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Lupus
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*Joint Disorders
*Salivary Gland Disorders
*Sjogren's Syndrome
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Immunologically restricted and inhibitory anti-Ro/SSA in monozygotic twins

RH Scofield

Arthritis and Immunology Program, Oklahoma Medical Research Foundation, Department of Medicine, University of Oklahoma Health Sciences Center, Department of Veterans Affairs Medical Center, Oklahoma City, OK

BT Kurien

Arthritis and Immunology Program, Oklahoma Medical Research Foundation

M. Reichlin

Arthritis and Immunology Program, Oklahoma Medical Research Foundation, Department of Medicine, University of Oklahoma Health Sciences Center

A pair of monozygotic twins with Sjögren's syndrome are described who both have large amounts of anti-Ro/SSA in their sera by ELISA, but no precipitin in double immunodiffusion. Unique among previously encountered specimens, sera from the twins inhibit the formation of Ro/SSA precipitins in double immunodiffusion by known anti-Ro/SSA positive SLE patients. The twins have near identical, clonally restricted anti-Ro/SSA autoantibodies as evaluated by isoelectric focusing and bind the same 60 kD Ro/SSA peptides. Thus, this pair of monozygotic twins has an identical fine specificity in their immune response to 60 kD Ro/SSA, despite potential differences in their immune response generated by random processes in the formation of immunoglobulin molecules and T cell receptors. These data imply that the anti-Ro/SSA found in these sera binds less than three epitopes such that soluble antigen/antibody complexes are formed instead of an insoluble complex that precipitates.

Key Words: Sjögren's syndrome • anti-Ro/SSa • twins • autoantibodies

Lupus, Vol. 6, No. 4, 395-398 (1997)
DOI: 10.1177/096120339700600409


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