1. Direct binding of anti-DNA topoisomerase I autoantibodies to the cell surface of fibroblasts in patients with systemic sclerosis
- Author
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Mélanie Tremblay, Isabelle Clément, Yves Raymond, Jill Hénault, and Jean-Luc Senécal
- Subjects
Anti-nuclear antibody ,Immunology ,Biology ,Immunofluorescence ,medicine.disease_cause ,Flow cytometry ,Autoimmunity ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,parasitic diseases ,medicine ,Immunology and Allergy ,Pharmacology (medical) ,skin and connective tissue diseases ,Fibroblast ,030304 developmental biology ,030203 arthritis & rheumatology ,Autoimmune disease ,0303 health sciences ,integumentary system ,medicine.diagnostic_test ,Autoantibody ,medicine.disease ,3. Good health ,medicine.anatomical_structure ,biology.protein ,Antibody - Abstract
Objective Fibroblasts play a crucial role in the development of systemic sclerosis (SSc), and antifibroblast antibodies (AFAs) capable of inducing a proinflammatory phenotype in fibroblasts have been detected in the sera of SSc patients. This study examined the prevalence of AFAs in SSc and other diseases and the possible correlation between AFAs and known antinuclear antibody specificities in SSc patients. Methods Sera from 99 patients with SSc, 123 patients with other autoimmune and nonautoimmune diseases, and 30 age- and sex-matched healthy controls were examined. AFA prevalence was assessed by flow cytometry and further characterized by indirect immunofluorescence, enzyme-linked immunosorbent assay (ELISA), and immunoblotting. Anti–topoisomerase I (anti–topo I) from SSc sera were purified by affinity chromatography on topo I. Results AFAs were more common in SSc patients (26.3%) than in any other disease groups studied. The presence of AFA was significantly associated with pulmonary involvement and death. AFA-positive sera from SSc patients bound to all human and rodent fibroblasts tested, but not to human primary endothelial cells or smooth muscle cells. All SSc AFAs strongly reacted with topo I by ELISA and immunoblotting. The binding intensity of SSc AFAs correlated strongly with reactivity against topo I on immunoblots of fibroblast extracts and with the immunofluorescence pattern typical of anti–topo I on permeabilized cells. Total IgG and affinity-purified anti–topo I from AFA-positive SSc sera were found to react with the surface of unpermeabilized fibroblasts by flow cytometry as well as by immunofluorescence and confocal microscopy. Conclusion This is the first report establishing that AFAs in SSc are strongly correlated with anti–topo I and, furthermore, that anti–topo I antibodies themselves display AFA activity by reacting with determinants at the fibroblast surface.
- Published
- 2004