Abstract
An immunological study was made of the placentae from 5 mothers with lupus erythematosus. 3 of the 5 mothers had anti-DNA antibodies in their sera at the time of delivery and in one of these anti-DNA antibodies were detected in the cord blood. This patient had active renal disease and serological evidence suggestive of circulating immune complexes in her blood at the time of delivery. Immunofluorescence studies showed granular deposition of immunoglobulin and C3 on the trophoblast basement membrane similar to that previously described on the glomerular basement membrane in systemic lupus erythematosus. Anti-DNA antibodies were eluted from the placenta in this case. We suggest that immune complex deposition on the trophoblast basement membrane in patients with active systemic lupus erythematosus may play a part in the increased fetal mortality in this disease.
Full text
PDF![129](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/1001177/ce02a5df8781/annrheumd00084-0023.png)
![130](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/1001177/4de8ef073363/annrheumd00084-0024.png)
![131](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/1001177/4d52c30aafef/annrheumd00084-0025.png)
![132](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/1001177/03390b1e2c6e/annrheumd00084-0026.png)
![133](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/1001177/391f6c24a996/annrheumd00084-0027.png)
![134](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc92/1001177/ac7b76bb24f2/annrheumd00084-0028.png)
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ALEXANDER W. R., DUTHIE J. J. Reaction of lupus erythematosus serum with nuclei of circulating and non-circulating cells. Br Med J. 1958 Dec 27;2(5112):1565–1566. doi: 10.1136/bmj.2.5112.1565. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Agnello V., Koffler D., Kunkel H. G. Immune complex systems in the nephritis of systemic lupus erythematosus. Kidney Int. 1973 Feb;3(2):90–99. doi: 10.1038/ki.1973.15. [DOI] [PubMed] [Google Scholar]
- BECK J. S. Variations in the morphological patterns of "autoimmune" nuclear fluorescence. Lancet. 1961 Jun 3;1(7188):1203–1205. doi: 10.1016/s0140-6736(61)91944-4. [DOI] [PubMed] [Google Scholar]
- BRIDGE R. G., FOLEY F. E. Placental transmission of the lupus erythematosus factor. Am J Med Sci. 1954 Jan;227(1):1–8. doi: 10.1097/00000441-195401000-00001. [DOI] [PubMed] [Google Scholar]
- CLARK H. F., SHEPARD C. C. A DIALYSIS TECHNIQUE FOR PREPARING FLUORESCENT ANTIBODY. Virology. 1963 Aug;20:642–644. doi: 10.1016/0042-6822(63)90292-7. [DOI] [PubMed] [Google Scholar]
- Cox J. B. Disseminated lupus erythematosus in pregnancy. Obstet Gynecol. 1965 Oct;26(4):511–514. [PubMed] [Google Scholar]
- Faulk W. P., Jeannet M., Creighton W. D., Carbonara A. Immunological studies of the human placenta. Characterization of immunoglobulins on trophoblastic basement membranes. J Clin Invest. 1974 Nov;54(5):1011–1019. doi: 10.1172/JCI107844. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grishman E., Churg J. Connective tissue in systemic lupus erythematosus. Demonstration of disseminated vascular and extravascular "wire loop" deposits. Arch Pathol. 1971 Feb;91(2):156–166. [PubMed] [Google Scholar]
- Hughes G. R. Significance of anti-D.N.A. antibodies in systemic lupus erythematosus. Lancet. 1971 Oct 16;2(7729):861–863. doi: 10.1016/s0140-6736(71)90234-0. [DOI] [PubMed] [Google Scholar]
- Koffler D., Schur P. H., Kunkel H. G. Immunological studies concerning the nephritis of systemic lupus erythematosus. J Exp Med. 1967 Oct 1;126(4):607–624. doi: 10.1084/jem.126.4.607. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MCDEVITT H. O., PETERS J. H., POLLARD L. W., HARTER J. G., COONS A. H. PURIFICATION AND ANALYSIS OF FLUORESCEIN-LABELED ANTISERA BY COLUMN CHROMATOGRAPHY. J Immunol. 1963 Apr;90:634–642. [PubMed] [Google Scholar]
- MUND A., SIMSON J., ROTHFIELD N. Effect of pregnancy on course of systemic lupus erythematosus. JAMA. 1963 Mar 16;183:917–920. doi: 10.1001/jama.1963.03700110049009. [DOI] [PubMed] [Google Scholar]
- McCormick J. N., Faulk W. P., Fox H., Fudenberg H. H. Immunohistological and elution studies of the human placenta. J Exp Med. 1971 Jan 1;133(1):1–18. doi: 10.1084/jem.133.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Paronetto F., Koffler D. Immunofluorescent localization of immunoglobulins, complement, and fibrinogen in human diseases. I. Systemic lupus erythematosus. J Clin Invest. 1965 Oct;44(10):1657–1664. doi: 10.1172/JCI105272. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schur P. H., Sandson J. Immunologic factors and clinical activity in systemic lupus erythematosus. N Engl J Med. 1968 Mar 7;278(10):533–538. doi: 10.1056/NEJM196803072781004. [DOI] [PubMed] [Google Scholar]
- Tan E. M., Kunkel H. G. An immunofluorescent study of the skin lesions in systemic lupus erythematosus. Arthritis Rheum. 1966 Feb;9(1):37–46. doi: 10.1002/art.1780090105. [DOI] [PubMed] [Google Scholar]
- Tan E. M., Schur P. H., Carr R. I., Kunkel H. G. Deoxybonucleic acid (DNA) and antibodies to DNA in the serum of patients with systemic lupus erythematosus. J Clin Invest. 1966 Nov;45(11):1732–1740. doi: 10.1172/JCI105479. [DOI] [PMC free article] [PubMed] [Google Scholar]