PMID- 10787008 OWN - NLM STAT- MEDLINE DCOM- 20000608 LR - 20231213 IS - 0961-2033 (Print) IS - 0961-2033 (Linking) VI - 9 IP - 2 DP - 2000 TI - ANA negative systemic lupus erythematosus sera revisited serologically. PG - 116-9 AB - OBJECTIVE: To better define the serology of a panel of sera from patients with a clinical diagnosis of systemic lupus erythematosus (SLE) or subacute cutaneous lupus erythematosus (SCLE) with a negative antinuclear antibody (ANA) test on mouse liver. METHODS: Sensitive ELISA methods for anti-Ro/SSA, anti-La/SSB, and anti-U1RNP were applied to a panel of 76 sera with either SLE or SCLE and a negative ANA test on mouse liver. RESULTS: These sera had previously been shown to have a high prevalence of anti-Ro/SSA (68%) and anti-La/SSB (27%) precipitins respectively. None had precipitins to U1RNP or Sm. ELISA methodology revealed that all of the sera 76/76 (100%) had elevated levels (> mean +/- 2 SD of a panel of 21 normal sera) of anti-Ro/SSA, 36/76 (46%) had elevated levels of anti-La/SSB, and 27 of 76 (35%) had elevated levels of anti-U1RNP. CONCLUSION: The subset of patients with SLE and SCLE with a negative ANA test on mouse liver almost uniformly have antibodies to the Ro/SSA antigen by a sensitive ELISA. This adds evidence to the idea that this is a more homogeneous disease subset within the spectrum of SLE. FAU - Reichlin, M AU - Reichlin M AD - Oklahoma Medical Research Foundation, Oklahoma City 73104, USA. LA - eng PT - Journal Article PL - England TA - Lupus JT - Lupus JID - 9204265 RN - 0 (Antibodies, Antinuclear) RN - 0 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (RNA, Small Cytoplasmic) RN - 0 (RO60 protein, human) RN - 0 (Ribonucleoproteins) RN - 0 (SS-A antigen) SB - IM MH - Animals MH - Antibodies, Antinuclear/*blood MH - Autoantibodies/*blood MH - Autoantigens/immunology MH - Enzyme-Linked Immunosorbent Assay MH - Humans MH - Lupus Erythematosus, Cutaneous/*blood/*immunology MH - Lupus Erythematosus, Systemic/*blood/*immunology MH - Mice MH - Precipitin Tests MH - *RNA, Small Cytoplasmic MH - Retrospective Studies MH - Ribonucleoproteins/immunology MH - Sensitivity and Specificity MH - SS-B Antigen EDAT- 2000/04/29 09:00 MHDA- 2000/06/10 09:00 CRDT- 2000/04/29 09:00 PHST- 2000/04/29 09:00 [pubmed] PHST- 2000/06/10 09:00 [medline] PHST- 2000/04/29 09:00 [entrez] AID - 10.1191/096120300678828091 [doi] PST - ppublish SO - Lupus. 2000;9(2):116-9. doi: 10.1191/096120300678828091.