Abstract
UsingCrithidia luciliae fluorescent assay a significant prevalence (7.6%;P<0.006) of anti-double-stranded DNA antibodies was found in a healthy old population. A negative enzyme-linked immunosorbent assay for anti-total histone antibodies excluded a false-positive reaction. Anti-double-stranded DNA antibodies in the aged differed from those found in patients with systemic lupus erythematosus and were characterized by a low titer (95.6% of cases), belonging to the IgA class alone (95.6%), no complement-fixing ability (100%), and negativity to Farr assay (100%). It is concluded that, in elderly subjects without signs and symptoms of disease, including systemic lupus erythematosus, such a peculiar anti-double-stranded DNA antibody may be detected.
Similar content being viewed by others
References
Tan EM, Chan EDK, Sullivan KF, Rubin LR: Antinuclear antibodies (ANAs): diagnostically specific immune markers and clues toward the understanding of systemic autoimmunity. Clin Immunol Immunopathol 47:121–141, 1988
Ballou SP, Kushner I: Immunochemical characteristics of antibodies to DNA in patients with active systemic lupus erythematosus. Clin Exp Immunol 37:58–67, 1979
Alarcòn-Segovia D: Antibodies to nuclear and other intracellular antigens in the connective tissue diseases. Clin Rheum Dis 9:161–175, 1983
Harmon CE: Antinuclear antibodies in autoimmune disease. Med Clin North Am 69:547–563, 1985
Christian CL, Keith BE: Autoantibodies to intracellular proteins. Am J Med 80:53–61, 1986
Swaak T, Smeenk R: Clinical significance of antibodies to double stranded DNA (dsDNA) for systemic lupus erythematosus (SLE). Clin Rheumatol 6 (Suppl 1):56–63, 1987
Sarvas H, Gripenberg M, Lerisalo-Repo M: Anti-DNA antibodies: the choice of assays for routine diagnostic work. Acta Pathol Microbiol Immunol Scand 93:13–18, 1985
Clarke MC, Carr R, Burdash M, Chen Z, Ainsworth SK: A comparison of three anti-double stranded DNA antibody assays on sera from SLE and other diseases. Diagn Immunol 4:288–293, 1986
McCarty GA: Autoantibodies and their relation to rheumatic diseases. Med Clin North Am 70:237–261, 1986
Smeenk R, van der Lelij G, Aarden L: Avidity of antibodies to dsDNA: comparison of IFT on Crithidia Luciliae, Farr assay, and Peg assay. J Immunol 128:73–78, 1982
Chubick A, Sontheimer RD, Gilliam JN, Ziff M: An appraisal of tests for native DNA antibodies in connective tissue diseases. Ann Intern Med 89:186–192, 1978
Maini RN, Holborow EJ (eds): Detection and measurement of anti-DNA antibodies. Ann Rheum Dis 36(Suppl 1), 1977
Feltkamp TEW, Kirkwood TBL, Maini EN, Aarden LA: The first international standard for antibodies to double stranded DNA. Ann Rheum Dis 47:740–746, 1988
Deng JS, Rubin RL, Lipscomb MF, Sontheimer RD, Gilliam JN: Reappraisal of the specificity of the Crithidia Luciliae assay for nDNA antibodies: evidence for histone antibody kinetoplast binding. Am J Clin Pathol 82:448–452, 1984
Manoussakis MN, Tzioufas AG, Silis MP, Pange PJE, Goudevenos J, Moutsopoulos HN: High prevalence of anti-cardiolipin and other autoantibodies in healthy elderly population. Clin Exp Immunol 69:557–565, 1987
Baer AN, Pincus T: Occult systemic lupus erythematosus in elderly men. JAMA 249:3350–3352, 1983
Spencer-Green G, Adams LE, Donovan-Brand R, Hess EV: Polynucleotide antibodies in connective tissue disease: Viral markers or disease mediators? J Lab Clin Med 107:159–165, 1986
Gordon J, Rosenthal M: Failure to detect age-related increase of non-pathological autoantibodies. Lancet 1:231, 1984
Ligthart GJ, Corberand JX, Fournier C, Galanaud P, Hijmans W, Kennes B, Muller-Hermelink HK, Steinman GG: Admission criteria for immunogerontological studies in man: The SENIEUR protocol. Mech Age Dev 28:47–55, 1984
Solinger AM: Drug-related lupus. Clinical and etiologic considerations. Rheum Dis North Am 14:187–202, 1988
Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester NJ: The 1982 revised criteria for the classification of systemic lupus erythematosus. Arth Rheum 25:1271–1277, 1982
Parker MD, Turner RA: Comparison of the complement-fixing activity of antinuclear antibodies in lupus nephritis, mixed connective tissue disease and scleroderma. Arth Rheum 19:856–861, 1976
Aarden LA, Lakmaker F, Feltkamp TEW: Immunology of DNA I. The influence of reaction conditions on the Farr assays as used for the detection of anti-dsDNA. J Immunol Methods 10:27–38, 1976
Pisetsky DS: Mechanism of antinuclear antibody production in the rheumatic diseases. Rheum Dis North Am 13:569–581, 1987
Hallgren HM, Buckley CE III, Gilbertsen VA, Yunis EJ: Lymphocyte phytohemoagglutinin responsiveness, immunoglobulins and autoantibodies in aging humans. J Immunol 111:1101–1107, 1973
Schuller E, Allinquant B, Reboul J, Fournier C, Dardenne M, Bach JF: Immunological studies in human ageing II. Associated increase in anti-RNA and anti-DNA antibodies. J Clin Lab Immunol 6:107–110, 1981
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ruffatti, A., Calligaro, A., Del Ross, T. et al. Anti-double-stranded DNA antibodies in the healthy elderly: Prevalence and characteristics. J Clin Immunol 10, 300–303 (1990). https://doi.org/10.1007/BF00917474
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00917474