title: Serum antibodies to heat shock protein 70 in sensorineural hearing loss.
abstract: OBJECTIVE
  To identify the 68-kd target of antibody in serum samples from patients with idiopathic, progressive, bilateral sensorineural hearing loss.
  
  
  METHODS
  To purify target protein from renal extracts using gel filtration, ion-exchange chromatography, and polyacrylamide gel electrophoresis and to transfer to nitrocellulose membranes. The purified protein was digested with trypsin, and peptide fragments were separated by high-pressure liquid chromatography.
  
  
  RESULTS
  One fraction obtained by high-performance liquid chromatography contained a peptide of 2776 molecular weight. The sequence of a stretch of 22 amino acids within this peptide was identical to that of amino acids 424 through 445 of heat shock protein 70 (HSP70). On Western blotting, monoclonal antibody directed against HSP70 (but capable of recognizing both constitutive HSP70 [HSC70] and stress-inducible HSP70) reacted with the purified 68-kd protein. We compared the reactivity of serum samples from six patients with idiopathic, progressive, bilateral sensorineural hearing loss, as well as monoclonal antibody to HSC70, and monoclonal antibody to HSP70 with renal extract. The pattern obtained suggested that patient antibodies are preferentially directed at HSP70.
  
  
  CONCLUSIONS
  The target of antibody in serum samples from patients with idiopathic, progressive, bilateral sensorineural hearing loss is HSP70.
authors.affiliation: Department of Medicine, Harvard Medical School, Boston, USA.
authors.forename: D B
authors.initials: DB
authors.lastname: Bloch
authors.forename: J E
authors.initials: JE
authors.lastname: San Martin
authors.forename: S D
authors.initials: SD
authors.lastname: Rauch
authors.forename: R A
authors.initials: RA
authors.lastname: Moscicki
authors.forename: K J
authors.initials: KJ
authors.lastname: Bloch
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D000911:Antibodies, Monoclonal; D001323:Autoantibodies / Q000097:blood*; D015153:Blotting, Western; D002417:Cattle; D002850:Chromatography, Gel; D002851:Chromatography, High Pressure Liquid; D002852:Chromatography, Ion Exchange; D003101:Collodion; D004591:Electrophoresis, Polyacrylamide Gel; D018840:HSP70 Heat-Shock Proteins / Q000032:analysis / Q000276:immunology*; D006312:Hearing Loss, Bilateral / Q000097:blood / Q000276:immunology; D006319:Hearing Loss, Sensorineural / Q000097:blood / Q000276:immunology*; D006801:Humans; D015151:Immunoblotting; D007668:Kidney / Q000737:chemistry; D008969:Molecular Sequence Data; D008970:Molecular Weight; D010446:Peptide Fragments / Q000032:analysis; D014020:Tissue Extracts / Q000032:analysis
chemical_list: D000911:Antibodies, Monoclonal; D001323:Autoantibodies; D018840:HSP70 Heat-Shock Proteins; D010446:Peptide Fragments; D014020:Tissue Extracts; D003101:Collodion