Abstract
Indeterminate Western blot (WB) (immunoblot) patterns for anti-human immunodeficiency virus type 1 (HIV-1) antibodies are often observed when testing serum samples from noninfected individuals. We investigated here the possible involvement of some frequently occurring autoantibodies (anti-SmB/B', U1snRNP [68 kDa, A, and C], Ro/SS-A [60 and 52 kDa], and Jo-1) in the generation of such indeterminate HIV-1 WB. In particular, the role of a reported sequence homology between p24 gag and the SmB/B' autoantigen was investigated. Serum samples were obtained from 50 healthy controls, 51 patients with systemic lupus erythematosus (SLE), 46 with systemic sclerosis, 6 with Sjögren's disease, 3 with mixed connective tissue disease, and 41 healthy subjects with persistent indeterminate HIV-1 WB. Reactivity to HIV-1 p24 gag was slightly but not significantly more frequent in patients with SLE than in controls (25.5% versus 14.0%; P > 0.1), whereas reactivity to HIV-1 p17 gag was significantly more frequent in the former subjects (23.5% versus 8.0%; P = 0.03). Simultaneous reactivity to p17 and p24 was observed in patients with SLE (11.8%; P = 0.014) or systemic sclerosis (8.7%; P = 0.049) but not in controls. There was no association found between the presence of any autoantibody and the occurrence of indeterminate HIV-1 WB nor between the presence of p24-reactive antibodies and anti-SmB/B'; this indicates that most p24-reactive antibodies are directed to epitopes other than the proline-rich sequences shared by p24 gag and SmB/B'.
Full Text
The Full Text of this article is available as a PDF (168.3 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blomberg J., Vincic E., Jönsson C., Medstrand P., Pipkorn R. Identification of regions of HIV-1 p24 reactive with sera which give "indeterminate" results in electrophoretic immunoblots with the help of long synthetic peptides. AIDS Res Hum Retroviruses. 1990 Dec;6(12):1363–1372. doi: 10.1089/aid.1990.6.1363. [DOI] [PubMed] [Google Scholar]
- Bürgisser P., Frei P. C. Characterization of antibodies reacting with HIV gag proteins occasionally found in the serum of non-infected subjects. Clin Exp Immunol. 1991 Aug;85(2):219–223. doi: 10.1111/j.1365-2249.1991.tb05708.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Craft J. Antibodies to snRNPs in systemic lupus erythematosus. Rheum Dis Clin North Am. 1992 May;18(2):311–335. [PubMed] [Google Scholar]
- De Keyser F., Hoch S. O., Takei M., Dang H., De Keyser H., Rokeach L. A., Talal N. Cross-reactivity of the B/B' subunit of the Sm ribonucleoprotein autoantigen with proline-rich polypeptides. Clin Immunol Immunopathol. 1992 Mar;62(3):285–290. doi: 10.1016/0090-1229(92)90104-v. [DOI] [PubMed] [Google Scholar]
- Dock N. L., Lamberson H. V., Jr, O'Brien T. A., Tribe D. E., Alexander S. S., Poiesz B. J. Evaluation of atypical human immunodeficiency virus immunoblot reactivity in blood donors. Transfusion. 1988 Sep-Oct;28(5):412–418. doi: 10.1046/j.1537-2995.1988.28588337326.x. [DOI] [PubMed] [Google Scholar]
- Douvas A., Takehana Y. Cross-reactivity between autoimmune anti-U1 snRNP antibodies and neutralizing epitopes of HIV-1 gp120/41. AIDS Res Hum Retroviruses. 1994 Mar;10(3):253–262. doi: 10.1089/aid.1994.10.253. [DOI] [PubMed] [Google Scholar]
- Gallarda J. L., Henrard D. R., Liu D., Harrington S., Stramer S. L., Valinsky J. E., Wu P. Early detection of antibody to human immunodeficiency virus type 1 by using an antigen conjugate immunoassay correlates with the presence of immunoglobulin M antibody. J Clin Microbiol. 1992 Sep;30(9):2379–2384. doi: 10.1128/jcm.30.9.2379-2384.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garry R. F. Extensive antigenic mimicry by retrovirus capsid proteins. AIDS Res Hum Retroviruses. 1990 Dec;6(12):1361–1362. doi: 10.1089/aid.1990.6.1361. [DOI] [PubMed] [Google Scholar]
- Healey D. S., Bolton W. V. Apparent HIV-1 glycoprotein reactivity on western blot in uninfected blood donors. AIDS. 1993 May;7(5):655–658. doi: 10.1097/00002030-199305000-00007. [DOI] [PubMed] [Google Scholar]
