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Lupus
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Lack of relationship between human immunodeficiency virus infection and systemic lupus erythematosus

Josep Font

Systemic Autoimmune Diseases Unit, Department of Internal Medicine

Josep Vidal

Department of Microbiology, Hospital Clinic, Barcelona, Catalonia, Spain

Ricard Cervera

Systemic Autoimmune Diseases Unit, Department of Internal Medicine

Alfons López-Soto

Systemic Autoimmune Diseases Unit, Department of Internal Medicine

Carles Miret

Systemic Autoimmune Diseases Unit, Department of Internal Medicine

Maria Teresa Jiménez de Anta

Department of Microbiology, Hospital Clinic, Barcelona, Catalonia, Spain

Miguel Ingelmo

Systemic Autoimmune Diseases Unit, Department of Internal Medicine

The objective of this work was to determine whether HIV-1 and HIV-2 could be involved in the pathogenesis of systemic lupus erythematosus (SLE). Seventy-five consecutive Caucasian patients with SLE presenting at one institution over a 2-year period were studied. Serum samples were surveyed for anti-HIV-1 antibodies by a commercial ELISA coated with HIV-1-p24. For confirmation, conventional immunoblots were performed with the following antigens: HIV-1-gp41, p31, p24 and p17 (recombinant) and HIV-2-gp36 (synthetic peptide). Additionally, Western blots with HIV-1-gp160, gp120, gp41, p65, p51, p24 and p18 bands were applied.

Seventeen (23%) patients exhibited reactivity with HIV-1-p24 in the ELISA, but in the immunoblots and Western blots these sera samples were negative.

Patients with SLE may exhibit a reactivity with HIV-1-p24 in the ELISA for HIV infection screening but not in the confirmatory blots. This false-positive reactivity is probably due to molecular mimicry between autoantigens and retroviruses or a contaminant or artefacts in the antigen preparation procedure.

Key Words: Systemic lupus erythematosus • Human immunodeficiency virus • Immunoblot

Lupus, Vol. 4, No. 1, 47-49 (1995)
DOI: 10.1177/096120339500400110


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