Abstract
We developed an ELISA system for the detection of human anti-ovarian antibodies. Bovine corpora lutea were extracted in PBS (pH 7.2) and fractionated by ultracentrifugation. Both the soluble fraction obtained after 80,000 g (S80) and the Triton-extracted membrane fraction (ST288) were used as antigens. Additionally, the luteinizing hormone (LH)/human chorionic gonadotropin (hCG) receptor was isolated by affinity chromatography (wheat germ agglutinin and LH-Sepharose) and also used as an antigen. In 7 of 14 patients with primary sterility and endometriosis a positive reaction was observed. Similarly, 6 of 16 patients with secondary sterility and endometriosis were also positive. Patients being stimulated for in vitro fertilization and presenting either primary or secondary sterility were positive in 5 of 22 and 6 of 16 cases, respectively. In the S80 test 41 of 60 sera presented IgG2 antibodies, whereas in the ST288 test 38 of 60 belonged to the IgG1 subclass. Kappa and lambda chains were equally distributed. Some patients could recognize the unoccupied LH/hCG receptor as an antigen, while others recognized only the complex formed by the hormone plus the hormone receptor. The S80 and ST288 antigens were isolated by affinity chromatography. Gel permeation of the purified antigens revealed in each case the presence of an antigen complex. The apparent molecular weight was between 2,000 and 36,000 D. Cross-reactivity studies using affinity-purified antibodies demonstrated an antigenic relationship of the membrane, soluble, and extractable fractions. NAc-(beta-1----4)-D-glucosaminide and -D-galactopyranoside were the main terminal glycosides.
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- Ahonen P., Miettinen A., Perheentupa J. Adrenal and steroidal cell antibodies in patients with autoimmune polyglandular disease type I and risk of adrenocortical and ovarian failure. J Clin Endocrinol Metab. 1987 Mar;64(3):494–500. doi: 10.1210/jcem-64-3-494. [DOI] [PubMed] [Google Scholar]
- Alper M. M., Garner P. R. Circulating antiovarian antibodies in premature ovarian failure. Obstet Gynecol. 1987 Jul;70(1):144–144. [PubMed] [Google Scholar]
- Austin G. E., Coulam C. B., Ryan R. J. A search for antibodies to luteinizing hormone receptors in premature ovarian failure. Mayo Clin Proc. 1979 Jun;54(6):394–400. [PubMed] [Google Scholar]
- Bateman B. G., Nunley W. C., Jr, Kitchin J. D., 3rd Reversal of apparent premature ovarian failure in a patient with myasthenia gravis. Fertil Steril. 1983 Jan;39(1):108–110. doi: 10.1016/s0015-0282(16)46768-3. [DOI] [PubMed] [Google Scholar]
- Billingham R. E., Head J. R. Current trends in reproductive immunology: an overview. J Reprod Immunol. 1981 Nov;3(5):253–265. doi: 10.1016/0165-0378(81)90033-4. [DOI] [PubMed] [Google Scholar]
- Bradford M. M. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem. 1976 May 7;72:248–254. doi: 10.1006/abio.1976.9999. [DOI] [PubMed] [Google Scholar]
- Chiauzzi V., Cigorraga S., Escobar M. E., Rivarola M. A., Charreau E. H. Inhibition of follicle-stimulating hormone receptor binding by circulating immunoglobulins. J Clin Endocrinol Metab. 1982 Jun;54(6):1221–1228. doi: 10.1210/jcem-54-6-1221. [DOI] [PubMed] [Google Scholar]
- Coulam C. B., Kempers R. D., Randall R. V. Premature ovarian failure: evidence for the autoimmune mechanism. Fertil Steril. 1981 Aug;36(2):238–240. doi: 10.1016/s0015-0282(16)45687-6. [DOI] [PubMed] [Google Scholar]
- Coulam C. B., Lufkin E. G. Absence of adrenal failure in the polyglandular failure syndrome with primary ovarian failure. Fertil Steril. 1981 Mar;35(3):365–366. doi: 10.1016/s0015-0282(16)45389-6. [DOI] [PubMed] [Google Scholar]
- Coulam C. B., Ryan R. J. Premature menopause. I. Etiology. Am J Obstet Gynecol. 1979 Mar 15;133(6):639–643. doi: 10.1016/0002-9378(79)90011-5. [DOI] [PubMed] [Google Scholar]
- Damewood M. D., Zacur H. A., Hoffman G. J., Rock J. A. Circulating antiovarian antibodies in premature ovarian failure. Obstet Gynecol. 1986 Dec;68(6):850–854. [PubMed] [Google Scholar]
- Donat H., Morenz J. Gewebsgebundene Autoantikörper in den Genitalorganen steriler Ehepaare. Zentralbl Gynakol. 1983;105(6):352–363. [PubMed] [Google Scholar]
