high mobility group box 1 (hmgb1) and anti-hmgb1 antibodies and their relation to disease characteristics in systemic lupus erythematosus高机动组框1(hmgb1)和anti-hmgb1抗体及其关系在系统性红斑狼疮疾病特征.pdfVIP
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high mobility group box 1 (hmgb1) and anti-hmgb1 antibodies and their relation to disease characteristics in systemic lupus erythematosus高机动组框1(hmgb1)和anti-hmgb1抗体及其关系在系统性红斑狼疮疾病特征
Abdulahad et al. Arthritis Research Therapy 2011, 13:R71
/content/13/3/R71
RESEARCH ARTICLE Open Access
High mobility group box 1 (HMGB1) and
anti-HMGB1 antibodies and their relation
to disease characteristics in systemic
lupus erythematosus
*
Deena A Abdulahad , Johanna Westra, Johannes Bijzet, Pieter C Limburg, Cees GM Kallenberg and Marc Bijl
Abstract
Introduction: High Mobility Group Box 1 (HMGB1) is a nuclear non-histone protein. HMGB1, which is secreted by
inflammatory cells and passively released from apoptotic and necrotic cells, may act as a pro-inflammatory
mediator. As apoptotic cells accumulate in systemic lupus erythematosus (SLE), HMGB1 levels might be increased
in SLE. HMGB1 may also serve as an autoantigen, leading to the production of anti-HMGB1 antibodies. In this study
we determined levels of HMGB1 and anti-HMGB1 in SLE patients in comparison to healthy controls (HC) and
analysed their relation with disease activity.
Methods: The study population consisted of 70 SLE patients and 35 age- and sex-matched HC. Thirty-three SLE
patients had quiescent disease, the other 37 patients were selected for having active disease. Nineteen of these
had lupus nephritis. HMGB1 levels were measured with both Western blot and ELISA. Anti-HMGB1 levels were
measured by ELISA. Clinical and serological parameters were assessed according to routine procedures.
Results: HMGB1 levels in SLE patients could be measured reliably by Western blotting only, and were significantly
increased compared to HC. During active disease HMGB1 levels increased, in particular in patients with renal
involvement. Serum HMGB1 levels correlated with SLEDAI, proteinuria, and anti-dsDNA levels, and showed a
negative correlation with complement C3. Anti-HMGB1 levels were significantly increased in SLE patients compared
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