Antidesmoglein Autoantibodies in Silicosis Patients with No Bullous Diseases

Background: Pemphigus is an autoimmune bullous disease characterized by the presence of antidesmoglein autoantibodies. However, the mechanism of its autoantibody production remains unknown. In previous reports, we have described rare cases of pemphigus and pemphigoid associated with silicosis. It is...

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Veröffentlicht in:Dermatology (Basel) 2001-01, Vol.202 (1), p.16-21
Hauptverfasser: Ueki, H., Kohda, M., Nobutoh, T., Yamaguchi, M., Omori, K., Miyashita, Y., Hashimoto, T., Komai, A., Tomokuni, A., Ueki, A.
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container_issue 1
container_start_page 16
container_title Dermatology (Basel)
container_volume 202
creator Ueki, H.
Kohda, M.
Nobutoh, T.
Yamaguchi, M.
Omori, K.
Miyashita, Y.
Hashimoto, T.
Komai, A.
Tomokuni, A.
Ueki, A.
description Background: Pemphigus is an autoimmune bullous disease characterized by the presence of antidesmoglein autoantibodies. However, the mechanism of its autoantibody production remains unknown. In previous reports, we have described rare cases of pemphigus and pemphigoid associated with silicosis. It is well known that during long-term silicosis, some autoimmune diseases, such as systemic sclerosis, systemic lupus erythematosus or rheumatoid arthritis, can occur. Objective: The aim of this study was to explore the presence of pemphigus or pemphigoid autoantibodies in silicosis patients without clinical bullous diseases or collagen diseases. Method: The presence of pemphigus antibodies was examined in 54 silicosis patients with no associated bullous diseases, using immunofluorescence, the enzyme-linked immunosorbent assay (ELISA) for desmoglein 1 and 3, and immunoblotting methods. In the antibody-positive cases, HLA genotyping of peripheral lymphocytes was performed with PCR-RFLP. Results: Seven out of the 54 patients were found to be positive for pemphigus antibodies and 1 for bullous pemphigoid by immunofluorescence. In addition, by ELISA, 6 patients were found to be positive against the desmoglein 1 antigen, 2 against the desmoglein 3 antigen and 2 against both desmoglein 1 and desmoglein 3. Conclusion: The results of the present study strongly suggest the occurrence of pemphigus and pemphigoid autoantibodies in patients with silicosis. It remains unclear whether such patients will develop an autoimmune bullous disease in the future. Accordingly, long-term follow-up of antibody-positive patients is required.
doi_str_mv 10.1159/000051578
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However, the mechanism of its autoantibody production remains unknown. In previous reports, we have described rare cases of pemphigus and pemphigoid associated with silicosis. It is well known that during long-term silicosis, some autoimmune diseases, such as systemic sclerosis, systemic lupus erythematosus or rheumatoid arthritis, can occur. Objective: The aim of this study was to explore the presence of pemphigus or pemphigoid autoantibodies in silicosis patients without clinical bullous diseases or collagen diseases. Method: The presence of pemphigus antibodies was examined in 54 silicosis patients with no associated bullous diseases, using immunofluorescence, the enzyme-linked immunosorbent assay (ELISA) for desmoglein 1 and 3, and immunoblotting methods. In the antibody-positive cases, HLA genotyping of peripheral lymphocytes was performed with PCR-RFLP. Results: Seven out of the 54 patients were found to be positive for pemphigus antibodies and 1 for bullous pemphigoid by immunofluorescence. In addition, by ELISA, 6 patients were found to be positive against the desmoglein 1 antigen, 2 against the desmoglein 3 antigen and 2 against both desmoglein 1 and desmoglein 3. Conclusion: The results of the present study strongly suggest the occurrence of pemphigus and pemphigoid autoantibodies in patients with silicosis. It remains unclear whether such patients will develop an autoimmune bullous disease in the future. Accordingly, long-term follow-up of antibody-positive patients is required.