- Elder M., Maclaren N., Riley W. Gonadal autoantibodies in patients with hypogonadism and/or Addison's disease. J Clin Endocrinol Metab. 1981 Jun;52(6):1137–1142. doi: 10.1210/jcem-52-6-1137. [DOI] [PubMed] [Google Scholar]
- Finer N., Fogelman I., Bottazzo G. Pregnancy in a woman with premature ovarian failure. Postgrad Med J. 1985 Dec;61(722):1079–1080. doi: 10.1136/pgmj.61.722.1079. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heyma P., Harrison L. C. Precipitation of the thyrotropin receptor and identification of thyroid autoantigens using Graves' disease immunoglobulins. J Clin Invest. 1984 Sep;74(3):1090–1097. doi: 10.1172/JCI111476. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hjort T., Johnson P. M., Mori T. An overview of the WHO international multi-centre study on antibodies to reproductive tract antigens in clinically defined sera. J Reprod Immunol. 1985 Dec;8(4):359–362. doi: 10.1016/0165-0378(85)90011-7. [DOI] [PubMed] [Google Scholar]
- Irvine W. J., Chan M. M., Scarth L., Kolb F. O., Hartog M., Bayliss R. I., Drury M. I. Immunological aspects of premature ovarian failure associated with idiopathic Addison's disease. Lancet. 1968 Oct 26;2(7574):883–887. doi: 10.1016/s0140-6736(68)91053-2. [DOI] [PubMed] [Google Scholar]
- Kusuda S., Dufau M. L. Purification and characterization of the rat ovarian receptor for luteinizing hormone. Structural studies of subunit interaction. J Biol Chem. 1986 Dec 5;261(34):16161–16168. [PubMed] [Google Scholar]
- Mathur S., Peress M. R., Williamson H. O., Youmans C. D., Maney S. A., Garvin A. J., Rust P. F., Fudenberg H. H. Autoimmunity to endometrium and ovary in endometriosis. Clin Exp Immunol. 1982 Nov;50(2):259–266. [PMC free article] [PubMed] [Google Scholar]
- McNatty K. P., Short R. V., Barnes E. W., Irvine W. J. The cytotoxic effect of serum from patients with Addison's disease and autoimmune ovarian failure on human granulosa cells in culture. Clin Exp Immunol. 1975 Dec;22(3):378–384. [PMC free article] [PubMed] [Google Scholar]
- Milius R. P., Midgley A. R., Jr, Birken S. Preferential masking by the receptor of immunoreactive sites on the alpha subunit of human choriogonadotropin. Proc Natl Acad Sci U S A. 1983 Dec;80(24):7375–7379. doi: 10.1073/pnas.80.24.7375. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moncayo-Naveda H., Moncayo R., Benz R., Wolf A., Lauritzen C. Organ-specific antibodies against ovary in patients with systemic lupus erythematosus. Am J Obstet Gynecol. 1989 May;160(5 Pt 1):1227–1229. doi: 10.1016/0002-9378(89)90200-7. [DOI] [PubMed] [Google Scholar]
- Moncayo R., Kirsch K., Pasquarello T., Pfeiffer E. F. Islet cell antigens. Extraction studies and ELISA analysis. Diabetes. 1988 Aug;37(8):1137–1143. doi: 10.2337/diab.37.8.1137. [DOI] [PubMed] [Google Scholar]
- Natvig J. B., Kunkel H. G. Human immunoglobulins: classes, subclasses, genetic variants, and idiotypes. Adv Immunol. 1973;16:1–59. doi: 10.1016/s0065-2776(08)60295-3. [DOI] [PubMed] [Google Scholar]
- Rabinowe S. L., Berger M. J., Welch W. R., Dluhy R. G. Lymphocyte dysfunction in autoimmune oophoritis. Resumption of menses with corticosteroids. Am J Med. 1986 Aug;81(2):347–350. doi: 10.1016/0002-9343(86)90277-9. [DOI] [PubMed] [Google Scholar]
- Sedmak D. D., Hart W. R., Tubbs R. R. Autoimmune oophoritis: a histopathologic study of involved ovaries with immunologic characterization of the mononuclear cell infiltrate. Int J Gynecol Pathol. 1987;6(1):73–81. [PubMed] [Google Scholar]
- Sotsiou F., Bottazzo G. F., Doniach D. Immunofluorescence studies on autoantibodies to steroid-producing cells, and to germline cells in endocrine disease and infertility. Clin Exp Immunol. 1980 Jan;39(1):97–111. [PMC free article] [PubMed] [Google Scholar]
- Tang V. W., Faiman C. Premature ovarian failure: a search for circulating factors against gonadotropin receptors. Am J Obstet Gynecol. 1983 Aug 1;146(7):816–821. doi: 10.1016/0002-9378(83)91084-0. [DOI] [PubMed] [Google Scholar]
- Vazquez A. M., Kenny F. M. Ovarian failure and antiovarian antibodies in association with hypoparathyroidism, moniliasis, and Addison's and Hashimoto's diseases. Obstet Gynecol. 1973 Mar;41(3):414–418. [PubMed] [Google Scholar]
- de Moraes Ruehsen M., Blizzard R. M., Garcia-Bunuel R., Jones G. S. Autoimmunity and ovarian failure. Am J Obstet Gynecol. 1972 Mar;112(5):693–703. doi: 10.1016/0002-9378(72)90797-1. [DOI] [PubMed] [Google Scholar]