title: Steroid 21-hydroxylase is a major autoantigen involved in adult onset autoimmune Addison's disease.
abstract: An adrenal-specific protein reacting with autoantibodies in the sera of patients with adult onset Addison's disease has been purified from human adrenal glands. The protein, mol.wt. 55K, has the biochemical characteristics of steroid 21-hydroxylase and reacts on Western blots with rabbit antibodies to recombinant 21-hydroxylase. Absorption of the native human 55K adrenal protein with human adrenal autoantibodies prevented the subsequent reaction of the 55K protein with rabbit antibodies to 21-hydroxylase in Western blot analysis. In addition, human adrenal autoantibodies reacted with recombinant 21-hydroxylase expressed in yeast. These data indicate that the adrenal specific enzyme steroid 21-hydroxylase is a major autoantigen involved in adult onset autoimmune Addison's disease.
authors.affiliation: Endocrine Immunology Unit, University of Wales College of Medicine, Heath Park, Cardiff, UK.
authors.forename: J
authors.initials: J
authors.lastname: Bednarek
authors.forename: J
authors.initials: J
authors.lastname: Furmaniak
authors.forename: N
authors.initials: N
authors.lastname: Wedlock
authors.forename: Y
authors.initials: Y
authors.lastname: Kiso
authors.forename: A
authors.initials: A
authors.lastname: Baumann-Antczak
authors.forename: S
authors.initials: S
authors.lastname: Fowler
authors.forename: H
authors.initials: H
authors.lastname: Krishnan
authors.forename: J A
authors.initials: JA
authors.lastname: Craft
authors.forename: B
authors.initials: B
authors.lastname: Rees Smith
mesh_terms: D000224:Addison Disease / Q000201:enzymology* / Q000276:immunology*; D000311:Adrenal Glands / Q000276:immunology; D000328:Adult; D001323:Autoantibodies / Q000032:analysis*; D001324:Autoantigens / Q000276:immunology*; D015153:Blotting, Western; D003001:Cloning, Molecular; D004591:Electrophoresis, Polyacrylamide Gel; D005260:Female; D006111:Graves Disease / Q000276:immunology; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis / Q000302:isolation & purification; D008861:Microsomes / Q000276:immunology; D008970:Molecular Weight; D010920:Placenta / Q000276:immunology; D011247:Pregnancy; D012441:Saccharomyces cerevisiae / Q000235:genetics; D013255:Steroid 21-Hydroxylase / Q000235:genetics / Q000276:immunology*; D013961:Thyroid Gland / Q000276:immunology
chemical_list: D001323:Autoantibodies; D001324:Autoantigens; D007074:Immunoglobulin G; D013255:Steroid 21-Hydroxylase