PMID- 9737658 OWN - NLM STAT- MEDLINE DCOM- 19980924 LR - 20190512 IS - 0009-9104 (Print) IS - 1365-2249 (Electronic) IS - 0009-9104 (Linking) VI - 113 IP - 3 DP - 1998 Sep TI - Autoantibodies to C-reactive protein (CRP) and other acute-phase proteins in systemic autoimmune diseases. PG - 327-32 AB - Autoantibodies to CRP were reported previously in patients suffering from toxic oil syndrome. This syndrome resembles autoimmune diseases such as systemic lupus erythematosus (SLE) or systemic scleroderma. We therefore examined the prevalence of antibodies to CRP and other acute-phase proteins in autoimmune diseases, including SLE, subacute cutaneous lupus erythematosus (SCLE), systemic scleroderma (SSc), and primary biliary cirrhosis (PBC), as well as in bone marrow transplantation-induced chronic graft-versus-host disease and eosinophilia-myalgia syndrome. IgG antibodies to CRP were found in 78% of SLE and in 30% of SCLE patients, while 16% of patients with PBC were positive. In up to 45% of patients with SSc predominantly IgG antibodies to ceruloplasmin were detectable. Lack of systemic involvement as in discoid lupus erythematosus and localized scleroderma (morphea) correlated with low or absent antibody formation. However, no correlation was found between anti-acute-phase protein antibodies with liver disease or other organ involvement. Adsorption studies revealed that non-native epitopes on the CRP molecule, termed modified CRP, are the main target of antibodies. Chronic inflammatory tissue injury in systemic autoimmune disease might increase the presentation of cryptic epitopes of CRP to the threshold required for T cell activation. FAU - Bell, S A AU - Bell SA AD - Department of Dermatology, Ludwig-Maximilians-Universitat, Munchen, Germany. FAU - Faust, H AU - Faust H FAU - Schmid, A AU - Schmid A FAU - Meurer, M AU - Meurer M LA - eng 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 (Acute-Phase Proteins) RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin G) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Acute-Phase Proteins/*immunology MH - Autoantibodies/*blood MH - Autoimmune Diseases/*immunology MH - C-Reactive Protein/*immunology MH - Humans MH - Immunoglobulin G/blood MH - Lupus Erythematosus, Systemic/immunology MH - Scleroderma, Systemic/immunology PMC - PMC1905069 EDAT- 1998/09/16 00:00 MHDA- 1998/09/16 00:01 PMCR- 1999/09/01 CRDT- 1998/09/16 00:00 PHST- 1998/09/16 00:00 [pubmed] PHST- 1998/09/16 00:01 [medline] PHST- 1998/09/16 00:00 [entrez] PHST- 1999/09/01 00:00 [pmc-release] AID - 10.1046/j.1365-2249.1998.00655.x [doi] PST - ppublish SO - Clin Exp Immunol. 1998 Sep;113(3):327-32. doi: 10.1046/j.1365-2249.1998.00655.x.