Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus

Objectives: Autoantibodies and aberrant immune complexes are pathological hallmarks of systemic lupus erythematosus (SLE). This study aimed to determine the occurrence of IgG autoantibodies against human serum albumin (anti-HSA IgG) and their potential association with antibodies against bovine seru...

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Main Authors: Josephine Nehring, Lucia A. Schirmbeck, Justa Friebus-Kardash, Denise Dubler, Uyen Huynh-Do, Carlo Chizzolini, Camillo Ribi, Marten Trendelenburg
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.02090/full
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author Josephine Nehring
Lucia A. Schirmbeck
Justa Friebus-Kardash
Denise Dubler
Uyen Huynh-Do
Carlo Chizzolini
Camillo Ribi
Marten Trendelenburg
author_facet Josephine Nehring
Lucia A. Schirmbeck
Justa Friebus-Kardash
Denise Dubler
Uyen Huynh-Do
Carlo Chizzolini
Camillo Ribi
Marten Trendelenburg
author_sort Josephine Nehring
collection DOAJ
description Objectives: Autoantibodies and aberrant immune complexes are pathological hallmarks of systemic lupus erythematosus (SLE). This study aimed to determine the occurrence of IgG autoantibodies against human serum albumin (anti-HSA IgG) and their potential association with antibodies against bovine serum albumin (anti-BSA IgG) in patients with SLE.Methods: Sera of 180 SLE patients included to the Swiss SLE Cohort Study and 188 age- and sex-matched healthy controls were evaluated. Levels of anti-HSA IgG and anti-BSA IgG were quantified by ELISA. Selected samples were further characterized using serum fractions obtained by fast liquid chromatography (FPLC).Results: SLE patients had increased levels of anti-HSA IgG (p = 0.002) but similar levels of anti-BSA IgG compared to matched healthy controls. Anti-HSA IgG levels correlated with the SLE Disease Activity Index (SLEDAI), which was more pronounced in patients with an physician's global assessment (PGA) of ≥ 1 (r = 0.309, p = 0.0066). Anti-HSA IgG was partially complexed with serum albumin but also occurred as monomeric autoantibodies in highly positive SLE patients. A positive correlation between anti-HSA IgG and anti-BSA IgG was found that was stronger in SLE patients than in healthy controls (r = 0.3172, p < 0.001 vs. r = 0.2122, p < 0.0035). Binding of anti-BSA IgG was inhibited partially in the presence of HSA in samples with double positivity for anti-HSA and anti-BSA (median inhibition 47.9%, range 0.9–100%) and vice versa.Conclusion: In SLE patients there is an increased prevalence of anti-HSA IgG antibodies that are associated with SLE disease activity.
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spelling doaj.art-82a78f71a3db4a5f85a559333b654c6a2022-12-21T20:16:09ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-10-01910.3389/fimmu.2018.02090372940Autoantibodies Against Albumin in Patients With Systemic Lupus ErythematosusJosephine Nehring0Lucia A. Schirmbeck1Justa Friebus-Kardash2Denise Dubler3Uyen Huynh-Do4Carlo Chizzolini5Camillo Ribi6Marten Trendelenburg7Division of Internal Medicine and Clinical Immunology laboratory, Department of Biomedicine, University Hospital Basel, University of Basel, Basel, SwitzerlandDivision of Internal Medicine and Clinical Immunology laboratory, Department of Biomedicine, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Nephrology, University Hospital, Essen, GermanyDepartment of Biomedicine, University of Basel, Basel, SwitzerlandNephrology and Hypertension, University Hospital Bern, Bern, SwitzerlandInternal Medicine Specialties, Clinical Immunology and Allergy, Geneva University Hospitals, Geneva, SwitzerlandDepartment of Immunology and Allergy, Lausanne University Hospital, Lausanne, SwitzerlandDivision of Internal Medicine and Clinical Immunology laboratory, Department of Biomedicine, University Hospital Basel, University of Basel, Basel, SwitzerlandObjectives: Autoantibodies and aberrant immune complexes are pathological hallmarks of systemic lupus erythematosus (SLE). This study aimed to determine the occurrence of IgG autoantibodies against human serum albumin (anti-HSA IgG) and their potential association with antibodies against bovine serum albumin (anti-BSA IgG) in patients with SLE.Methods: Sera of 180 SLE patients included to the Swiss SLE Cohort Study and 188 age- and sex-matched healthy controls were evaluated. Levels of anti-HSA IgG and anti-BSA IgG were quantified by ELISA. Selected samples were further characterized using serum fractions obtained by fast liquid chromatography (FPLC).Results: SLE patients had increased levels of anti-HSA IgG (p = 0.002) but similar levels of anti-BSA IgG compared to matched healthy controls. Anti-HSA IgG levels correlated with the SLE Disease Activity Index (SLEDAI), which was more pronounced in patients with an physician's global assessment (PGA) of ≥ 1 (r = 0.309, p = 0.0066). Anti-HSA IgG was partially complexed with serum albumin but also occurred as monomeric autoantibodies in highly positive SLE patients. A positive correlation between anti-HSA IgG and anti-BSA IgG was found that was stronger in SLE patients than in healthy controls (r = 0.3172, p < 0.001 vs. r = 0.2122, p < 0.0035). Binding of anti-BSA IgG was inhibited partially in the presence of HSA in samples with double positivity for anti-HSA and anti-BSA (median inhibition 47.9%, range 0.9–100%) and vice versa.Conclusion: In SLE patients there is an increased prevalence of anti-HSA IgG antibodies that are associated with SLE disease activity.https://www.frontiersin.org/article/10.3389/fimmu.2018.02090/fullantibodieshuman serum albuminpatientssystemic lupus erythematosusmulticenter study
spellingShingle Josephine Nehring
Lucia A. Schirmbeck
Justa Friebus-Kardash
Denise Dubler
Uyen Huynh-Do
Carlo Chizzolini
Camillo Ribi
Marten Trendelenburg
Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus
Frontiers in Immunology
antibodies
human serum albumin
patients
systemic lupus erythematosus
multicenter study
title Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus
title_full Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus
title_fullStr Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus
title_full_unstemmed Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus
title_short Autoantibodies Against Albumin in Patients With Systemic Lupus Erythematosus
title_sort autoantibodies against albumin in patients with systemic lupus erythematosus
topic antibodies
human serum albumin
patients
systemic lupus erythematosus
multicenter study
url https://www.frontiersin.org/article/10.3389/fimmu.2018.02090/full
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