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Anti-Calreticulin Segregates Anti-Ro Sera in Systemic Lupus Erythematosus: Anti-Calreticulin Is Present in Sera with Anti-Ro Alone But Not in Anti-Ro Sera with Anti-La or Anti-Ribonucleoprotein

R. HAL SCOFIELD, DOINA M. RACILA, TOM P. GORDON, BIJI T. KURIEN, and RICHARD D. SONTHEIMER

  ABSTRACT.

  Objective.
To examine a well characterized group of patients with systemic lupus erythematosus (SLE) for anti-calreticulin.

  Methods. The sera of 77 patients with SLE were studied by immunodiffusion, solid phase immunoassay, and immunoblot for antibodies against ribonucleoprotein (RNP) autoantigens and calreticulin.

  Results. Thirty-five had anti-calreticulin and 40 had anti-60 kDa Ro. There was no association of anti-60 kDa Ro and anti-calreticulin. However, among anti-60 kDa Ro positive sera that also contained either anti-La or anti-RNP, none of 18 had anti-calreticulin. All the remaining sera with anti-60 kDa Ro had anti-calreticulin and anti-52 kDa Ro.

  Conclusion. Anti-60 kDa Ro patients with SLE can be divided into those with anti-60 kDa Ro and either anti-La or anti-RNP or those with anti-60 kDa Ro, anti-52 kDa Ro, and anti-calreticulin.
(J Rheumatol 2000;27:128–34)

  Key Indexing Terms:
SYSTEMIC LUPUS ERYTHEMATOSUS
CALRETICULIN
AUTOANTIBODIES
AUTOANTIGENS
RIBONUCLEOPROTEINS



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