PMID- 12784397 OWN - NLM STAT- MEDLINE DCOM- 20031007 LR - 20041117 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 30 IP - 6 DP - 2003 Jun TI - Spontaneous chromosome damage (micronuclei) in systemic sclerosis and Raynaud's phenomenon. PG - 1244-7 AB - OBJECTIVE: To evaluate the prevalence of spontaneous chromosome damage in cultured peripheral lymphocytes of patients with systemic sclerosis (SSc), idiopathic Raynaud's phenomenon (RP), and suspected secondary RP, by means of molecular cytogenetic analysis. METHODS: We studied 43 patients with SSc, 13 with idiopathic RP, and 16 with suspected secondary RP and 25 healthy controls. As a marker of chromosome alteration we used the micronucleus (MN) assay. All subjects were also classified for antinuclear antibodies, anticentromere antibodies (ACA), or Scl70. To identify the mechanism of MN formation, we also performed MN fluorescence in situ hybridization (FISH) analysis using a pancentromeric DNA probe. RESULTS: Patients with SSc and subjects with RP showed significantly higher MN frequencies than controls (25.9 +/- 1.7 and 19.1 +/- 2.15, respectively, vs 9.4 +/- 2.2; p < 0.001). Subjects with suspected secondary RP displayed MN frequency (23.5 +/- 2.7) comparable to that of SSc patients, while spontaneous MN level in idiopathic RP subjects (13.6 +/- 3.0) did not differ significantly from controls (9.4 +/- 2.2). ACA positive subjects showed the highest MN frequencies (32.8 +/- 1.7) compared to subjects with a different antibody pattern (18.3 +/- 1.6). CONCLUSION: Our results show the presence of higher levels of micronuclei in circulating lymphocytes of patients with SSc and subjects with suspected secondary RP. They also suggest a possible role of ACA in determining cytogenetic anomalies. FISH analysis indicated that both aneuploidogenic and clastogenic events contributed to the formation of MN observed in SSc patients and subjects with suspected secondary RP. FAU - Porciello, Giovanni AU - Porciello G AD - Istituto di Reumatologia, University of Siena, Italy. g.porciello@katamail.com FAU - Scarpato, Roberto AU - Scarpato R FAU - Ferri, Clodoveo AU - Ferri C FAU - Storino, Franca AU - Storino F FAU - Cagetti, Francesca AU - Cagetti F FAU - Morozzi, Gabriella AU - Morozzi G FAU - Bellisai, Francesca AU - Bellisai F FAU - Migliore, Lucia AU - Migliore L FAU - Marcolongo, Roberto AU - Marcolongo R FAU - Galeazzi, Mauro AU - Galeazzi M LA - eng PT - Journal Article PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Autoantibodies) SB - IM MH - Adult MH - Autoantibodies/blood MH - *Chromosome Aberrations MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - *Micronuclei, Chromosome-Defective MH - Middle Aged MH - Raynaud Disease/*genetics/immunology MH - Scleroderma, Systemic/*genetics/immunology EDAT- 2003/06/05 05:00 MHDA- 2003/10/08 05:00 CRDT- 2003/06/05 05:00 PHST- 2003/06/05 05:00 [pubmed] PHST- 2003/10/08 05:00 [medline] PHST- 2003/06/05 05:00 [entrez] AID - 0315162X-30-1244 [pii] PST - ppublish SO - J Rheumatol. 2003 Jun;30(6):1244-7.