Comparison of igg subclasses and complement binding activity of autoantibodies from patients with bullous pemphigoid and pemphigus
- 1 January 1989
- journal article
- research article
- Published by Wiley in Journal of Clinical Laboratory Analysis
- Vol. 3 (5), 307-311
- https://doi.org/10.1002/jcla.1860030509
Abstract
Bullous pemphigoid and pemphigus are autoimmune disorders of skin of unknown etiology and are characterized by the presence of immunoreactants in the skin and circulating autoantibodies to skin components. The distribution of IgG subclass antibodies to intercellular substance (ICS) of pemphigus and basement membrane zone substance (BMZ) of bullous pemphigoid was analyzed by using monoclonal antibodies to human IgG subclasses. IgG, type anti‐BMZ antibody was found in the majority of patients with bullous pemphigoid (88% in skin and 96% in serum). One third to one half of bullous pemphigoid patients had lgG, and IgG, anti‐BMZ antibodies. The majority of bullous pemphigoid skin (92%) had complement in skin, however only one third of their sera had complement binding activity in vitro. lgG, anti‐ICS antibody was the predominant one in patients with pemphigus (86% in skin and 80% in circulation). IgG4 anti‐ICS antibody was seen in two thirds of specimens from pemphigus patients. IgG, subclass antibody was more frequently seen in pemphigus than in bullous pemphigoid patients. Two‐thirds of pemphigus sera were capable of activating complement in vitro. The complement binding activity was directly associated with IgG1 and/or IgG3 subclass antibodies. The possible mechanisms for the restricted IgG4 subclass antibodies in bullous pemphigoid and pemphigus are discussed.Keywords
This publication has 27 references indexed in Scilit:
- Glomerular and serum immunoglobulin G subclasses in membranous nephropathy and anti-glomerular basement membrane nephritisClinical Immunology and Immunopathology, 1988
- Subclass Distribution of IgG Autoantibodies in Bullous PemphigoidJournal of Investigative Dermatology, 1985
- IgG Subclass Antibody Response in Grass Pollen‐Allergic Patients Undergoing Specific ImmunotherapyAllergy, 1984
- Mechanism of lesion production in pemphigus and pemphigoidJournal of the American Academy of Dermatology, 1982
- In Vitro Complement Activation by Intercellular AntibodiesJournal of Investigative Dermatology, 1982
- The complement system in bullous pemphigoidClinical Immunology and Immunopathology, 1979
- Morphologic and Functional Evidence for Release of Mast-Cell Products in Bullous PemphigoidNew England Journal of Medicine, 1978
- Subclass Typing of IgG Antibodies Formed by Grass Pollen-Allergic Patients during ImmunotherapyInternational Archives of Allergy and Immunology, 1976
- The complement system in bullous pemphigoid: II. Immunofluorescent evidence for both classical and alternate-pathway activationClinical Immunology and Immunopathology, 1975
- Negative Complement Immunofluorescence in PemphigusJournal of Investigative Dermatology, 1971