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Thyroid peroxidase autoantibodies and their effects on enzyme activity in patients with systemic lupus erythematosus

Department of Internal Medicine, Chung Shan Medical and Dental College Hospital, 23, Section 1, Taichung Kang-Road, Taichung, Taiwan

T.-C. Chang

Department of Internal Medicine, National Taiwan University Hospital, Taipei

C.-R. Wang

Department of Internal Medicine, National Taiwan University Hospital, Taipei

S.-L. Lee

Department of Internal Medicine, Chung Shan Medical and Dental College Hospital, 23, Section 1, Taichung Kang-Road, Taichung, Taiwan

C.-J. Wang

Department of Biochemistry, Chung Shan Medical and Dental College, Taichung, Taiwan, Republic of China

G.J. Tsay

Department of Internal Medicine, Chung Shan Medical and Dental College Hospital, 23, Section 1, Taichung Kang-Road, Taichung, Taiwan

Thyroid microsomal antibodies (Ms-Ab) are recently proved to be directed to thyroid peroxidase (TPO). The aim of this study was to investigate whether the sera of patients with systemic lupus erythematosus (SLE) contain anti-TPO antibodies (TPO-Ab) and whether these antibodies influence enzyme activity. Sera from patient with Hashimoto's thyroiditis was also studied. Serum samples were obtained from 37 patients with SLE, 20 patients with Hashimoto's thyroiditis and 20 healthy subjects. TPO-Ab were detected by immunoprecipitation using crude microsomal preparations or enzyme-linked immunoabsorbent assay (ELISA) with recombinant TPO. Positive TPO-Ab by ELISA were found in 11 (61%) of 18 patients with lupus whose serum contained Ms-Ab. Low levels of TPO-Ab also were found in three (16%) of 19 lupus sera that did not contain Ms-Ab. All patients with Hashimoto's thyroiditis had high levels of TPO-Ab in serum. When measured by ELISA, TPO-Ab were highly correlated with the results of a TPO immunoprecipitation assay and with the titers of Ms-Ab in patients with lupus (r = 0.83, n = 18, P < 0.01; r = 0.63, n = 18, P < 0.01) and in Hashimoto's thyroiditis (r = 0.89, n = 20, P < 0.01; r = 0.75, n = 20, P < 0.01). When evaluating the direct influence of TPO-Ab on the activity of TPO, we found no significant inhibition of enzymatic activity in both guaiacol and iodide assays by lupus sera in contrast with sera from Hashimoto's thyroiditis. Our findings raise the possibility that the specificities of TPO-Ab in SLE are distinct from those in patients with Hashimoto's thyroiditis.

Key Words: thyroid peroxidase • anti-TPO antibody • autoantibodies • Hashimoto's thyroiditis

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