PMID- 21437233 OWN - NLM STAT- MEDLINE DCOM- 20110705 LR - 20220223 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 6 IP - 3 DP - 2011 Mar 17 TI - Reactivity against complementary proteinase-3 is not increased in patients with PR3-ANCA-associated vasculitis. PG - e17972 LID - 10.1371/journal.pone.0017972 [doi] LID - e17972 AB - The etiology of anti-neutrophil cytoplasmic antibodies (ANCA) associated vasculitides (AAV) is unknown, but the association between infections and autoimmunity has been studied extensively. In 2004, a novel theory was proposed that could link infection and autoimmunity. This 'theory of autoantigen complementarity' was based on the serendipitous finding of antibodies against complementary-PR3 (cPR3) in patients with PR3-ANCA-associated vasculitis. cPR3 demonstrated homology to several bacterial proteins, and it was hypothesized that PR3-ANCA develop in response to anti-cPR3 antibodies, as a consequence of the anti-idiotypic network. These data have not been confirmed in other patient cohorts. We investigated the presence of anti-cPR3 antibodies in a Dutch cohort of PR3-ANCA-associated vasculitis patients. Anti-cPR3 reactivity was determined in serum using ELISA. Two separate batches of cPR3 were used to determine reactivity in two separate cohorts of PR3-ANCA-associated vasculitis patients. We found that anti-cPR3-reactivity was not increased in our PR3-ANCA-associated vasculitis patients, in comparison to control groups. Further research will be necessary to prove the concept of autoantigen complementarity in autoimmune diseases. FAU - Tadema, Henko AU - Tadema H AD - Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. h.tadema@reuma.umcg.nl FAU - Kallenberg, Cees G M AU - Kallenberg CG FAU - Stegeman, Coen A AU - Stegeman CA FAU - Heeringa, Peter AU - Heeringa P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110317 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - EC 3.4.21.76 (Myeloblastin) SB - IM MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/blood/*immunology MH - Antibodies, Antineutrophil Cytoplasmic/*immunology MH - Case-Control Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myeloblastin/*immunology PMC - PMC3060099 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2011/03/26 06:00 MHDA- 2011/07/06 06:00 PMCR- 2011/03/17 CRDT- 2011/03/26 06:00 PHST- 2011/01/11 00:00 [received] PHST- 2011/02/16 00:00 [accepted] PHST- 2011/03/26 06:00 [entrez] PHST- 2011/03/26 06:00 [pubmed] PHST- 2011/07/06 06:00 [medline] PHST- 2011/03/17 00:00 [pmc-release] AID - PONE-D-11-01711 [pii] AID - 10.1371/journal.pone.0017972 [doi] PST - epublish SO - PLoS One. 2011 Mar 17;6(3):e17972. doi: 10.1371/journal.pone.0017972.