title: Instability of natural antibody repertoires in systemic lupus erythematosus patients, revealed by multiparametric analysis of serum antibody reactivities.
abstract: Recent views on autoimmune diseases invoke generalized but specific perturbations in antibody repertoires, rather than the clonally restricted or non-specific polyclonal alterations proposed thus far. The present experiments analyse serum antibody reactivities in 24 systemic lupus erythematosus (SLE) patients and 17 healthy controls, using a method that quantitatively scores a large number of antibody reactivities and allows for multiparametric statistical analyses. The results show global but relatively specific perturbations in SLE antibody repertoires, and identify novel disease-associated reactivity patterns. Furthermore, a time series analysis of serum antibodies over 3 months demonstrates instability of natural antibody repertoires in individual SLE patients, contrasting with their remarkable conservation in healthy donors. Moreover, the method used clusters controls and patients independently, and might prove of diagnostic value, once large data bases are established.
authors.affiliation: Unité d'Immunobiologie, CNRS URA 1961, Institut Pasteur, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Ferreira
authors.forename: L
authors.initials: L
authors.lastname: Mouthon
authors.forename: A
authors.initials: A
authors.lastname: Nobrega
authors.forename: M
authors.initials: M
authors.lastname: Haury
authors.forename: M D
authors.initials: MD
authors.lastname: Kazatchkine
authors.forename: E
authors.initials: E
authors.lastname: Ferreira
authors.forename: F
authors.initials: F
authors.lastname: Padua
authors.forename: A
authors.initials: A
authors.lastname: Coutinho
authors.forename: A
authors.initials: A
authors.lastname: Sundblad
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000937:Antigen-Antibody Reactions; D001323:Autoantibodies / Q000096:biosynthesis* / Q000097:blood; D004912:Erythrocytes / Q000276:immunology; D005260:Female; D006801:Humans; D007113:Immunity, Innate; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D007136:Immunoglobulins / Q000097:blood; D008099:Liver / Q000276:immunology; D008180:Lupus Erythematosus, Systemic / Q000097:blood / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D013950:Thymus Gland / Q000276:immunology
chemical_list: D001323:Autoantibodies; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D007136:Immunoglobulins