PMID- 1993362 OWN - NLM STAT- MEDLINE DCOM- 19910319 LR - 20190510 IS - 0009-9104 (Print) IS - 1365-2249 (Electronic) IS - 0009-9104 (Linking) VI - 83 IP - 2 DP - 1991 Feb TI - Anti-idiotypes against anti-neutrophil cytoplasmic antigen autoantibodies in normal human polyspecific IgG for therapeutic use and in the remission sera of patients with systemic vasculitis. PG - 298-303 AB - Anti-neutrophil cytoplasmic antigen (ANCA) activity was inhibited in 15 out of 21 sera from patients with acute systemic vasculitis following incubation with normal polyspecific IgG for therapeutic use (IVIg). ANCA antibodies reacted with IVIg through idiotypic-anti-idiotypic interactions, as shown in competitive binding assays using F(ab')2 fragments from IVIg and affinity chromatography of ANCA IgG on Sepharose-bound F(ab')2 fragments from IVIg. Co-incubation of sera from patients with acute systemic vasculitis with paired autologous remission stage sera also resulted in inhibition of ANCA activity in acute sera. Remission sera contain IgM and IgG capable of interacting with beta and or alpha idiotypes of ANCA IgG from acute sera. Anti-idiotypic IgM may account for the lack of expression of ANCA activity in whole serum from patients in remission from systemic vasculitis, which were found to contain high titres of ANCA IgG. These observations suggest that remission of systemic vasculitis is associated with the generation of anti-idiotypes against autoantibodies rather than the suppression of production of ANCA autoantibodies. IVIg may modulate the activity of systemic vasculitis in vivo. FAU - Rossi, F AU - Rossi F AD - INSERM U28, Hopital Broussais, Paris, France. FAU - Jayne, D R AU - Jayne DR FAU - Lockwood, C M AU - Lockwood CM FAU - Kazatchkine, M D AU - Kazatchkine MD LA - eng GR - Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin M) SB - IM MH - Antibodies, Anti-Idiotypic/*analysis MH - Autoantibodies/*immunology MH - Autoimmune Diseases/immunology MH - Chromatography, Affinity MH - Cytoplasm/*immunology MH - Humans MH - Immunization, Passive MH - Immunoglobulin G/*immunology MH - Immunoglobulin M/immunology MH - Neutrophils/*immunology MH - Vasculitis/*immunology PMC - PMC1535259 EDAT- 1991/02/01 00:00 MHDA- 1991/02/01 00:01 PMCR- 1992/02/01 CRDT- 1991/02/01 00:00 PHST- 1991/02/01 00:00 [pubmed] PHST- 1991/02/01 00:01 [medline] PHST- 1991/02/01 00:00 [entrez] PHST- 1992/02/01 00:00 [pmc-release] AID - 10.1111/j.1365-2249.1991.tb05631.x [doi] PST - ppublish SO - Clin Exp Immunol. 1991 Feb;83(2):298-303. doi: 10.1111/j.1365-2249.1991.tb05631.x.