Increased prevalence of autoantibodies to Ku antigen in African American versus white patients with systemic lupus erythematosus

Objective To investigate whether the widely varying estimates of the prevalence of anti‐Ku autoantibodies are explained by racial/ethnic differences. Methods Consecutive African American or white patients who met the 1982 criteria for systemic lupus erythematosus (SLE) and who were evaluated over 10...

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Veröffentlicht in:Arthritis and rheumatism 2001-10, Vol.44 (10), p.2367-2370
Hauptverfasser: Wang, Jingsong, Satoh, Minoru, Kabir, Fathima, Shaw, Melody, Domingo, Mary Ann, Mansoor, Rizwan, Behney, Krista M., Dong, Xingwen, Lahita, Robert G., Richards, Hanno B., Reeves, Westley H.
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container_end_page 2370
container_issue 10
container_start_page 2367
container_title Arthritis and rheumatism
container_volume 44
creator Wang, Jingsong
Satoh, Minoru
Kabir, Fathima
Shaw, Melody
Domingo, Mary Ann
Mansoor, Rizwan
Behney, Krista M.
Dong, Xingwen
Lahita, Robert G.
Richards, Hanno B.
Reeves, Westley H.
description Objective To investigate whether the widely varying estimates of the prevalence of anti‐Ku autoantibodies are explained by racial/ethnic differences. Methods Consecutive African American or white patients who met the 1982 criteria for systemic lupus erythematosus (SLE) and who were evaluated over 10 years in North Carolina, Florida, and New York were tested by immunoprecipitation of K562 cell extract for anti‐Ku as well as anti–nuclear RNP (nRNP)/Sm, anti‐Ro/SSA, and anti‐La/SSB autoantibodies. Results Anti‐Ku autoantibodies were detected in sera from 18 of 155 African American patients with SLE (12%) versus 0 of 126 white patients (P < 0.0001, by Fisher's exact test). Anti‐nRNP (63% versus 16%; P < 0.0001) and anti‐Sm (23% versus 7%; P < 0.0004) autoantibodies were also more common in the African American subset. The 2 groups had comparable frequencies of anti‐Ro/SSA and anti‐La/SSB autoantibodies. Conclusion Anti‐Ku antibodies are common in African American patients with SLE but rare in whites, probably explaining the different estimates of their prevalence. In African Americans, the frequency is comparable with that of anti‐La/SSB. Along with anti‐Ku, anti‐nRNP and anti‐Sm autoantibodies are also overrepresented in African Americans, suggesting that a group of specificities is characteristically associated with SLE in African Americans.
doi_str_mv 10.1002/1529-0131(200110)44:10<2367::AID-ART400>3.0.CO;2-I
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Methods Consecutive African American or white patients who met the 1982 criteria for systemic lupus erythematosus (SLE) and who were evaluated over 10 years in North Carolina, Florida, and New York were tested by immunoprecipitation of K562 cell extract for anti‐Ku as well as anti–nuclear RNP (nRNP)/Sm, anti‐Ro/SSA, and anti‐La/SSB autoantibodies. Results Anti‐Ku autoantibodies were detected in sera from 18 of 155 African American patients with SLE (12%) versus 0 of 126 white patients (P &lt; 0.0001, by Fisher's exact test). Anti‐nRNP (63% versus 16%; P &lt; 0.0001) and anti‐Sm (23% versus 7%; P &lt; 0.0004) autoantibodies were also more common in the African American subset. The 2 groups had comparable frequencies of anti‐Ro/SSA and anti‐La/SSB autoantibodies. Conclusion Anti‐Ku antibodies are common in African American patients with SLE but rare in whites, probably explaining the different estimates of their prevalence. In African Americans, the frequency is comparable with that of anti‐La/SSB. Along with anti‐Ku, anti‐nRNP and anti‐Sm autoantibodies are also overrepresented in African Americans, suggesting that a group of specificities is characteristically associated with SLE in African Americans.</description><identifier>ISSN: 0004-3591</identifier><identifier>EISSN: 1529-0131</identifier><identifier>DOI: 10.1002/1529-0131(200110)44:10&lt;2367::AID-ART400&gt;3.0.CO;2-I</identifier><identifier>PMID: 11665978</identifier><identifier>CODEN: ARHEAW</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antibody Specificity ; Antigens, Nuclear ; Autoantibodies - immunology ; Biological and medical sciences ; Black or African American ; Black People ; DNA Helicases ; DNA-Binding Proteins - immunology ; Female ; Humans ; Ku Autoantigen ; Lupus Erythematosus, Systemic - ethnology ; Lupus Erythematosus, Systemic - immunology ; Male ; Medical sciences ; Middle Aged ; Nuclear Proteins - immunology ; Prevalence ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Methods Consecutive African American or white patients who met the 1982 criteria for systemic lupus erythematosus (SLE) and who were evaluated over 10 years in North Carolina, Florida, and New York were tested by immunoprecipitation of K562 cell extract for anti‐Ku as well as anti–nuclear RNP (nRNP)/Sm, anti‐Ro/SSA, and anti‐La/SSB autoantibodies. Results Anti‐Ku autoantibodies were detected in sera