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. 1969 Apr;48(4):758–767. doi: 10.1172/JCI106033

Decreased 19S antibody response to bacterial antigens in systemic lupus erythematosus

John Baum 1, Morris Ziff 1
PMCID: PMC322280  PMID: 4886647

Abstract

The antibody response to immunization with Brucella and the levels of natural antibody to Escherichia coli and Shigella were compared in patients with systemic lupus erythematosus and control groups. After Brucella immunization, SLE patients showed a significantly lower antibody response in whole serum and in the macroglobulin antibody fraction separated by sucrose density gradient centrifugation.

Sucrose gradient fractionation of natural antibodies to E. coli and a polyvalent Shigella antigen showed a significant decrease in macroglobulin antibody against four of the five E. coli antigens tested and the Shigella polyvalent antigen in SLE patients when compared with a group of normal individuals and a matched control group with pulmonary tuberculosis. Whole serum natural antibody titers against 5 of 13 Shigella antigens were significantly lower in the SLE patients when compared with the normal group, and against 7 of 13 when compared with the matched tuberculosis controls. Whole serum titers against 8 of 13 E. coli antigens were significantly lower in the SLE patients when compared with normal subjects.

The observed decreased antibody response to bacterial antigens in SLE patients, occurring mainly in the macroglobulin fraction, is discussed in relation to the increased incidence of infection commonly observed in these patients.

