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Clinical significance of IgG subclasses of anti-Sm and U1 ribonucleoprotein antibodies in patients with systemic lupus erythematosus and mixed connective tissue disease
Authors:Yoshiaki Tokano  Mitsuhiko Yasuma  Shigenori Harada  Yoshinari Takasaki  Hiroshi Hashimoto  Ko Okumura  Shunichi Hirose
Institution:(1) Division of Rheumatology, Department of Internal Medicine, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-ku, 113 Tokyo, Japan;(2) Shionogi Institute for Medical Science, Shionogi and Co. Ltd., 2-5-1 Mishima, Settsu-shi, 566 Osaka, Japan;(3) Department of Immunology, Juntendo University, School of Medicine, Bunkyo-ku, 113 Tokyo, Japan
Abstract:IgG subclasses of anti-Sm and anti-U1 ribonucleoprotein (U1 RNP) antibodies were determined using a new clone of the anti-IgG2 antibody (HG2-56F). Although the predominance of IgG1 coincided with previous reports, IgG2 anti-Sm and U1 RNP antibodies were detected in numerous patients. IgG3 anti-Sm antibody significantly correlates with joint involvement and a high titer of anti-DNA antibody. On the other hand, IgG4 anti-U1 RNP antibody significantly correlated with esophageal dilation and muscular involvement. These results may suggest that some IgG subclasses are related to a specific clinical feature or manifestation.
Keywords:IgG subclass  anti-Sm antibody  anti-U1 ribonucleoprotein antibody  systemic lupus erythematosus (SLE)  mixed connective tissue disease (MCTD)
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