</description><identifier>ISSN: 1018-8665</identifier><identifier>EISSN: 1421-9832</identifier><identifier>DOI: 10.1159/000051578</identifier><identifier>PMID: 11244222</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Aged ; Aged, 80 and over ; Autoantibodies - blood ; Biological and medical sciences ; Chemical and industrial products toxicology. Toxic occupational diseases ; Clinical and Laboratory Investigations ; Cytoskeletal Proteins - immunology ; Desmoglein 1 ; Desmoglein 3 ; Desmogleins ; Desmoplakins ; Enzyme-Linked Immunosorbent Assay ; Female ; Fluorescent Antibody Technique, Indirect ; Histocompatibility Testing ; Humans ; Immunoblotting ; Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.) ; Male ; Medical sciences ; Middle Aged ; Pemphigoid, Bullous - immunology ; Silicosis - immunology ; Silicosis - pathology ; Toxicology</subject><ispartof>Dermatology (Basel), 2001-01, Vol.202 (1), p.16-21</ispartof><rights>2001 S. Karger AG, Basel</rights><rights>2001 INIST-CNRS</rights><rights>Copyright (c) 2001 S. 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Results: Seven out of the 54 patients were found to be positive for pemphigus antibodies and 1 for bullous pemphigoid by immunofluorescence. In addition, by ELISA, 6 patients were found to be positive against the desmoglein 1 antigen, 2 against the desmoglein 3 antigen and 2 against both desmoglein 1 and desmoglein 3. Conclusion: The results of the present study strongly suggest the occurrence of pemphigus and pemphigoid autoantibodies in patients with silicosis. It remains unclear whether such patients will develop an autoimmune bullous disease in the future. Accordingly, long-term follow-up of antibody-positive patients is required.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Autoantibodies - blood</subject><subject>Biological and medical sciences</subject><subject>Chemical and industrial products toxicology. 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However, the mechanism of its autoantibody production remains unknown. In previous reports, we have described rare cases of pemphigus and pemphigoid associated with silicosis. It is well known that during long-term silicosis, some autoimmune diseases, such as systemic sclerosis, systemic lupus erythematosus or rheumatoid arthritis, can occur. Objective: The aim of this study was to explore the presence of pemphigus or pemphigoid autoantibodies in silicosis patients without clinical bullous diseases or collagen diseases. Method: The presence of pemphigus antibodies was examined in 54 silicosis patients with no associated bullous diseases, using immunofluorescence, the enzyme-linked immunosorbent assay (ELISA) for desmoglein 1 and 3, and immunoblotting methods. In the antibody-positive cases, HLA genotyping of peripheral lymphocytes was performed with PCR-RFLP. Results: Seven out of the 54 patients were found to be positive for pemphigus antibodies and 1 for bullous pemphigoid by immunofluorescence. In addition, by ELISA, 6 patients were found to be positive against the desmoglein 1 antigen, 2 against the desmoglein 3 antigen and 2 against both desmoglein 1 and desmoglein 3. Conclusion: The results of the present study strongly suggest the occurrence of pemphigus and pemphigoid autoantibodies in patients with silicosis. It remains unclear whether such patients will develop an autoimmune bullous disease in the future. Accordingly, long-term follow-up of antibody-positive patients is required.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>11244222</pmid><doi>10.1159/000051578</doi><tpages>6</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Autoantibodies - blood
Biological and medical sciences
Chemical and industrial products toxicology. Toxic occupational diseases
Clinical and Laboratory Investigations
Cytoskeletal Proteins - immunology
Desmoglein 1
Desmoglein 3
Desmogleins
Desmoplakins
Enzyme-Linked Immunosorbent Assay
Female
Fluorescent Antibody Technique, Indirect
Histocompatibility Testing
Humans
Immunoblotting
Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.)
Male
Medical sciences
Middle Aged
Pemphigoid, Bullous - immunology
Silicosis - immunology
Silicosis - pathology
Toxicology
title Antidesmoglein Autoantibodies in Silicosis Patients with No Bullous Diseases
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