Abstract
Herpes gestationis (HG) is a putative autoimmune bullous dermatosis of pregnancy which shares many findings with bullous pemphigoid (BP), a disease of the elderly. This study identifies for the first time the antigen detected by HG autoantibodies and compares it with that recognized by BP autoantibodies. Sera from 16 HG and 17 BP patients, and from normal pregnant women were evaluated by immunofluorescent (IF) studies and immunoblotted against human epidermal extracts. 89% of HG sera with circulating antibodies by IF recognized a 180-kD protein by immunoblotting. 71% of BP sera recognized a 240-kD band, but 47% detected a 180-kD protein that comigrated with the antigen detected by HG sera. None of the control sera recognized any specific bands. These findings suggest that the 180-kD epidermal protein may be the antigen detected by the HG factor and they also define immunologic similarities between HG and BP.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Carruthers J. A., Ewins A. R. Herpes gestationis: studies on the binding characteristics, activity and pathogenetic significance of the complement-fixing factor. Clin Exp Immunol. 1978 Jan;31(1):38–44. [PMC free article] [PubMed] [Google Scholar]
- Carruthers J. A. Herpes gestationis: clinical features of immunologically proved cases. Am J Obstet Gynecol. 1978 Aug 15;131(8):865–867. doi: 10.1016/s0002-9378(16)33133-7. [DOI] [PubMed] [Google Scholar]
- Jordon R. E., Beutner E. H., Witebsky E., Blumental G., Hale W. L., Lever W. F. Basement zone antibodies in bullous pemphigoid. JAMA. 1967 May 29;200(9):751–756. [PubMed] [Google Scholar]
- Jordon R. E., Heine K. G., Tappeiner G., Bushkell L. L., Provost T. T. The immunopathology of herpes gestationis. Immunofluorescence studies and characterization of "HG factor". J Clin Invest. 1976 Jun;57(6):1426–1431. doi: 10.1172/JCI108412. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jordon R. E., Sams W. M., Jr, Beutner E. H. Complement immunofluorescent staining in bullous pemphigoid. J Lab Clin Med. 1969 Oct;74(4):548–556. [PubMed] [Google Scholar]
- Katz S. I., Hertz K. C., Yaoita H. Herpes gestationis. Immunopathology and characterization of the HG factor. J Clin Invest. 1976 Jun;57(6):1434–1441. doi: 10.1172/JCI108413. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Labib R. S., Anhalt G. J., Patel H. P., Mutasim D. F., Diaz L. A. Molecular heterogeneity of the bullous pemphigoid antigens as detected by immunoblotting. J Immunol. 1986 Feb 15;136(4):1231–1235. [PubMed] [Google Scholar]
- Mutasim D. F., Takahashi Y., Labib R. S., Anhalt G. J., Patel H. P., Diaz L. A. A pool of bullous pemphigoid antigen(s) is intracellular and associated with the basal cell cytoskeleton-hemidesmosome complex. J Invest Dermatol. 1985 Jan;84(1):47–53. doi: 10.1111/1523-1747.ep12274684. [DOI] [PubMed] [Google Scholar]
- Ortonne J. P., Hsi B. L., Verrando P., Bernerd F., Pautrat G., Pisani A., Yeh C. J. Herpes gestationis factor reacts with the amniotic epithelial basement membrane. Br J Dermatol. 1987 Aug;117(2):147–154. doi: 10.1111/j.1365-2133.1987.tb04110.x. [DOI] [PubMed] [Google Scholar]
- Provost T. T., Tomasi T. B., Jr Evidence for complement activation via the alternate pathway in skin diseases, I. Herpes gestationis, systemic lupus erythematosus, and bullous pemphigoid. J Clin Invest. 1973 Jul;52(7):1779–1787. doi: 10.1172/JCI107359. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Regnier M., Vaigot P., Michel S., Prunieras M. Localization of bullous pemphigoid antigen (BPA) in isolated human keratinocytes. J Invest Dermatol. 1985 Sep;85(3):187–190. doi: 10.1111/1523-1747.ep12276656. [DOI] [PubMed] [Google Scholar]
- Shornick J. K., Bangert J. L., Freeman R. G., Gilliam J. N. Herpes gestationis: clinical and histologic features of twenty-eight cases. J Am Acad Dermatol. 1983 Feb;8(2):214–224. doi: 10.1016/s0190-9622(83)70027-7. [DOI] [PubMed] [Google Scholar]
- Stanley J. R., Hawley-Nelson P., Yuspa S. H., Shevach E. M., Katz S. I. Characterization of bullous pemphigoid antigen: a unique basement membrane protein of stratified squamous epithelia. Cell. 1981 Jun;24(3):897–903. doi: 10.1016/0092-8674(81)90115-x. [DOI] [PubMed] [Google Scholar]
- Stanley J. R., Woodley D. T., Katz S. I. Identification and partial characterization of pemphigoid antigen extracted from normal human skin. J Invest Dermatol. 1984 Jan;82(1):108–111. doi: 10.1111/1523-1747.ep12259224. [DOI] [PubMed] [Google Scholar]
- Westgate G. E., Weaver A. C., Couchman J. R. Bullous pemphigoid antigen localization suggests an intracellular association with hemidesmosomes. J Invest Dermatol. 1985 Mar;84(3):218–224. doi: 10.1111/1523-1747.ep12265229. [DOI] [PubMed] [Google Scholar]