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Brain Synaptosomal Antibodies in Systemic Lupus Erythematosus

Division of Rheumatology, Department of Medicine, Victoria General Hospital and Dalhousie University, Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada

Connie Hong

Division of Rheumatology, Department of Medicine, Victoria General Hospital and Dalhousie University, Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada

Thomas D. White

Division of Rheumatology, Department of Medicine, Victoria General Hospital and Dalhousie University, Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada

Nervous system involvement in systemic lupus erythematosus (SLE) has been linked to the production of autoantibodies that may bind to surface antigens on neuronal cells and cause cellular dysfunction. At present, little is known of the target antigens recognized by these antibodies. The aim of the present study was to examine reactivity to rat brain synaptosomes (RBS) in sera from patients with SLE. Sera from 73 unselected SLE patients and controls were studied. Crude RBS were prepared by differential centrifugation and enriched fractions of synaptosomes (SY-E), myelin (MY-E) and mitochondria (MI-E) were obtained by sucrose density centrifugation. Rat liver (RL) was used for control antigens. Wheat-germ lectin affinity chromatography yielded membrane-enriched fractions of RBS, RL and whole rat brain (WRB). Antibody binding was examined by Western blotting. IgM reactivity was detected in 12/73 sera (16%) and was directed to proteins of 62K, 48K and 37K molecular weight. IgG reactivity was present in 5/73 sera (7%) to proteins of 52K, 48K, 37K and 29K molecular weight. Except for binding to the 52K and 37K proteins these autoantibodies were not detected in control sera. Reactivity was usually absent, or present in reduced amounts, in WRB and RL. Additional experiments revealed that binding of IgM to 62K was found predominantly in SY-E and MY-E fractions, 48K in SY-E and MI-E fractions and 37K in the SY-E fraction. Binding of IgG to 48K and 29K was detected in the SY-E and MI-E, but reactivity to 52K and 37K was restricted to the SY-E fraction. Thus, sera from SLE patients contain antibodies to synaptosomal antigens that may contribute to the neuropsychiatric manifestations of the disease.

Key Words: Systemic lupus erythematosus • Synaptosomes • Antibodies

Lupus, Vol. 2, No. 1, 35-45 (1993)
DOI: 10.1177/096120339300200107


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