IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients

IgG antinuclear antibodies (ANAs) are elevated in patients with systemic lupus erythematosus (SLE) compared with patients with discoid lupus erythematosus (DLE). To provide an expanded immunologic view of circulating ANAs in lupus patients, we compared the expressions of IgG, IgM, and IgA ANAs in DL...

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Main Authors: Sheridan A. Jost, Lin-Chiang Tseng, Loderick A. Matthews, Rebecca Vasquez, Song Zhang, Kim B. Yancey, Benjamin F. Chong
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/171028
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author Sheridan A. Jost
Lin-Chiang Tseng
Loderick A. Matthews
Rebecca Vasquez
Song Zhang
Kim B. Yancey
Benjamin F. Chong
author_facet Sheridan A. Jost
Lin-Chiang Tseng
Loderick A. Matthews
Rebecca Vasquez
Song Zhang
Kim B. Yancey
Benjamin F. Chong
author_sort Sheridan A. Jost
collection DOAJ
description IgG antinuclear antibodies (ANAs) are elevated in patients with systemic lupus erythematosus (SLE) compared with patients with discoid lupus erythematosus (DLE). To provide an expanded immunologic view of circulating ANAs in lupus patients, we compared the expressions of IgG, IgM, and IgA ANAs in DLE and SLE patients. In this cross-sectional study, sera from age-, gender-, and ethnic-matched SLE N=35, DLE N=23, and normal patients N=22 were tested for IgG, IgM, and IgA ANAs using enzyme-linked immunosorbent assays (ELISAs) and indirect immunofluorescence (IIF) with monkey esophagus as substrate. ELISAs showed elevated levels of IgG ANA, IgM ANA, and IgG/IgM ANA ratios in SLE patients compared with DLE and normal patients. IgA ANA expression was higher in SLE and DLE patients versus normal patients. IIF studies showed higher percentages of patients positive for IgG, IgM, and IgA ANAs in the SLE group. Higher IgG/IgM ANA ratios in SLE than DLE show enhanced class-switching and a more sustained humoral response in SLE. They also suggest a potential connection of IgM ANAs with disease containment.
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spelling doaj-art-d11c88e1ef18456d8804a7e433802a4f2025-02-03T05:54:22ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/171028171028IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus PatientsSheridan A. Jost0Lin-Chiang Tseng1Loderick A. Matthews2Rebecca Vasquez3Song Zhang4Kim B. Yancey5Benjamin F. Chong6Department of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9069, USADepartment of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9069, USADepartment of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9069, USADepartment of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9069, USADepartment of Clinical Sciences, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9066, USADepartment of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9069, USADepartment of Dermatology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard., Dallas, TX 75390-9069, USAIgG antinuclear antibodies (ANAs) are elevated in patients with systemic lupus erythematosus (SLE) compared with patients with discoid lupus erythematosus (DLE). To provide an expanded immunologic view of circulating ANAs in lupus patients, we compared the expressions of IgG, IgM, and IgA ANAs in DLE and SLE patients. In this cross-sectional study, sera from age-, gender-, and ethnic-matched SLE N=35, DLE N=23, and normal patients N=22 were tested for IgG, IgM, and IgA ANAs using enzyme-linked immunosorbent assays (ELISAs) and indirect immunofluorescence (IIF) with monkey esophagus as substrate. ELISAs showed elevated levels of IgG ANA, IgM ANA, and IgG/IgM ANA ratios in SLE patients compared with DLE and normal patients. IgA ANA expression was higher in SLE and DLE patients versus normal patients. IIF studies showed higher percentages of patients positive for IgG, IgM, and IgA ANAs in the SLE group. Higher IgG/IgM ANA ratios in SLE than DLE show enhanced class-switching and a more sustained humoral response in SLE. They also suggest a potential connection of IgM ANAs with disease containment.http://dx.doi.org/10.1155/2014/171028
spellingShingle Sheridan A. Jost
Lin-Chiang Tseng
Loderick A. Matthews
Rebecca Vasquez
Song Zhang
Kim B. Yancey
Benjamin F. Chong
IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients
The Scientific World Journal
title IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients
title_full IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients
title_fullStr IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients
title_full_unstemmed IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients
title_short IgG, IgM, and IgA Antinuclear Antibodies in Discoid and Systemic Lupus Erythematosus Patients
title_sort igg igm and iga antinuclear antibodies in discoid and systemic lupus erythematosus patients
url http://dx.doi.org/10.1155/2014/171028
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