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Prevalence and clinico-serological correlations of anti-alpha-enolase, anti-C1q, and anti-dsDNA antibodies in patients with systemic lupus erythematosus.

AbstractOBJECTIVE:
To evaluate the prevalence and clinico-serological correlations of anti-enolase, anti-C1q, and anti-dsDNA antibodies in patients with systemic lupus erythematosus (SLE).
METHODS:
Sixty-eight sera randomly obtained from SLE patients were examined. Anti-alpha-enolase antibodies were detected by immunoblot on recombinant protein; anti-C1q and anti-dsDNA antibodies were detected using an ELISA.
RESULTS:
Anti-alpha-enolase, anti-C1q, and anti-dsDNA antibodies were positive in 21%, 62%, and 63% of patients, respectively. A correlation was found between anti-dsDNA and anti-C1q antibodies, while anti-enolase antibodies did not correlate with the other 2 specificities. Anti-alpha-enolase antibodies were not correlated with any of the clinical and serological variables examined. Anti-C1q antibodies were correlated with ECLAM score, leukopenia, complement levels, and active renal involvement. Anti-dsDNA antibodies correlated with arthritis, leukopenia, complement levels, and the presence of renal involvement, independent of activity. In patients with active renal disease anti-dsDNA antibodies were correlated with a poor renal outcome, occurring after a mean period of 24 months.
CONCLUSION:
These data suggest the association of anti-C1q antibodies with disease flares and active renal disease in SLE. The observed association of anti-dsDNA antibodies and renal disease was expected. Further analysis is required to fully assess the clinical significance of anti-a-enolase antibodies.
AuthorsMarta Mosca, Daniele Chimenti, Federico Pratesi, Chiara Baldini, Consuelo Anzilotti, Stefano Bombardieri, Paola Migliorini
JournalThe Journal of rheumatology (J Rheumatol) Vol. 33 Issue 4 Pg. 695-7 (Apr 2006) ISSN: 0315-162X [Print] Canada
PMID16583471 (Publication Type: Journal Article)
Chemical References
  • Antibodies, Antinuclear
  • Autoantibodies
  • Biomarkers, Tumor
  • DNA-Binding Proteins
  • Tumor Suppressor Proteins
  • Complement C1q
  • DNA
  • ENO1 protein, human
  • Phosphopyruvate Hydratase
Topics
  • Antibodies, Antinuclear (blood, immunology)
  • Autoantibodies (blood, immunology)
  • Biomarkers, Tumor (blood, immunology)
  • Complement C1q (analysis, immunology)
  • DNA (immunology)
  • DNA-Binding Proteins (blood, immunology)
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immunoblotting
  • Lupus Erythematosus, Systemic (blood, diagnosis, immunology)
  • Male
  • Phosphopyruvate Hydratase (blood, immunology)
  • Prognosis
  • Severity of Illness Index
  • Tumor Suppressor Proteins (blood, immunology)

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