IgA Class Antibodies in Dermatitis Herpetiformis: Reaction With Tissue Antigens

The mechanism for deposition of IgA in dermatitis herpetiformis (DH) remains unclear. To test the hypothesis that a circulating IgA class antibody in DH patients binds to constituents of normal human skin, we employed the highly sensitive methods of immunoblotting and indirect immunofluorescence. Se...

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Veröffentlicht in:Journal of investigative dermatology 1989-08, Vol.93 (2), p.253-258
Hauptverfasser: Kadunce, Donald P, Meyer, Laurence J, Zone, John J
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Zone, John J
description The mechanism for deposition of IgA in dermatitis herpetiformis (DH) remains unclear. To test the hypothesis that a circulating IgA class antibody in DH patients binds to constituents of normal human skin, we employed the highly sensitive methods of immunoblotting and indirect immunofluorescence. Sera from 64 DH patients, 67 randomly selected normal control subjects, 29 histocompatibility locus antigen (HLA) B8/DR3/DQw2 controls, and 12 psoriatic patients were tested for IgA binding to various substrates, including dermal and epidermal extracts, fibroblast and keratinocyte supernatants, monkey esophagus sections, and whole and saline-split normal human skin sections. Significant differences observed among the groups in the frequency of detectable IgA antibodies reacting with various substrates were as follows: 1) IgA antibodies in 30% of both DH and HLA B8/DR3/DQw2 sera bound to a 60-Kd protein in dermal extracts (p
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To test the hypothesis that a circulating IgA class antibody in DH patients binds to constituents of normal human skin, we employed the highly sensitive methods of immunoblotting and indirect immunofluorescence. Sera from 64 DH patients, 67 randomly selected normal control subjects, 29 histocompatibility locus antigen (HLA) B8/DR3/DQw2 controls, and 12 psoriatic patients were tested for IgA binding to various substrates, including dermal and epidermal extracts, fibroblast and keratinocyte supernatants, monkey esophagus sections, and whole and saline-split normal human skin sections. Significant differences observed among the groups in the frequency of detectable IgA antibodies reacting with various substrates were as follows: 1) IgA antibodies in 30% of both DH and HLA B8/DR3/DQw2 sera bound to a 60-Kd protein in dermal extracts (p&lt;0.25 versus non-HLA matched controls); 2) IgA antiendomysial antibodies were present in 38% of DH patients (predominantly those not on gluten-free diets), whereas both normal control groups had frequencies of 5-10% (p&lt;0.025); 3) there was more nonspecific IgA anti- body-binding to dermal, epidermal, and bovine proteins in DH and HLA control sera than in normal sera; and 4) IgA antibodies directed against the basement membrane were present with an increased frequency of 25% in both DH and HLA B8/DR3/DQw2 sera (p&lt;0.1 versus non-HLA matched controls). Therefore, these results do not support the hypothesis that there is an unique antigen within normal human skin to which IgA antibodies from DH sera bind.</description><identifier>ISSN: 0022-202X</identifier><identifier>EISSN: 1523-1747</identifier><identifier>DOI: 10.1111/1523-1747.ep12277583</identifier><identifier>PMID: 2474032</identifier><identifier>CODEN: JIDEAE</identifier><language>eng</language><publisher>Danvers, MA: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Animals ; Antibodies - immunology ; Antigen-Antibody Reactions ; Antigens - immunology ; Basement membranes ; Biological and medical sciences ; Cells, Cultured ; Child ; Culture Media ; Dermatitis herpetiformis ; Dermatitis Herpetiformis - immunology ; Dermatology ; Epidermal Cells ; Epidermis - immunology ; Esophagus ; Esophagus - immunology ; Female ; Fibroblasts ; Fibroblasts - immunology ; Fluorescent Antibody Technique ; Histocompatibility antigen HLA ; Humans ; Immunoblotting ; Immunofluorescence ; Immunoglobulin A ; Immunoglobulin A - analysis ; Immunoglobulin A - immunology ; Keratinocytes ; Keratins ; Macaca mulatta ; Male ; Medical sciences ; Middle Aged ; Skin ; Skin - cytology ; Skin - immunology ; Skin involvement in other diseases. 