PMID- 12515286 OWN - NLM STAT- MEDLINE DCOM- 20030502 LR - 20190922 IS - 0891-6934 (Print) IS - 0891-6934 (Linking) VI - 35 IP - 5 DP - 2002 Aug TI - Detection of cytotoxic anti-LEDGF autoantibodies in atopic dermatitis. PG - 319-27 AB - In the last two decades, atopic dermatitis (AD) has been of increasing clinical significance in Japan. Eight-20% of patients with AD developed progressive cataracts (cataract-AD) and lens epithelial cells (LECs) were severely damaged. Lens epithelium-derived growth factor (LEDGF) is a newly isolated survival factor. In the presence of LEDGF, LECs survive well and in the absence of LEDGF, they become highly susceptible to stress. We investigated (1) whether auto-antibody (auto-Ab) to LEDGF is present in sera of AD patients and (2) whether depletion of LEDGF by the auto-Ab kills LECs. In sera from 26 patients with AD using ELISA, we found significantly higher levels of auto-Ab to LEDGF than that in a normal control group. Affinity purified auto-Ab to LEDGF from these sera killed LECs without complement activation. Levels of histamine in the AD group were significantly higher and levels of prostaglandin E2 were significantly lower than in the normal group. However, statistically there are no differences between sera from AD and cataract-AD in levels of Ab to LEDGF, histamine, prostaglandin E2 (PGE2), immunoglobulin E (IgE) and eosinophiles. We speculate that cataract-AD may be induced, in part, by a combination of high levels of serum histamine and eye rubbing which could break the blood-aqueous barrier to allow the entry of Ab to LEDGF into the privileged compartment, thus, reducing LEDGF levels, resulting in damage to LECs, and cataract formation. FAU - Ayaki, Masahiko AU - Ayaki M AD - Center for Ophthalmic Research, Brigham and Women's Hospital, Department of Ophthalmology, Harvard Medical School, 221 Longwood Avenue, Boston, MA 02115, USA. FAU - Ohoguro, Nobuyuki AU - Ohoguro N FAU - Azuma, Noriyuki AU - Azuma N FAU - Majima, Yoshinao AU - Majima Y FAU - Yata, Kiyomi AU - Yata K FAU - Ibaraki, Nobuhiro AU - Ibaraki N FAU - Singh, Dhirendra P AU - Singh DP FAU - Ko, Vincent AU - Ko V FAU - Shinohara, Toshimichi AU - Shinohara T LA - eng GR - EY10958/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Autoimmunity JT - Autoimmunity JID - 8900070 RN - 0 (Autoantibodies) RN - 0 (Immunoglobulins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (lens epithelium-derived growth factor) RN - 820484N8I3 (Histamine) RN - K7Q1JQR04M (Dinoprostone) SB - IM MH - Animals MH - Autoantibodies/*blood MH - Case-Control Studies MH - Cataract/blood/complications/immunology MH - Cytotoxicity, Immunologic MH - Dermatitis, Atopic/blood/complications/*immunology MH - Dinoprostone/blood MH - Eosinophils MH - Epithelial Cells/immunology MH - Histamine/blood MH - Humans MH - Immunoglobulins/blood MH - In Vitro Techniques MH - Intercellular Signaling Peptides and Proteins/*immunology MH - Lens, Crystalline/immunology MH - Mice EDAT- 2003/01/08 04:00 MHDA- 2003/05/03 05:00 CRDT- 2003/01/08 04:00 PHST- 2003/01/08 04:00 [pubmed] PHST- 2003/05/03 05:00 [medline] PHST- 2003/01/08 04:00 [entrez] AID - 10.1080/0891693021000003198 [doi] PST - ppublish SO - Autoimmunity. 2002 Aug;35(5):319-27. doi: 10.1080/0891693021000003198.