- Herrmann M., Baur A., Nebel-Schickel H., Vornhagen R., Jahn G., Krapf F. E., Kalden J. R. Antibodies against p24 of HIV-1 in patients with systemic lupus erythematosus? Viral Immunol. 1992 Fall;5(3):229–231. doi: 10.1089/vim.1992.5.229. [DOI] [PubMed] [Google Scholar]
- Hohmann A. W., Booth K., Peters V., Gordon D. L., Comacchio R. M. Common epitope on HIV p24 and human platelets. Lancet. 1993 Nov 20;342(8882):1274–1275. doi: 10.1016/0140-6736(93)92363-x. [DOI] [PubMed] [Google Scholar]
- Jackson J. B., MacDonald K. L., Cadwell J., Sullivan C., Kline W. E., Hanson M., Sannerud K. J., Stramer S. L., Fildes N. J., Kwok S. Y. Absence of HIV infection in blood donors with indeterminate western blot tests for antibody to HIV-1. N Engl J Med. 1990 Jan 25;322(4):217–222. doi: 10.1056/NEJM199001253220402. [DOI] [PubMed] [Google Scholar]
- Josephson S. L., Swack N. S., Ramirez M. T., Hausler W. J., Jr Investigation of atypical western blot (immunoblot) reactivity involving core proteins of human immunodeficiency virus type. J Clin Microbiol. 1989 May;27(5):932–937. doi: 10.1128/jcm.27.5.932-937.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lallement J. C., Vendrell J. P., Corbeau P., Ducos J., Segondy M., Escande A., Robert-Hebmann V., Jean F., Reynes J., Serre A. Comparative humoral responses to human immunodeficiency virus type 1-p24gag linear B-cell epitopes among individuals showing atypical western immunoblotting reactions and implications for diagnosis. J Clin Microbiol. 1993 Jul;31(7):1903–1907. doi: 10.1128/jcm.31.7.1903-1907.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Langedijk J. P., Vos W. F., van Doornum G. J., Rotman H. A., Meloen R. H., Huisman J. G. Identification of cross-reactive epitopes recognized by HIV-1 false-positive sera. AIDS. 1992 Dec;6(12):1547–1548. doi: 10.1097/00002030-199212000-00023. [DOI] [PubMed] [Google Scholar]
- Norman G. L., Barker S. S., Rasheed S. Immunoblot reactivity of a non-HIV protein with human sera. Transfusion Safety Study Group. J Clin Lab Anal. 1989;3(3):148–151. doi: 10.1002/jcla.1860030303. [DOI] [PubMed] [Google Scholar]
- Parravicini C. L., Klatzmann D., Jaffray P., Costanzi G., Gluckman J. C. Monoclonal antibodies to the human immunodeficiency virus p18 protein cross-react with normal human tissues. AIDS. 1988 Jun;2(3):171–177. [PubMed] [Google Scholar]
- Pinter A., Honnen W. J., Tilley S. A., Bona C., Zaghouani H., Gorny M. K., Zolla-Pazner S. Oligomeric structure of gp41, the transmembrane protein of human immunodeficiency virus type 1. J Virol. 1989 Jun;63(6):2674–2679. doi: 10.1128/jvi.63.6.2674-2679.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ranki A., Kurki P., Riepponen S., Stephansson E. Antibodies to retroviral proteins in autoimmune connective tissue disease. Relation to clinical manifestations and ribonucleoprotein autoantibodies. Arthritis Rheum. 1992 Dec;35(12):1483–1491. doi: 10.1002/art.1780351212. [DOI] [PubMed] [Google Scholar]
- Talal N., Dauphinée M. J., Dang H., Alexander S. S., Hart D. J., Garry R. F. Detection of serum antibodies to retroviral proteins in patients with primary Sjögren's syndrome (autoimmune exocrinopathy). Arthritis Rheum. 1990 Jun;33(6):774–781. doi: 10.1002/art.1780330603. [DOI] [PubMed] [Google Scholar]
- Talal N., Garry R. F., Schur P. H., Alexander S., Dauphinée M. J., Livas I. H., Ballester A., Takei M., Dang H. A conserved idiotype and antibodies to retroviral proteins in systemic lupus erythematosus. J Clin Invest. 1990 Jun;85(6):1866–1871. doi: 10.1172/JCI114647. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tomer Y., Buskila D., Shoenfeld Y. Pathogenic significance and diagnostic value of lupus autoantibodies. Int Arch Allergy Immunol. 1993;100(4):293–306. doi: 10.1159/000236429. [DOI] [PubMed] [Google Scholar]
- Tribe D. E., Reed D. L., Lindell P., Kenealy W. R., Ferguson B. Q., Cybulski R., Winslow D., Waselefsky D. M., Petteway S. R., Jr Antibodies reactive with human immunodeficiency virus gag-coded antigens (gag reactive only) are a major cause of enzyme-linked immunosorbent assay reactivity in a blood donor population. J Clin Microbiol. 1988 Apr;26(4):641–647. doi: 10.1128/jcm.26.4.641-647.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]