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Selected References

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

  1. BARNETT E. V., CONDEMI J. J., LEDDY J. P., VAUGHAN J. H. GAMMA-2, GAMMA-1A AND GAMMA-1M ANTINUCLEAR FACTORS IN HUMAN SERA. J Clin Invest. 1964 Jun;43:1104–1115. doi: 10.1172/JCI104995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Buckley R. H., Dees S. C. Serum immunoglobulins. 3. Abnormalities associated with chronic urticaria in children. J Allergy. 1967 Nov;40(5):294–303. doi: 10.1016/0021-8707(67)90077-9. [DOI] [PubMed] [Google Scholar]
  3. Carpenter R. R., Sturgill B. C. The course of systemic lupus erythematosus. J Chronic Dis. 1966 Feb;19(2):117–131. doi: 10.1016/0021-9681(66)90043-9. [DOI] [PubMed] [Google Scholar]
  4. Coghlan J. D., Weir D. M. Antibodies in human brucellosis. Br Med J. 1967 Apr 29;2(5547):269–271. doi: 10.1136/bmj.2.5547.269. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. GIEDION A., SCHEIDEGGER J. J. Kongenitale Immunparese bei Fehlen spezifischer beta 2-Globuline und quantitativ normalen gamma-Globulinen. Helv Paediatr Acta. 1957 Aug;12(3):241–259. [PubMed] [Google Scholar]
  6. GILBERT C., HONG R. QUALITATIVE AND QUANTITATIVE IMMUNOGLOBULIN DEFICIENCY. Am J Med. 1964 Oct;37:602–609. doi: 10.1016/0002-9343(64)90072-5. [DOI] [PubMed] [Google Scholar]
  7. HARVEY A. M., SHULMAN L. E., TUMULTY P. A., CONLEY C. L., SCHOENRICH E. H. Systemic lupus erythematosus: review of the literature and clinical analysis of 138 cases. Medicine (Baltimore) 1954 Dec;33(4):291–437. [PubMed] [Google Scholar]
  8. Haltalin K. C., Matteck B. M., Nelson J. D. Microdetermination of Shigella hemagglutinins in human and rabbit sera with monovalent and polyvalent antigens. J Immunol. 1966 Oct;97(4):517–524. [PubMed] [Google Scholar]
  9. JESSAR R. A., LAMONT-HAVERS R. W., RAGAN C. Natural history of lupus erythematosus disseminatus. Ann Intern Med. 1953 Apr;38(4):717–731. doi: 10.7326/0003-4819-38-4-717. [DOI] [PubMed] [Google Scholar]
  10. LARSON D. L., TOMLINSON L. J. Quantitative antibody studies in man. I. The effect of adrenal insufficiency and of cortisone on the level of circulating antibodies. J Clin Invest. 1951 Dec;30(122):1451–1455. doi: 10.1172/JCI102552. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lee M. R., Ikari N. S., Branche W. C., Jr, Young V. M. Microtiter bacterial hemagglutination technique for detection of Shigella antibodies. J Bacteriol. 1966 Jan;91(1):463–463. doi: 10.1128/jb.91.1.463-.1966. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lichtman M. A., Vaughan J. H., Hames C. G. The distribution of serum immunoglobulins, anti-gamma-G globulins ("rheumatoid factors") and antinuclear antibodies in White and Negro subjects in Evans County, Georgia. Arthritis Rheum. 1967 Jun;10(3):204–215. doi: 10.1002/art.1780100306. [DOI] [PubMed] [Google Scholar]
  13. MEISELAS L. E., ZINGALE S. B., LEE S. L., RICHMAN S., SIEGEL M. Antibody production in rheumatic diseases. The effect of brucella antigen. J Clin Invest. 1961 Oct;40:1872–1881. doi: 10.1172/JCI104411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. MICHAEL J. G., ROSEN F. S. ASSOCIATION OF "NATURAL" ANTIBODIES TO GRAM-NEGATIVE BACTERIA WITH THE GAMMA-1-MACROGLOBULINS. J Exp Med. 1963 Oct 1;118:619–626. doi: 10.1084/jem.118.4.619. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. MIRICK G. S. The effects of ACTH and cortisone on antibodies in human beings. Bull Johns Hopkins Hosp. 1951 Apr;88(4):332–351. [PubMed] [Google Scholar]
  16. MUSCHEL L. H. Systemic lupus erythematosus and normal antibodies. Proc Soc Exp Biol Med. 1961 Mar;106:622–625. doi: 10.3181/00379727-106-26422. [DOI] [PubMed] [Google Scholar]
  17. Makinodan T., Albright J. F., Perkins E. H., Nettesheim P. Suppression of immunologic responses. Med Clin North Am. 1965 Nov;49(6):1569–1596. doi: 10.1016/s0025-7125(16)33247-3. [DOI] [PubMed] [Google Scholar]
  18. McGiven A. R., Ghose T., Nairn R. C. Autoantibodies in ulcerative colitis. Br Med J. 1967 Apr 1;2(5543):19–23. doi: 10.1136/bmj.2.5543.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. NETER E., WESTPHAL O., LUDERITZ O., GINO R. M., GORZYNSKI E. A. Demonstration of antibodies against enteropathogenic Escherichia coli in sera of children of various ages. Pediatrics. 1955 Dec;16(6):801–808. [PubMed] [Google Scholar]
  20. Nossal G. J., Austin C. M., Ada G. L. Antigens in immunity. VII. Analysis of immunological memory. Immunology. 1965 Oct;9(4):333–348. [PMC free article] [PubMed] [Google Scholar]
  21. Perlmann P., Hammarström S., Lagercrantz R., Campbell D. Autoantibodies to colon in rats and human ulcerative colitis: cross reactivity with Escherichia coli O:14 antigen. Proc Soc Exp Biol Med. 1967 Jul;125(3):975–980. doi: 10.3181/00379727-125-32253. [DOI] [PubMed] [Google Scholar]
  22. Pike R. M. Antibody heterogeneity and serological reactions. Bacteriol Rev. 1967 Jun;31(2):157–174. doi: 10.1128/br.31.2.157-174.1967. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. REDDIN J. L., ANDERSON R. K., JENNESS R., SPINK W. W. SIGNIFICANCE OF 7S AND MACROGLOBULIN BRUCELLA AGGLUTININS IN HUMAN BRUCELLOSIS. N Engl J Med. 1965 Jun 17;272:1263–1268. doi: 10.1056/NEJM196506172722403. [DOI] [PubMed] [Google Scholar]
  24. ROBBINS J. B., KENNY K., SUTER E. THE ISOLATION AND BIOLOGICAL ACTIVITIES OF RABBIT GAMMA M- AND GAMMA G-ANTI-SALMONELLA TYPHIMURIUM ANTIBODIES. J Exp Med. 1965 Aug 1;122:385–402. doi: 10.1084/jem.122.2.385. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. ROPES M. W. OBSERVATIONS ON THE NATURAL COURSE OF DISSEMINATED LUPUS ERYTHEMATOSUS. Medicine (Baltimore) 1964 May;43:387–391. doi: 10.1097/00005792-196405000-00016. [DOI] [PubMed] [Google Scholar]
  26. ROSE J. E., ROEPKE M. H. PHYSICOCHEMICAL STUDIES ON POSTVACCINAL BRUCELLA AGGLUTININS IN BOVINE SERUM. Am J Vet Res. 1964 Mar;25:325–328. [PubMed] [Google Scholar]
  27. SARKANY I. Circulating antibody formation in lupus erythematosus. Arch Dermatol. 1961 Sep;84:372–374. doi: 10.1001/archderm.1961.01580150018002. [DOI] [PubMed] [Google Scholar]
  28. SHEARN M. A., EPSTEIN W. V., ENGLEMAN E. P. ANTIBODY RESPONSE TO BRUCELLA ANTIGEN IN PATIENTS WITH RHEUMATOID ARTHRITIS. Proc Soc Exp Biol Med. 1963 Aug-Sep;113:1001–1003. doi: 10.3181/00379727-113-28556. [DOI] [PubMed] [Google Scholar]
  29. Stiehm E. R., Fudenberg H. H. Serum levels of immune globulins in health and disease: a survey. Pediatrics. 1966 May;37(5):715–727. [PubMed] [Google Scholar]
  30. TUMULTY P. A. The clinical course of systemic lupus erythematosus. J Am Med Assoc. 1954 Nov 6;156(10):947–953. doi: 10.1001/jama.1954.02950100023009. [DOI] [PubMed] [Google Scholar]
  31. Waller M., Ellman H. M., Toone E. C. Brucella immunization in patients with seropositive and seronegative rheumatoid arthritis. Acta Rheumatol Scand. 1966;12(4):250–260. doi: 10.3109/rhe1.1966.12.issue-1-4.30. [DOI] [PubMed] [Google Scholar]
  32. Young V. M., Lee M. R., Branche W. C., Jr, Kenton D. M. Shigella flexneri antibody levels in healthy subjects from various regions of the United States. Am J Public Health Nations Health. 1967 Dec;57(12):2104–2110. doi: 10.2105/ajph.57.12.2104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. ZINGALE S. B., SANCHEZAVALOS J. C., ANDRADA J. A., STRINGA S. G., MANNI J. A. APPEARANCE OF ANTICOAGULANT FACTORS AND CERTAIN "AUTOIMMUNE" ANTIBODIES FOLLOWING ANTIGENIC STIMULATION WITH BLOOD GROUP SUBSTANCES IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS. Arthritis Rheum. 1963 Oct;6:581–598. doi: 10.1002/art.1780060503. [DOI] [PubMed] [Google Scholar]

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