Skip to main content
Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1995 Feb;54(2):148–151. doi: 10.1136/ard.54.2.148

Specificity of antinuclear antibodies in primary biliary cirrhosis.

M J Chou 1, S L Lee 1, T Y Chen 1, G J Tsay 1
PMCID: PMC1005541  PMID: 7702406

Abstract

OBJECTIVE--To study the specific autoantibodies against nuclear antigens in patients with primary biliary cirrhosis (PBC). METHODS--Sera from 21 patients with PBC were tested for antinuclear antibody (ANA) by indirect immunofluorescence on human epithelial (HEp)-2 cells, and for antibodies to various nuclear antigens by enzyme linked immunosorbent assay (ELISA) using different purified proteins or recombinant proteins as antigens. RESULTS--ANA detected in 10 of 21 patients (48%) with PBC included five anti-centromere antibody (ACA), two speckled, two homogeneous and one nuclear dot staining. ACA were present in 24% of PBC patients. By ELISA, anti-histone antibodies were detected in 81% of PBC patients, anti-ssDNA antibodies in 71% and anti-dsDNA in 10%, anti-topoisomerase-1 antibodies in 24%, anti-Sm/RNP antibodies in 24%, anti-La-48(SS-A) antibodies in 21%, and anti-Ro-60(SS-A) and anti-Ro-52(SS-A) antibodies in 30% and 25%, respectively. CONCLUSIONS--The high frequencies of various antibodies directed against intracellular proteins and nucleic acids in patients with PBC suggests that PBC is a multisystem autoimmune disease which is similar to other systemic autoimmune diseases.

Full text

PDF
150

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alarcón-Segovia D., Díaz-Jouanen E., Fishbein E. Features of Sjögren's syndrome in primary biliary cirrhosis. Ann Intern Med. 1973 Jul;79(1):31–36. doi: 10.7326/0003-4819-79-1-31. [DOI] [PubMed] [Google Scholar]
  2. Berg P. A., Klein R., Lindenborn-Fotinos J., Klöppel W. ATPase-associated antigen (M2): marker antigen for serological diagnosis of primary biliary cirrhosis. Lancet. 1982 Dec 25;2(8313):1423–1426. doi: 10.1016/s0140-6736(82)91327-7. [DOI] [PubMed] [Google Scholar]
  3. Bernstein R. M., Callender M. E., Neuberger J. M., Hughes G. R., Williams R. Anticentromere antibody in primary biliary cirrhosis. Ann Rheum Dis. 1982 Dec;41(6):612–614. doi: 10.1136/ard.41.6.612. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bernstein R. M., Neuberger J. M., Bunn C. C., Callender M. E., Hughes G. R., Williams R. Diversity of autoantibodies in primary biliary cirrhosis and chronic active hepatitis. Clin Exp Immunol. 1984 Mar;55(3):553–560. [PMC free article] [PubMed] [Google Scholar]
  5. Cassani F., Bianchi F. B., Lenzi M., Volta U., Pisi E. Immunomorphological characterisation of antinuclear antibodies in chronic liver disease. J Clin Pathol. 1985 Jul;38(7):801–805. doi: 10.1136/jcp.38.7.801. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Chou M. J., Lai M. Y., Lee S. L., Tsay G. J. Reactivity of anti-mitochondrial antibodies in primary biliary cirrhosis and systemic sclerosis. J Formos Med Assoc. 1992 Nov;91(11):1075–1080. [PubMed] [Google Scholar]
  7. James S. P., Hoofnagle J. H., Strober W., Jones E. A. NIH conference: Primary biliary cirrhosis: a model autoimmune disease. Ann Intern Med. 1983 Oct;99(4):500–512. doi: 10.7326/0003-4819-99-4-500. [DOI] [PubMed] [Google Scholar]
  8. Kurki P., Gripenberg M., Teppo A. M., Salaspuro M. Profiles of antinuclear antibodies in chronic active hepatitis, primary biliary cirrhosis and alcoholic liver disease. Liver. 1984 Apr;4(2):134–138. doi: 10.1111/j.1600-0676.1984.tb00918.x. [DOI] [PubMed] [Google Scholar]
  9. Ostensen M., Fredriksen K., Kåss E., Rekvig O. P. Identification of antihistone antibodies in subsets of juvenile chronic arthritis. Ann Rheum Dis. 1989 Feb;48(2):114–117. doi: 10.1136/ard.48.2.114. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Rubin R. L., Joslin F. G., Tan E. M. An improved ELISA for anti-native DNA by elimination of interference by anti-histone antibodies. J Immunol Methods. 1983 Oct 28;63(3):359–366. doi: 10.1016/s0022-1759(83)80009-x. [DOI] [PubMed] [Google Scholar]
  11. Sato S., Ihn H., Soma Y., Igarashi A., Tamaki T., Kikuchi K., Ishibashi Y., Takehara K. Antihistone antibodies in patients with localized scleroderma. Arthritis Rheum. 1993 Aug;36(8):1137–1141. doi: 10.1002/art.1780360815. [DOI] [PubMed] [Google Scholar]
  12. Tan E. M. Antinuclear antibodies: diagnostic markers for autoimmune diseases and probes for cell biology. Adv Immunol. 1989;44:93–151. doi: 10.1016/s0065-2776(08)60641-0. [DOI] [PubMed] [Google Scholar]
  13. Tan E. M. Relationship of nuclear staining patterns with precipitating antibodies in systemic lupus erythematosus. J Lab Clin Med. 1967 Nov;70(5):800–812. [PubMed] [Google Scholar]
  14. Tsay G. J., Chan E. K., Peebles C. L., Pollard K. M., Tan E. M. An immunoassay differentiating sera with antibodies to Sm alone, antibodies to Sm/RNP complex, and antibodies to RNP alone. Arthritis Rheum. 1987 Apr;30(4):389–396. doi: 10.1002/art.1780300405. [DOI] [PubMed] [Google Scholar]
  15. Williamson J. M., Chalmers D. M., Clayden A. D., Dixon M. F., Ruddell W. S., Losowsky M. S. Primary biliary cirrhosis and chronic active hepatitis: an examination of clinical, biochemical, and histopathological features in differential diagnosis. J Clin Pathol. 1985 Sep;38(9):1007–1012. doi: 10.1136/jcp.38.9.1007. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of the Rheumatic Diseases are provided here courtesy of BMJ Publishing Group

RESOURCES