A1 Refereed original research article in a scientific journal

YERSINIA-SPECIFIC ANTIBODIES IN SERUM AND SYNOVIAL-FLUID IN PATIENTS WITH YERSINIA TRIGGERED REACTIVE ARTHRITIS




AuthorsMAKIIKOLA O, LAHESMAA R, HEESEMANN J, MERILAHTIPALO R, SAARIO R, TOIVANEN A, GRANFORS K

PublisherBRITISH MED JOURNAL PUBL GROUP

Publication year1994

JournalAnnals of the Rheumatic Diseases

Journal name in sourceANNALS OF THE RHEUMATIC DISEASES

Journal acronymANN RHEUM DIS

Volume53

Issue8

First page 535

Last page539

Number of pages5

ISSN0003-4967

DOIhttps://doi.org/10.1136/ard.53.8.535


Abstract
Objectives-To further evaluate the role of bacterial antigens in triggering inflammation in patients with by studying local antibody synthesis in the joint.Methods-Yersinia-specific antibodies in paired serum and synovial fluid samples from 29 patients with yersinia triggered reactive arthritis were studied using an enzyme linked immunosorbent assay (ELISA), an inhibition ELISA with six monoclonal antibodies against Lipopolysaccharide or released proteins of yersinia and immunoblotting. Antibodies of IgM, IgG and IgA classes, as well as antibodies of IgA subclasses and those containing secretory component were measured against the lipopolysaccharide and the sodium dodecyl sulphate extract of whole Yersinia enterocolitica O:3 bacteria.Results-It was shown that yersinia-specific antibodies, as well as antibodies against other microbial antigens (rubella, measles, Bordetella pertussis, tetanus toroid and Candida albicans) in synovial fluid mirror those in serum by concentration, by specificity and by distribution in classes and subclasses.Conclusion-These results do not suggest any strong local antibody production, but indicate that the majority of yersinia antibodies in the synovial fluid are derived from the circulation.



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