PMID- 11117577 OWN - NLM STAT- MEDLINE DCOM- 20010104 LR - 20220409 IS - 0163-2116 (Print) IS - 0163-2116 (Linking) VI - 45 IP - 10 DP - 2000 Oct TI - Are antibodies to carbonic anhydrase II specific for anti-mitochondrial antibody-negative primary biliary cirrhosis? PG - 2018-21 AB - Antibodies to carbonic anhydrase II (CAII) have been reported to be specific to anti-mitochondrial antibody (AMA)-negative primary biliary cirrhosis (PBC). We examined whether antibodies to CAII are specific for AMA-negative PBC or a nonspecific response in autoimmune liver disease. Antibody assays to CAII, by western immunoblot (dilution 1:200), were performed on sera from 16 AMA-negative PBC patients, 21 AMA-positive PBC patients, 21 autoimmune hepatitis type 1 (AIH) patients, and 18 alcoholic liver disease (ALD) patients. CAII antibody activity was found in 8 of 16 (50%) of the AMA-negative PBC patients, 9 of 21 (43%) of the AMA-positive PBC group, 10 of 21 (48%) of the AIH group, and in 3 of 18 (17%) of the ALD control group. There was no difference in the prevalence of CAII antibody reactivity between the AMA-negative PBC, AMA-positive PBC, and AIH groups. In conclusion, we determined that CAII antibodies are detected with equal frequency in AMA-positive PBC and AIH. Given that CAII antibodies have been reported in other nonhepatic autoimmune diseases, we conclude that CAII antibodies are likely a nonspecific marker of autoimmunity rather than specific for AMA-negative PBC. FAU - Comay, D AU - Comay D AD - Department of Medicine, University of Toronto, Ontario, Canada. FAU - Cauch-Dudek, K AU - Cauch-Dudek K FAU - Hemphill, D AU - Hemphill D FAU - Diamandis, E AU - Diamandis E FAU - Wanless, I AU - Wanless I FAU - Heathcote, E J AU - Heathcote EJ LA - eng PT - Journal Article PL - United States TA - Dig Dis Sci JT - Digestive diseases and sciences JID - 7902782 RN - 0 (Autoantibodies) RN - EC 4.2.1.1 (Carbonic Anhydrases) SB - IM MH - Adult MH - Aged MH - Antibody Specificity/*immunology MH - Autoantibodies/*blood MH - Carbonic Anhydrases/*immunology MH - Diagnosis, Differential MH - Female MH - Hepatitis, Autoimmune/diagnosis/immunology MH - Humans MH - Liver Cirrhosis, Biliary/diagnosis/*immunology MH - Liver Diseases, Alcoholic/diagnosis/immunology MH - Male MH - Middle Aged MH - Mitochondria, Liver/*immunology EDAT- 2000/12/16 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/12/16 11:00 PHST- 2000/12/16 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/12/16 11:00 [entrez] AID - 10.1023/a:1005548126211 [doi] PST - ppublish SO - Dig Dis Sci. 2000 Oct;45(10):2018-21. doi: 10.1023/a:1005548126211.