Abstract
The roles of antinuclear and DNA antibodies in the pathogenesis of cryptogenic fibrosing alveolitis were investigated in 53 patients. Twenty-two patients who had antinuclear antibodies detected in their serum had a significantly higher proportion of women, a higher prevalence of Raynaud phenomenon and digital vasculitis, and higher erythrocyte sedimentation rates, paralleled by raised serum globulin and IgG levels, than patients with no antinuclear antibodies detected. Serum antibodies to double-strand DNA (DS-DNA), assayed by a Farr binding technique, were significantly raised in 25% of patients with cryptogenic fibrosing alveolitis. Serum binding of single-strand DNA (SS-DNA) was greatly increased in all the patients with cryptogenic fibrosing alveolitis, achieving levels similar to those found in systemic lupus erythematosus. Serum DS-DNA binding correlated with IgA levels but not with disease activity. Thus, unlike in systemic lupus erythematosus, antibodies to DS-DNA and SS-DNA with their capacity to form immune complexes are unlikely to be of major importance in the pathogenesis of cryptogenic fibrosing alveolitis.
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- Crystal R. G., Fulmer J. D., Roberts W. C., Moss M. L., Line B. R., Reynolds H. Y. Idiopathic pulmonary fibrosis. Clinical, histologic, radiographic, physiologic, scintigraphic, cytologic, and biochemical aspects. Ann Intern Med. 1976 Dec;85(6):769–788. doi: 10.7326/0003-4819-85-6-769. [DOI] [PubMed] [Google Scholar]
- Dreisin R. B., Schwarz M. I., Theofilopoulos A. N., Stanford R. E. Circulating immune complexes in the idiopathic interstitial pneumonias. N Engl J Med. 1978 Feb 16;298(7):353–357. doi: 10.1056/NEJM197802162980701. [DOI] [PubMed] [Google Scholar]
- Eisenberg H., Simmons D. H., Barnett E. V. Diffuse pulmonary interstitial disease; an immunohistologic study. Chest. 1979 Feb;75(2 Suppl):262–264. doi: 10.1378/chest.75.2_supplement.262. [DOI] [PubMed] [Google Scholar]
- Gershwin M. E., Glinski W., Bender A. N., Ringel S. P., Steinberg A. D., Engel W. K. Antibodies to nucleic acids in myasthenia gravis. Int Arch Allergy Appl Immunol. 1976;51(2):245–252. doi: 10.1159/000231597. [DOI] [PubMed] [Google Scholar]
- Haslam P. L., Thompson B., Mohammed I., Townsend P. J., Hodson M. E., Holborow E. J., Turner-Warwick M. Circulating immune complexes in patients with cryptogenic fibrosing alveolitis. Clin Exp Immunol. 1979 Sep;37(3):381–390. [PMC free article] [PubMed] [Google Scholar]
- Hobbs J. R., Turner-Warwick M. Assay of circulating immunoglobulins in patients with fibrosing alveolitis. Clin Exp Immunol. 1967 Nov;2(6):645–652. [PMC free article] [PubMed] [Google Scholar]
- Kingham J. G., Rassam S., Ganguly N., Mcguire M. J., Nasrat B., Holgate S. T., Triger D. R., Wright R. DNA-binding antibodies and hepatitis B markers in acute and chronic liver disease. Clin Exp Immunol. 1978 Aug;33(2):204–210. [PMC free article] [PubMed] [Google Scholar]
- Lange A. Evaluation of the simultaneous estimation of anti-dsDNA and anti-ssDNA antibodies for clinical purposes. Clin Exp Immunol. 1978 Mar;31(3):472–481. [PMC free article] [PubMed] [Google Scholar]
- Picazo J. J., Tan E. M. Specificities of antibodies to native DNA. Scand J Rheumatol Suppl. 1975;11:35–41. doi: 10.3109/03009747509095627. [DOI] [PubMed] [Google Scholar]
- Schur P. H., Sandson J. Immunologic factors and clinical activity in systemic lupus erythematosus. N Engl J Med. 1968 Mar 7;278(10):533–538. doi: 10.1056/NEJM196803072781004. [DOI] [PubMed] [Google Scholar]
- Turner-Warwick M., Burrows B., Johnson A. Cryptogenic fibrosing alveolitis: response to corticosteroid treatment and its effect on survival. Thorax. 1980 Aug;35(8):593–599. doi: 10.1136/thx.35.8.593. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Turner-Warwick M. Philip Ellman lecture. Immunological aspects of systemic diseases of the lungs. Proc R Soc Med. 1974 Jun;67(6 Pt 2):541–547. [PMC free article] [PubMed] [Google Scholar]
- Young B. J. Detection of antibodies to DNA: studies using tritiated actinomycin D labelled DNA. Med Lab Sci. 1976 Apr;33(2):167–173. [PubMed] [Google Scholar]