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Relationship of lnterleukin-4 to Isotypic Distribution of Anti-Double-Stranded DNA Antibodies in Systemic Lupus erythematosus

1993; Karger Publishers; Volume: 101; Issue: 4 Linguagem: Inglês

10.1159/000236484

1423-0097

Maryvonne Dueymes, J Barrier, J.-F. Besancenot, J Clèdes, C. Conri, G. Dien, A. A. Drosos, J.M. Dueymes, P Galanaud, B. Grobois, Loı̈c Guillevin, Pierre‐Yves Hatron, D.A. Isenberg, Christian Jørgensen, Jean Jouquan, A. Lamour, P. Le Goff, M. Longy‐Boursier, R. Maran, Christian Massot, Olivier Meyer, Damien Mottier, H M Moutsopoulos, P. Philippe, J.C. Piette, J Sany, C. Sériès, Yehuda Shoenfeld, Pierre Youinou,

T-cell and B-cell Immunology

IgG subclasses of anti-double-stranded DNA antibodies were determined in 182 patients with systemic lupus erythematosus. All isotypes were detected, but IgG1 and IgG3 were predominant (62 and 51% of the cases, respectively). An average of 64 ± 27% was IgG1, 16 ± 22% IgG2, 16 ± 19% IgG3 and 4 ± 10% IgG4. The rank order or frequency was IgG1, IgG3, IgG2 and IgG4 in patients with musculoskeletal involvement; IgG1, IgG2, IgG3 and IgG4 in those with renal complications; IgG3, IgG1, IgG2 and IgG4 in those with cutaneous involvement; and IgG1, IgG3, IgG2 and IgG4 in those with hematological manifestations. Interleukin-4 (IL-4) was dectectable in 17 of 36 selected patients, as opposed to 1 of 40 normal controls. The percentage of the total autoantibody contributed by IgG1 was significantly higher (p <0.03) in these patients than in the remainder with undetectable levels of IL-4.