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Wegener's granulomatosis autoantigen is a novel neutrophil serine
proteinase [see comments]
JL Niles, RT McCluskey, MF Ahmad and MA Arnaout
Department of Medicine, Massachusetts General Hospital, Charlestown 02129.
Circulating IgG autoantibodies that produce cytoplasmic immunofluorescence
staining of ethanol-fixed normal neutrophils have recently been found in a
large percentage of patients with active Wegener's granulomatosis. Such
autoantibodies are rarely found in other diseases and are therefore
virtually diagnostic of Wegener's granulomatosis. The nature of the
neutrophil antigen defined by these autoantibodies is controversial and the
roles of the antigen and/or autoantibodies in the pathogenesis of Wegener's
granulomatosis are unknown. We studied serum samples that produce the
cytoplasmic pattern of staining from 10 patients with a diagnosis of
Wegener's granulomatosis. By Western blot analysis, all 10 sera reacted
with a 29- Kd neutrophil protein (p29). We generated a mouse monoclonal
antibody directed against this antigen. The monoclonal antibody produced
the same immunofluorescence staining pattern as the serum autoantibodies
and was used to affinity-purify p29. The purified antigen had a novel N-
terminal sequence homologous to members of the serine proteinase family and
bound to radiolabeled diisopropyl fluorophosphate (DFP). We conclude that
the neutrophil antigen responsible for the cytoplasmic staining pattern
produced by autoantibodies in patients with active Wegener's granulomatosis
is a distinctive serine proteinase.
Volume 74,
Issue 6,
pp. 1888-1893,
11/01/1989
Copyright © 1989 by The American Society of Hematology

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