PMID- 22041579 OWN - NLM STAT- MEDLINE DCOM- 20120927 LR - 20211020 IS - 1873-0183 (Electronic) IS - 1568-9972 (Linking) VI - 11 IP - 8 DP - 2012 Jun TI - Autoantibodies in lupus: culprits or passive bystanders? PG - 596-603 LID - 10.1016/j.autrev.2011.10.021 [doi] AB - Several autoantibodies are culprits in the pathogenesis of organ damage in systemic lupus erythematosus, by means of established or postulated mechanisms, whereby inducing a perturbation of cell structure and function, with consequent tissue-organ impairment. Common autoantibody-mediated mechanisms of damage include cell surface binding with or without cytolysis, immune complex-mediated damage, penetration into living cells, binding to cross-reactive extracellular molecules. Experimental data from both murine models and humans have recently clarified the key role of autoantibodies in severe organ involvements, including nephritis, neuropsychiatric (NP) dysfunction, and cerebrovascular disease (CVD). In lupus nephritis early and late phases are distinguishable and mediated by different processes in which anti-chromatin antibodies are both inducing and perpetuating agents, by immune-complex formation and massive deposition in mesangial matrix at first, and in glomerular basement membrane at end-stage. Also NP abnormalities occur very early, much earlier than other systemic manifestations, and exacerbate with the increase in autoantibody titers. Among the autoantibodies mainly implicated in neurolupus, anti-beta2 glycoprotein I (beta2GPI) antibodies are preferentially involved in focal NP events which are a consequence of non-inflammatory microangiopathy; otherwise, anti-ribosomal P protein antibodies and N-methyl-d-aspartate receptor (NMDAR) antibodies cause diffuse NP events through a direct cytotoxic effect on neuronal cells at specific brain zones. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Rekvig, Ole P AU - Rekvig OP AD - Molecular Pathology Research Group, Institute of Medical Biology, University of Tromso, Norway. FAU - Putterman, Chaim AU - Putterman C FAU - Casu, Cinzia AU - Casu C FAU - Gao, Hua-Xin AU - Gao HX FAU - Ghirardello, Anna AU - Ghirardello A FAU - Mortensen, Elin S AU - Mortensen ES FAU - Tincani, Angela AU - Tincani A FAU - Doria, Andrea AU - Doria A LA - eng GR - R01 AR048692/AR/NIAMS NIH HHS/United States GR - DK90319/DK/NIDDK NIH HHS/United States GR - AR48692/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20111025 PL - Netherlands TA - Autoimmun Rev JT - Autoimmunity reviews JID - 101128967 RN - 0 (Antigen-Antibody Complex) RN - 0 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (Chromatin) RN - 0 (Membrane Transport Proteins) RN - 0 (OCA2 protein, human) RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM MH - Animals MH - Antigen-Antibody Complex/*immunology MH - Autoantibodies/*immunology MH - Autoantigens/immunology MH - Bystander Effect MH - Chromatin/immunology MH - Cytotoxicity, Immunologic MH - Disease Models, Animal MH - Glomerular Basement Membrane/*immunology MH - Humans MH - Lupus Nephritis/diagnosis/*immunology MH - Lupus Vasculitis, Central Nervous System/diagnosis/*immunology MH - Membrane Transport Proteins/immunology MH - Neurons/*immunology MH - Receptors, N-Methyl-D-Aspartate/immunology EDAT- 2011/11/02 06:00 MHDA- 2012/09/28 06:00 CRDT- 2011/11/02 06:00 PHST- 2011/11/02 06:00 [entrez] PHST- 2011/11/02 06:00 [pubmed] PHST- 2012/09/28 06:00 [medline] AID - S1568-9972(11)00241-2 [pii] AID - 10.1016/j.autrev.2011.10.021 [doi] PST - ppublish SO - Autoimmun Rev. 2012 Jun;11(8):596-603. doi: 10.1016/j.autrev.2011.10.021. Epub 2011 Oct 25.