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10.1016/j.jaut.2016.05.014

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suck abstract from ncbi


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pmid27289167
      J+Autoimmun 2016 ; 73 (ä): 30-41
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  • Modulation of natural IgM autoantibodies to oxidative stress-related neo-epitopes on apoptotic cells in newborns of mothers with anti-Ro autoimmunity #MMPMID27289167
  • Grönwall C ; Clancy RM ; Getu L ; Lloyd KA ; Siegel DL ; Reed JH ; Buyon JP ; Silverman GJ
  • J Autoimmun 2016[Sep]; 73 (ä): 30-41 PMID27289167 show ga
  • At birth, the human immune system already contains substantial levels of polymeric IgM, that include autoantibodies to neo-epitopes on apoptotic cells (ACs) that are proposed to play homeostatic and anti-inflammatory roles. Yet the biologic origins and developmental regulation of these naturally arising antibodies remain poorly understood. Herein, we report that levels of IgM-antibodies to malondialdehyde (MDA) protein adducts, a common type of in vivo generated oxidative stress-related neoepitope, directly correlate with the relative binding of neonatal-IgM to ACs. Levels of IgM to phosphorylcholine (PC), a natural antibody prevalent in adults, were relatively scant in cord blood, while there was significantly greater relative representation of IgM anti-MDA antibodies in newborns compared to adults. To investigate the potential interrelationships between neonatal IgM with pathogenic IgG-autoantibodies, we studied 103 newborns born to autoimmune mothers with IgG anti-Ro (i.e., 70 with neonatal lupus and 33 without neonatal lupus). In these subjects the mean levels of IgM anti-Ro60 were significantly higher than in the newborns from non-autoimmune mothers. In contrast, levels of IgM anti-MDA in IgG anti-Ro exposed neonates were significantly lower than in neonates from non-autoimmune mothers. The presence or absence of neonatal lupus did not appear to influence the total levels of IgM in the anti-Ro exposed newborns. Taken together, our studies provide evidence that the immune development of the natural IgM-repertoire may be affected, and become imprinted by, the transfer of maternal IgG into the fetus.
  • |Adult [MESH]
  • |Antibodies, Anti-Idiotypic/blood [MESH]
  • |Apoptosis/*immunology [MESH]
  • |Autoantibodies/blood/*immunology [MESH]
  • |Autoantigens/immunology [MESH]
  • |Cohort Studies [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Epitopes/chemistry/*immunology [MESH]
  • |Female [MESH]
  • |Fetal Blood/immunology [MESH]
  • |Fetus/*immunology [MESH]
  • |Humans [MESH]
  • |Immunoglobulin G/immunology [MESH]
  • |Immunoglobulin M/*immunology [MESH]
  • |Infant, Newborn [MESH]
  • |Malondialdehyde/adverse effects/chemistry/immunology [MESH]
  • |Maternal-Fetal Exchange/*immunology [MESH]
  • |Mothers [MESH]
  • |Oxidative Stress/*immunology [MESH]
  • |Phosphorylcholine/adverse effects/blood [MESH]
  • |Pregnancy [MESH]
  • |Pregnancy Complications [MESH]


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