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pubmed-article:9802926pubmed:abstractTextSystemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the production of large amounts of characteristic autoantibodies. Anti-Sm and anti-nRNP (also known as anti-spliceosome) autoantibodies are among these. Previous epitope mapping of anti-spliceosomal antibodies has identified multiple antigenic determinants within this complex immune response. In this report we describe an SLE patient with a relatively simple, long-lasting anti-spliceosomal response. In the earliest serum sample tested the autoimmune response appeared restricted to the similar peptides PPPGMR(P,G)P of Sm B/B', PAPGMRPP of nRNP C, and PPPGMIPP of nRNP A. Unlike all the other tested lupus patients with anti-spliceosomal autoantibodies, in this patient these proline-rich epitopes remained the primary target for humoral autoimmunity in subsequent serum samples collected over many years. Absorption of anti-PAPGMRPP antibodies also removed binding to PPPGMR(P,G)P and PPPGMIPP. Isolated antibodies to PAPGMRPP were capable of binding Sm B/B', nRNP C and nRNP A by Western blot. For this particular SLE patient the autoimmune response observed against these three proteins is a single cross-reactive response against a similar proline-rich motif. Also, this patient has failed to undergo the B cell epitope spreading, typically observed in the naturally arising autoimmune response against the spliceosome in human lupus patients.lld:pubmed
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pubmed-article:9802926pubmed:authorpubmed-author:JamesJ AJAlld:pubmed
pubmed-article:9802926pubmed:authorpubmed-author:HarleyJ BJBlld:pubmed
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pubmed-article:9802926pubmed:authorpubmed-author:ArbuckleM RMRlld:pubmed
pubmed-article:9802926pubmed:copyrightInfoCopyright 1998 Academic Press.lld:pubmed
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pubmed-article:9802926pubmed:volume11lld:pubmed
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pubmed-article:9802926pubmed:pagination431-8lld:pubmed
pubmed-article:9802926pubmed:dateRevised2008-11-21lld:pubmed
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pubmed-article:9802926pubmed:articleTitleA limited lupus anti-spliceosomal response targets a cross-reactive, proline-rich motif.lld:pubmed
pubmed-article:9802926pubmed:affiliationArthritis and Immunology Program, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, 73104, USA.lld:pubmed
pubmed-article:9802926pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:9802926pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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