title: Evidence for direct anti-heparin-sulphate reactivity in sera of SLE patients.
abstract: Recently it has been suggested that anti-ds-DNA antibodies (Abs) promote tissue damage in systemic lupus erythematosus (SLE) by cross-reactivity with highly negatively charged tissue components such as heparan sulphate (HS), the major glycosaminoglycan of the glomerular basement membrane (GBM). Other authors, however, support the theory of DNA-anti-dsDNA immune complex deposition in situ. To further elucidate the possible role of HS antibodies, we developed a new ELISA system with heparan sulphate bound to solid phase. SLE patients (n = 40) showed a higher reactivity against HS (mean = 28.4, SD = 34.3) as compared to normal donors (n = 28, mean = 15.2, SD = 6.3) and patients with rheumatoid arthritis (n = 35, mean = 14.3, SD = 6.4). The addition of native dsDNA or HS to SLE sera was followed by a dose-dependent reduction in anti-HS reactivity. In contrast, in an anti-dsDNA ELISA, no reduction was observed when HS was added to SLE sera. An increase in reactivity was observed when SLE sera with and without a prior incubation with dsDNA were digested with DNAse I or II. After the purification of serum samples by protein A sepharose under dissociative conditions, seven out of eight SLE patients showed an increase in anti-HS reactivity. No correlation of the anti-HS Abs was found with organ involvement or other serological parameters. We concluded, that there is evidence for a direct anti-HS Ab reactivity in SLE sera. A part of these antibodies seems to show low avidity anti-dsDNA cross-reactivity.
authors.affiliation: Department of Medicine III, Medical School Erlangen, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Pirner
authors.forename: A
authors.initials: A
authors.lastname: Rascu
authors.forename: W
authors.initials: W
authors.lastname: Nürnberg
authors.forename: A
authors.initials: A
authors.lastname: Rubbert
authors.forename: J R
authors.initials: JR
authors.lastname: Kalden
authors.forename: B
authors.initials: B
authors.lastname: Manger
mesh_terms: D000888:Antibodies, Anti-Idiotypic / Q000032:analysis / Q000276:immunology*; D003429:Cross Reactions; D004247:DNA / Q000032:analysis / Q000276:immunology*; D004797:Enzyme-Linked Immunosorbent Assay; D006497:Heparan Sulfate / Q000032:analysis / Q000276:immunology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000097:blood / Q000276:immunology*
chemical_list: D000888:Antibodies, Anti-Idiotypic; D004247:DNA; D006497:Heparan Sulfate