PMID- 8639172 OWN - NLM STAT- MEDLINE DCOM- 19960708 LR - 20190718 IS - 0004-3591 (Print) IS - 0004-3591 (Linking) VI - 39 IP - 5 DP - 1996 May TI - Anti-endothelial cell IgG antibodies from patients with Wegener's granulomatosis bind to human endothelial cells in vitro and induce adhesion molecule expression and cytokine secretion. PG - 758-66 AB - OBJECTIVE: To elucidate the role of anti-endothelial cell antibodies (AECA) in vascular inflammation in patients with Wegener's granulomatosis (WG). METHODS: IgG fractions from 3 AECA-positive WG patients, IgG from 3 AECA-negative WG patients, and IgG from healthy donors were tested for their ability to: a) bind to endothelial cells and to display complement-dependent or antibody-dependent cellular cytotoxicity, b) modulate cell membrane expression of adhesion molecules, as evaluated by cytofluorometry and by immunoenzymatic assay, and c) induce the secretion of interleukin-1 beta (IL-1 beta), IL-6, IL-8, and monocyte chemotactic protein 1 (MCP-1). RESULTS: We found that AECA IgG from WG patients do not display any significant cytotoxicity but are able to up-regulate the expression of E-selectin, intercellular adhesion molecule 1 and vascular cell adhesion molecule 1 and to induce the secretion of IL-1 beta, IL-6, IL-8, and MCP-1. CONCLUSION: AECA in patients with WG could play a potential pathogenetic role by activating endothelial cells, and thus facilitating leukocyte recruitment and adhesion to endothelial surfaces, rather than by displaying a cytotoxic activity. FAU - Del Papa, N AU - Del Papa N AD - Instituto di Medicina Interna, University of Milan, Italy. FAU - Guidali, L AU - Guidali L FAU - Sironi, M AU - Sironi M FAU - Shoenfeld, Y AU - Shoenfeld Y FAU - Mantovani, A AU - Mantovani A FAU - Tincani, A AU - Tincani A FAU - Balestrieri, G AU - Balestrieri G FAU - Radice, A AU - Radice A FAU - Sinico, R A AU - Sinico RA FAU - Meroni, P L AU - Meroni PL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arthritis Rheum JT - Arthritis and rheumatism JID - 0370605 RN - 0 (Autoantibodies) RN - 0 (Cell Adhesion Molecules) RN - 0 (Cytokines) RN - 0 (Immunoglobulin G) RN - 0 (anti-endothelial cell antibody) SB - IM MH - Autoantibodies/*analysis/physiology MH - Cell Adhesion Molecules/*metabolism MH - Cells, Cultured MH - Cytokines/*metabolism MH - Cytotoxicity, Immunologic MH - Endothelium, Vascular/chemistry/metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Granulomatosis with Polyangiitis/blood/*immunology/metabolism MH - Humans MH - Immunoglobulin G/immunology MH - Umbilical Veins/chemistry/metabolism EDAT- 1996/05/01 00:00 MHDA- 1996/05/01 00:01 CRDT- 1996/05/01 00:00 PHST- 1996/05/01 00:00 [pubmed] PHST- 1996/05/01 00:01 [medline] PHST- 1996/05/01 00:00 [entrez] AID - 10.1002/art.1780390507 [doi] PST - ppublish SO - Arthritis Rheum. 1996 May;39(5):758-66. doi: 10.1002/art.1780390507.