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Elevation of anti-cytokeratin 18 antibody and circulating cytokeratin 18: anti-cytokeratin 18 antibody immune complexes in sera of patients with idiopathic pulmonary fibrosis.

Abstract
In this study, we hypothesize that anti-cytokeratin 18 (CK18) antibody and CK18:anti-CK18 immune complex increase in sera in patients with idiopathic pulmonary fibrosis (IPF). To prove the existence of anti-CK18 antibodies in patients' sera, bovine CK18 was stained with patients' sera using a Western blotting. In patients with IPF, anti-CK18 antibodies were clearly demonstrated in sera by Western blotting. Then, we tried to establish an enzyme-linked immunosorbent assay (ELISA) to quantify anti-CK18 antibodies and CK18:anti-CK18 immune complexes in sera of patients with IPF. Levels of anti-human CK18 antibodies in sera of patients with IPF (0.81 +/- 0.31, mean +/- SD) measured by ELISA were significantly high compared with that of normal volunteers (0.45 +/- 0.06, p < 0.01). In addition, levels of CK18:anti-CK18 antibody complexes in patients' sera (0.64 +/- 0.35, man +/- SD) significantly increased compared with those of normal subjects (0.40 +/- 0.10, p < 0.01). These results suggest that anti-CK18 antibody and its immune complex may have played a role in the process of lung injury in IPF.
AuthorsN Dobashi, J Fujita, M Murota, Y Ohtsuki, I Yamadori, T Yoshinouchi, R Ueda, S Bandoh, T Kamei, M Nishioka, T Ishida, J Takahara
JournalLung (Lung) Vol. 178 Issue 3 Pg. 171-9 ( 2000) ISSN: 0341-2040 [Print] United States
PMID10871435 (Publication Type: Comparative Study, Journal Article, Multicenter Study)
Chemical References
  • Antigen-Antibody Complex
  • Autoantibodies
  • Biomarkers
  • Keratins
Topics
  • Adult
  • Aged
  • Antigen-Antibody Complex (blood, immunology)
  • Autoantibodies
  • Biomarkers (blood)
  • Blotting, Western
  • Cell Division (immunology)
  • Electrophoresis, Polyacrylamide Gel
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Keratins (immunology)
  • Male
  • Middle Aged
  • Prognosis
  • Pulmonary Alveoli (immunology, pathology)
  • Pulmonary Fibrosis (blood, immunology, pathology)
  • Retrospective Studies
  • Severity of Illness Index

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