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Relationship Between Antibodies to Dsdna and to Soluble Cellular Antigens and Histologically Defined Glomerulonephritis in Patients with SLE

 

作者: AseroR.,   BanfiG.,   RadelliL.,   OriggiL.,   BertettiE.,   VanoliM.,   RiboldiP.,  

 

期刊: Autoimmunity  (Taylor Available online 1990)
卷期: Volume 7, issue 1  

页码: 13-21

 

ISSN:0891-6934

 

年代: 1990

 

DOI:10.3109/08916939009041046

 

出版商: Taylor&Francis

 

关键词: Systemic lupus erythematosus;dsDNA antibody;soluble cellular antigens;glomerulonephritis;complement

 

数据来源: Taylor

 

摘要:

To better define the relationships between circulating autoantibodies and renal involvement in systemic lupus erythematosus (SLE), antibodies to both dsDNA and soluble cellular antigens were detected in sera from a large series of SLE patients. Significantly higher dsDNA binding activities and lower complement levels at onset were found in patients with renal disease; however, this was uniquely due to subjects with diffuse or focal proliferative glomerulonephritis. Patients with membranous nephropathy (MGN) showed very low dsDNA binding activities (6/9 of them being negative for dsDNA antibodies) and normal mean C3 and C4 levels. A comparison between patients with proliferative nephritis and patients without renal involvement with high dsDNA binding activities revealed significantly lower complement levels in the former group. No significant difference was observed in the prevalence of antibodies to soluble cellular antigens between patients with or without renal disease; however, nRNP antibody was two-fold more frequent in patients with MGN than in all other subgroups. This study highlights the close relationship between concurrently high anti-dsDNA and low complement levels and proliferative glomerulonephritis in SLE, and suggests that subjects with MGN may represent a subgroup of SLE patients showing peculiar serological features. Different mechanisms possibly involved in the pathogenesis of MGN in SLE are discussed.

 

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