title: Spontaneous shift of anti-DNA antibody idiotypes in systemic lupus erythematosus.
abstract: Spontaneous shift in Id expression of polyclonal anti-DNA antibodies in a patient, BS, with SLE was investigated. BS had active lupus nephritis in 1982 and developed central nervous system lupus in 1986 without evidence of active nephritis. Two rabbit polyclonal anti-Id (BS-82 and BS-86 R-anti-Id) were raised against affinity-purified anti-DNA antibodies prepared from 1982 serum (BS-82) and 1986 serum (BS-86), respectively. In addition, murine monoclonal anti-Id was prepared against BS-82 Id. Direct binding assays showed that all three anti-Id had preferential binding to the immunizing anti-DNA antibodies (the homologous Id) and poor binding to anti-DNA antibodies prepared from the different dated sample of BS. This was confirmed by inhibition assays of binding of anti-Id to the homologous Id by various Id. Moreover, inhibition assays of binding of various Id to DNA by the R-anti-Id showed that the R-anti-Id was the most effective inhibitor for the homologous Id. Testing for Id expression in serial (1982 to 1986) serum samples of BS with the R-anti-Id as probes showed that BS-82 Id declined and was undetectable after October, 1984, whereas BS-86 Id was first detectable in July, 1985, and increased by June, 1986. These results clearly demonstrate spontaneous shifts in Id expression of human anti-DNA antibodies. The phenomenon of Id shift should be considered in any future strategy for the diagnosis and therapy of human autoimmune disease by anti-Id.
authors.affiliation: Department of Medicine, University of Kansas Medical Center, Kansas City 66103.
authors.forename: R
authors.initials: R
authors.lastname: Suenaga
authors.forename: P A
authors.initials: PA
authors.lastname: Munoz
authors.forename: S W
authors.initials: SW
authors.lastname: Bright
authors.forename: N I
authors.initials: NI
authors.lastname: Abdou
mesh_terms: D000974:Antibodies, Antinuclear / Q000032:analysis*; D000911:Antibodies, Monoclonal / Q000502:physiology; D001666:Binding Sites, Antibody; D001667:Binding, Competitive; D004247:DNA / Q000276:immunology* / Q000378:metabolism; D005260:Female; D006801:Humans; D007130:Immunoglobulin Idiotypes / Q000032:analysis* / Q000276:immunology / Q000378:metabolism; D008180:Lupus Erythematosus, Systemic / Q000276:immunology*; D011956:Receptors, Cell Surface / Q000032:analysis
chemical_list: D000974:Antibodies, Antinuclear; D000911:Antibodies, Monoclonal; C033365:DNA receptor; D007130:Immunoglobulin Idiotypes; D011956:Receptors, Cell Surface; D004247:DNA