Frequency of autoantibodies and correlation with HLA-DRB1 genotype in sporadic inclusion body myositis (s-IBM): A population control study

被引:20
作者
Rojana-udomsart, Arada [1 ,2 ,3 ]
Bundell, Christine [4 ,5 ]
James, Ian [6 ]
Castley, Alison [7 ]
Martinez, Patricia [5 ,7 ]
Christiansen, Frank [5 ,7 ]
Hollingsworth, Peter [4 ,5 ]
Mastaglia, Frank [1 ,2 ]
机构
[1] Univ Western Australia, Australian Neuromuscular Res Inst, Queen Elizabeth II Med Ctr, Perth, WA 6009, Australia
[2] Univ Western Australia, Ctr Neuromuscular & Neurol Disorders, Queen Elizabeth II Med Ctr, Perth, WA 6009, Australia
[3] Yala Hosp, Dept Med, Yala, Thailand
[4] Queen Elizabeth II Med Ctr, Dept Clin Immunol, PathWest, Perth, WA, Australia
[5] Univ Western Australia, Fac Med Dent & Hlth Sci, Sch Pathol & Lab Med, Perth, WA 6009, Australia
[6] Murdoch Univ, Ctr Clin Immunol & Biomed Stat, Inst Immunol & Infect Dis, Perth, WA, Australia
[7] Royal Perth Hosp, PathWest, Dept Clin Immunol, Perth, WA, Australia
关键词
Inclusion body myositis; Autoantibodies; HLA-DRB1; alleles; IDIOPATHIC INFLAMMATORY MYOPATHIES; MAJOR HISTOCOMPATIBILITY COMPLEX; CLASS-II ALLELES; DISTINCT HLA-A; CELIAC-DISEASE; IMMUNOGENETIC FEATURES; PROTECTIVE FACTORS; ANTIBODIES; DIAGNOSIS; PROFILES;
D O I
10.1016/j.jneuroim.2012.04.007
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The frequency of myositis-associated and myositis-specific autoantibodies (AAb) was compared in 51 s-IBM patients and a population control group. Non-organ specific AAb (ANA, anti-Ro52, anti-Ro60, anti-La, anti-RNP) but not anti-thyroid peroxidase, anti-tissue transglutaminase or myositis-specific antibodies, were more frequent in s-IBM patients, and 14/51 (27%) had another autoimmune disease (Sjogren's syndrome, thyroiditis, psoriasis, vitiligo). The presence of AAb did not correlate with carriage of HLA-DRB1*0301, but there was a negative correlation between ANA/anti-Ro52 and carriage of HLA-DRB1*1301. The findings in this cohort confirm that patients with sIBM do not show evidence of a muscle-specific humoral immune process but have an increased frequency of non-organ specific AAb and other autoimmune disorders. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:66 / 70
页数:5
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