Correlates between autoantibodies to nucleolar antigens and clinical features in patients with systemic sclerosis (scleroderma)

Arthritis Rheum. 1988 Apr;31(4):525-32. doi: 10.1002/art.1780310409.

Abstract

Immunofluorescence on rat liver sections was used to select high-titer antinucleolar antibodies (ANoA) in the sera of patients with systemic sclerosis (scleroderma). In 646 patients, 53 ANoA sera (8%) were identified, and of these, 46 were available in sufficient quantities for further analysis. The complex of RNA polymerase I was immunoprecipitated by 7 sera (15%), which uniformly produced punctate nucleolar staining. The PM-Scl antigen, a particle consisting of 11 polypeptides, was immunoprecipitated by 8 sera (17%), all of which displayed homogeneous nucleolar staining. A 34-kd nucleolar protein (fibrillarin) of the U3 RNP complex was positive in immunoblotting of 22 sera (48%), which characteristically produced clumpy nucleolar staining. Antibodies against RNA polymerase I were associated with diffuse scleroderma of short duration, which was characterized by a high prevalence of internal organ involvement, including renal crisis. Anti-U3 RNP antibodies had a high prevalence in men with significantly less joint involvement, compared with ANoA-negative patients. Anti-PM-Scl antibodies identified a group of scleroderma patients with a high prevalence of concomitant myositis and renal involvement.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibodies, Antinuclear / analysis*
  • Antigens, Nuclear
  • Chemical Precipitation
  • Epitopes
  • Fluorescent Antibody Technique
  • Humans
  • Nuclear Proteins / immunology*
  • RNA Polymerase I / immunology*
  • Ribonucleoproteins / immunology*
  • Scleroderma, Systemic / immunology*

Substances

  • Antibodies, Antinuclear
  • Antigens, Nuclear
  • Epitopes
  • Nuclear Proteins
  • Ribonucleoproteins
  • RNA Polymerase I