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To test the hypothesis that a circulating IgA class antibody in DH patients binds to constituents of normal human skin, we employed the highly sensitive methods of immunoblotting and indirect immunofluorescence. Sera from 64 DH patients, 67 randomly selected normal control subjects, 29 histocompatibility locus antigen (HLA) B8/DR3/DQw2 controls, and 12 psoriatic patients were tested for IgA binding to various substrates, including dermal and epidermal extracts, fibroblast and keratinocyte supernatants, monkey esophagus sections, and whole and saline-split normal human skin sections. Significant differences observed among the groups in the frequency of detectable IgA antibodies reacting with various substrates were as follows: 1) IgA antibodies in 30% of both DH and HLA B8/DR3/DQw2 sera bound to a 60-Kd protein in dermal extracts (p&lt;0.25 versus non-HLA matched controls); 2) IgA antiendomysial antibodies were present in 38% of DH patients (predominantly those not on gluten-free diets), whereas both normal control groups had frequencies of 5-10% (p&lt;0.025); 3) there was more nonspecific IgA anti- body-binding to dermal, epidermal, and bovine proteins in DH and HLA control sera than in normal sera; and 4) IgA antibodies directed against the basement membrane were present with an increased frequency of 25% in both DH and HLA B8/DR3/DQw2 sera (p&lt;0.1 versus non-HLA matched controls). Therefore, these results do not support the hypothesis that there is an unique antigen within normal human skin to which IgA antibodies from DH sera bind.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Animals</subject><subject>Antibodies - immunology</subject><subject>Antigen-Antibody Reactions</subject><subject>Antigens - immunology</subject><subject>Basement membranes</subject><subject>Biological and medical sciences</subject><subject>Cells, Cultured</subject><subject>Child</subject><subject>Culture Media</subject><subject>Dermatitis herpetiformis</subject><subject>Dermatitis Herpetiformis - immunology</subject><subject>Dermatology</subject><subject>Epidermal Cells</subject><subject>Epidermis - immunology</subject><subject>Esophagus</subject><subject>Esophagus - immunology</subject><subject>Female</subject><subject>Fibroblasts</subject><subject>Fibroblasts - immunology</subject><subject>Fluorescent Antibody Technique</subject><subject>Histocompatibility antigen HLA</subject><subject>Humans</subject><subject>Immunoblotting</subject><subject>Immunofluorescence</subject><subject>Immunoglobulin A</subject><subject>Immunoglobulin A - analysis</subject><subject>Immunoglobulin A - immunology</subject><subject>Keratinocytes</subject><subject>Keratins</subject><subject>Macaca mulatta</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Skin</subject><subject>Skin - cytology</subject><subject>Skin - immunology</subject><subject>Skin involvement in other diseases. 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To test the hypothesis that a circulating IgA class antibody in DH patients binds to constituents of normal human skin, we employed the highly sensitive methods of immunoblotting and indirect immunofluorescence. Sera from 64 DH patients, 67 randomly selected normal control subjects, 29 histocompatibility locus antigen (HLA) B8/DR3/DQw2 controls, and 12 psoriatic patients were tested for IgA binding to various substrates, including dermal and epidermal extracts, fibroblast and keratinocyte supernatants, monkey esophagus sections, and whole and saline-split normal human skin sections. Significant differences observed among the groups in the frequency of detectable IgA antibodies reacting with various substrates were as follows: 1) IgA antibodies in 30% of both DH and HLA B8/DR3/DQw2 sera bound to a 60-Kd protein in dermal extracts (p&lt;0.25 versus non-HLA matched controls); 2) IgA antiendomysial antibodies were present in 38% of DH patients (predominantly those not on gluten-free diets), whereas both normal control groups had frequencies of 5-10% (p&lt;0.025); 3) there was more nonspecific IgA anti- body-binding to dermal, epidermal, and bovine proteins in DH and HLA control sera than in normal sera; and 4) IgA antibodies directed against the basement membrane were present with an increased frequency of 25% in both DH and HLA B8/DR3/DQw2 sera (p&lt;0.1 versus non-HLA matched controls). Therefore, these results do not support the hypothesis that there is an unique antigen within normal human skin to which IgA antibodies from DH sera bind.</abstract><cop>Danvers, MA</cop><pub>Elsevier Inc</pub><pmid>2474032</pmid><doi>10.1111/1523-1747.ep12277583</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Animals
Antibodies - immunology
Antigen-Antibody Reactions
Antigens - immunology
Basement membranes
Biological and medical sciences
Cells, Cultured
Child
Culture Media
Dermatitis herpetiformis
Dermatitis Herpetiformis - immunology
Dermatology
Epidermal Cells
Epidermis - immunology
Esophagus
Esophagus - immunology
Female
Fibroblasts
Fibroblasts - immunology
Fluorescent Antibody Technique
Histocompatibility antigen HLA
Humans
Immunoblotting
Immunofluorescence
Immunoglobulin A
Immunoglobulin A - analysis
Immunoglobulin A - immunology
Keratinocytes
Keratins
Macaca mulatta
Male
Medical sciences
Middle Aged
Skin
Skin - cytology
Skin - immunology
Skin involvement in other diseases. Miscellaneous. General aspects
title IgA Class Antibodies in Dermatitis Herpetiformis: Reaction With Tissue Antigens
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