from 18 of 155 African American patients with SLE (12%) versus 0 of 126 white patients (P &lt; 0.0001, by Fisher's exact test). Anti‐nRNP (63% versus 16%; P &lt; 0.0001) and anti‐Sm (23% versus 7%; P &lt; 0.0004) autoantibodies were also more common in the African American subset. The 2 groups had comparable frequencies of anti‐Ro/SSA and anti‐La/SSB autoantibodies. Conclusion Anti‐Ku antibodies are common in African American patients with SLE but rare in whites, probably explaining the different estimates of their prevalence. In African Americans, the frequency is comparable with that of anti‐La/SSB. Along with anti‐Ku, anti‐nRNP and anti‐Sm autoantibodies are also overrepresented in African Americans, suggesting that a group of specificities is characteristically associated with SLE in African Americans.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibody Specificity</subject><subject>Antigens, Nuclear</subject><subject>Autoantibodies - immunology</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People</subject><subject>DNA Helicases</subject><subject>DNA-Binding Proteins - immunology</subject><subject>Female</subject><subject>Humans</subject><subject>Ku Autoantigen</subject><subject>Lupus Erythematosus, Systemic - ethnology</subject><subject>Lupus Erythematosus, Systemic - immunology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nuclear Proteins - immunology</subject><subject>Prevalence</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>White People</topic><toplevel>online_resources</toplevel><creatorcontrib>Wang, Jingsong</creatorcontrib><creatorcontrib>Satoh, Minoru</creatorcontrib><creatorcontrib>Kabir, Fathima</creatorcontrib><creatorcontrib>Shaw, Melody</creatorcontrib><creatorcontrib>Domingo, Mary Ann</creatorcontrib><creatorcontrib>Mansoor, Rizwan</creatorcontrib><creatorcontrib>Behney, Krista M.</creatorcontrib><creatorcontrib>Dong, Xingwen</creatorcontrib><creatorcontrib>Lahita, Robert G.</creatorcontrib><creatorcontrib>Richards, Hanno B.</creatorcontrib><creatorcontrib>Reeves, Westley H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Jingsong</au><au>Satoh, Minoru</au><au>Kabir, Fathima</au><au>Shaw, Melody</au><au>Domingo, Mary Ann</au><au>Mansoor, Rizwan</au><au>Behney, Krista M.</au><au>Dong, Xingwen</au><au>Lahita, Robert G.</au><au>Richards, Hanno B.</au><au>Reeves, Westley H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased prevalence of autoantibodies to Ku antigen in African American versus white patients with systemic lupus erythematosus</atitle><jtitle>Arthritis and rheumatism</jtitle><addtitle>Arthritis Rheum</addtitle><date>2001-10</date><risdate>2001</risdate><volume>44</volume><issue>10</issue><spage>2367</spage><epage>2370</epage><pages>2367-2370</pages><issn>0004-3591</issn><eissn>1529-0131</eissn><coden>ARHEAW</coden><abstract>Objective To investigate whether the widely varying estimates of the prevalence of anti‐Ku autoantibodies are explained by racial/ethnic differences. Methods Consecutive African American or white patients who met the 1982 criteria for systemic lupus erythematosus (SLE) and who were evaluated over 10 years in North Carolina, Florida, and New York were tested by immunoprecipitation of K562 cell extract for anti‐Ku as well as anti–nuclear RNP (nRNP)/Sm, anti‐Ro/SSA, and anti‐La/SSB autoantibodies. Results Anti‐Ku autoantibodies were detected in sera from 18 of 155 African American patients with SLE (12%) versus 0 of 126 white patients (P &lt; 0.0001, by Fisher's exact test). Anti‐nRNP (63% versus 16%; P &lt; 0.0001) and anti‐Sm (23% versus 7%; P &lt; 0.0004) autoantibodies were also more common in the African American subset. The 2 groups had comparable frequencies of anti‐Ro/SSA and anti‐La/SSB autoantibodies. Conclusion Anti‐Ku antibodies are common in African American patients with SLE but rare in whites, probably explaining the different estimates of their prevalence. In African Americans, the frequency is comparable with that of anti‐La/SSB. Along with anti‐Ku, anti‐nRNP and anti‐Sm autoantibodies are also overrepresented in African Americans, suggesting that a group of specificities is characteristically associated with SLE in African Americans.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>11665978</pmid><doi>10.1002/1529-0131(200110)44:10&lt;2367::AID-ART400&gt;3.0.CO;2-I</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Antibody Specificity
Antigens, Nuclear
Autoantibodies - immunology
Biological and medical sciences
Black or African American
Black People
DNA Helicases
DNA-Binding Proteins - immunology
Female
Humans
Ku Autoantigen
Lupus Erythematosus, Systemic - ethnology
Lupus Erythematosus, Systemic - immunology
Male
Medical sciences
Middle Aged
Nuclear Proteins - immunology
Prevalence
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
White People
title Increased prevalence of autoantibodies to Ku antigen in African American versus white patients with systemic lupus erythematosus
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