 290-304.CrossRefPubMed
19.
Zurück zum Zitat Li J, Fernandez L, O'Connor KC, Imanishi-Kari T, Stollar BD: The rearranged V(H) domain of a physiologically selected anti-single-stranded DNA antibody as a precursor for formation of IgM and IgG antibodies to diverse antigens. J Immunol. 2001, 167: 3746-3755.CrossRefPubMed Li J, Fernandez L, O'Connor KC, Imanishi-Kari T, Stollar BD: The rearranged V(H) domain of a physiologically selected anti-single-stranded DNA antibody as a precursor for formation of IgM and IgG antibodies to diverse antigens. J Immunol. 2001, 167: 3746-3755.CrossRefPubMed
20.
Zurück zum Zitat Jang YJ, Stollar BD: Anti-DNA antibodies: aspects of structure and pathogenicity. Cell Mol Life Sci. 2003, 60: 309-320. 10.1007/s000180300026.CrossRefPubMed Jang YJ, Stollar BD: Anti-DNA antibodies: aspects of structure and pathogenicity. Cell Mol Life Sci. 2003, 60: 309-320. 10.1007/s000180300026.CrossRefPubMed
21.
Zurück zum Zitat Bootsma H, Spronk P, Derksen R, de Boer G, Wolters-Dicke H, Hermans J, Limburg P, Gmelig-Meyling F, Kater L, Kallenberg C: Prevention of relapses in systemic lupus erythematosus. Lancet. 1995, 345: 1595-1599. 10.1016/S0140-6736(95)90114-0.CrossRefPubMed Bootsma H, Spronk P, Derksen R, de Boer G, Wolters-Dicke H, Hermans J, Limburg P, Gmelig-Meyling F, Kater L, Kallenberg C: Prevention of relapses in systemic lupus erythematosus. Lancet. 1995, 345: 1595-1599. 10.1016/S0140-6736(95)90114-0.CrossRefPubMed
22.
Zurück zum Zitat Swaak AJ, Smeenk RJ: Following the disease course in systemic lupus erythematosus: are serologic variables of any use?. J Rheumatol. 1996, 23: 1842-1844.PubMed Swaak AJ, Smeenk RJ: Following the disease course in systemic lupus erythematosus: are serologic variables of any use?. J Rheumatol. 1996, 23: 1842-1844.PubMed
23.
Zurück zum Zitat Fritzler MJ, Wiik A, Tan EM, Smolen JS, McDougal JS, Chan EK, Gordon TP, Hardin JA, Kalden JR, Lahita RG, et al: A critical evaluation of enzyme immunoassay kits for detection of antinuclear autoantibodies of defined specificities. III. Comparative performance characteristics of academic and manufacturers' laboratories. J Rheumatol. 2003, 30: 2374-2381.PubMed Fritzler MJ, Wiik A, Tan EM, Smolen JS, McDougal JS, Chan EK, Gordon TP, Hardin JA, Kalden JR, Lahita RG, et al: A critical evaluation of enzyme immunoassay kits for detection of antinuclear autoantibodies of defined specificities. III. Comparative performance characteristics of academic and manufacturers' laboratories. J Rheumatol. 2003, 30: 2374-2381.PubMed
24.
Zurück zum Zitat Derksen RH, Bast EJ, Strooisma T, Jacobs JW: A comparison between the Farr radioimmunoassay and a new automated fluorescence immunoassay for the detection of antibodies against double stranded DNA in serum. Ann Rheum Dis. 2002, 61: 1099-1102. 10.1136/ard.61.12.1099.PubMedCentralCrossRefPubMed Derksen RH, Bast EJ, Strooisma T, Jacobs JW: A comparison between the Farr radioimmunoassay and a new automated fluorescence immunoassay for the detection of antibodies against double stranded DNA in serum. Ann Rheum Dis. 2002, 61: 1099-1102. 10.1136/ard.61.12.1099.PubMedCentralCrossRefPubMed
25.
Zurück zum Zitat Hochberg MC: Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1997, 40: 1725-CrossRefPubMed Hochberg MC: Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1997, 40: 1725-CrossRefPubMed
Metadaten
Titel
Is closer linkage between systemic lupus erythematosus and anti-double-stranded DNA antibodies a desirable and attainable goal?
verfasst von
Hans C Nossent
Ole Petter Rekvig
Publikationsdatum
01.12.2005
Verlag
BioMed Central
Erschienen in
Arthritis Research & Therapy / Ausgabe 2/2005
Elektronische ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar1707

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