Abstract
The diagnosis of rheumatoid arthritis (RA) is first of all based on clinical manifestations. Serological support for such a diagnosis is not very well established and it is based mainly on the presence of rheumatoid factors (RF). A positive RF test has a predictive value [1] and is related to disease with a more severe outcome [2]. However, RF is also present in other (autoimmune) diseases and in control sera from healthy persons [3]. Therefore, testing for a second RA-specific antibody would be very useful, and might even be necessary for the management of seronegative RA patients.
Part of the work described in this review was supported financially by “Het Nationaal Reumafonds” of The Netherlands.
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References
Valkenburg HA, Ball J, Burch TA et al. (1966) Rheumatoid factors in a rural population. Ann Rheum Dis 25:497–508
Kellgren JH, O’Brien WH (1962) On the natural history of rheumatoid arthritis in relation to sheep cell agglutination test (SCAT). Arthritis Rheum 5:115
Waller MV, Toone EC, Vaughan E (1964) Study of rheumatoid factor in a normal population. Arthritis Rheum 7:513
Nienhuis RLF, Mandema E (1964) A new serum factor in patients with rheumatoid arthritis. The antiperinuclear factor. Ann Rheum Dis 23:302–305
Smit JW, Sondag-Tschroots IRJM, Aaij C, Feltkamp TEW, Feltkamp-Vroom TM (1980) The antiperinuclear factor. II. A light-microscopical and immunofluorescence study on the antigenic substrate. Ann Rheum Dis 39:381–386
Hoet RM, Arends M, Boerbooms AMTh, van Venrooij WJ (1991) The antiperinuclear factor, a marker autoantibody for rheumatoid arthritis. Co-localization of the perinuclear factor and profilaggrin. Ann Rheum Dis 50:611–619
Visconti A, Cava L, Fontana G (1964) Ricerca del fattore antiperinucleare (APF) nell’artrite reumatoide ed in altre malattie. Osp Magg 59:1357
Marmont AM, Damasio EE, Bertorello C, Rossi F (1967) Studies on the antiperinuclear factor. Arthritis Rheum 10:117–128
Roques MT (1969) Les anticorps dits périnucléaires. Thesis, Paris
Sondag-Tschroots IRJM, Aaij C, Smit JW, Feltkamp TEW (1979) The antiperinuclear factor. 1. The diagnostic significance of the antiperinuclear factor for rheumatoid arthritis. Ann Rheum Dis 38:248–251
Johnson GD, Carvalho A, Holborow EJ, Goddard DH, Russel G (1981) Antiperinuclear factor and antikeratin antibodies in rheumatoid arthritis. Ann Rheum Dis 40:263–266
Cassani F, Ferri S, Bianchi FB, Zauli D, Pisi E (1983) Antiperinuclear factor in an Italian series of patients with rheumatoid arthritis. Ric Clin Lab 13:347–352
Youinou P, Le Goff P, Miossec P (1983) Untersuchungen zur Beziehung zwischen antiperinucleären Faktoren, Anti-keratin-antikörpern und dem agglutinierenden und nicht agglutinierenden Rheumafactor bei der chronischen Polyarthritis. Z. Rheumatol 42:36–39
Kataaha PK, Mortazavi-Milani SM, Russel G, Holborow EJ (1985) Anti-intermediate filament antibodies, antikeratin antibody, and antiperinuclear factor in rheumatoid arthritis and infectious mononucleosis. Ann Rheum Dis 44:446–449
Westgeest AA, Boerbooms AMTh, Jongmans M, Vandenbroucke JP, Vierwinden G, van de Putte LBA (1987) Antiperinuclear factor: indicator of more severe disease in seronegative rheumatoid arthritis. J Rheumatol 14:893–897
Janssens X, Veys EM, Verbruggen G, Declercq L (1988) The diagnostic significance of the antiperinuclear factor for rheumatoid arthritis. J Rheumatol 15:1346–1350
Vivino FB, Maul GG (1990) Histologic and electron microscopic characterization of the antiperinuclear factor antigen. Arthritis Rheum 33:960–969
Young BJJ, Mallya RK, Leslie RDG, Clark CJM, Hamblin TJ (1979) Antikeratin antibodies in rheumatoid arthritis. Br Med J 2:97–99
Scott DL, Delamere JP, Jones LJ, Walton KW (1981) Significance of laminar antikeratin antibodies to rat oesophagus in rheumatoid arthritis. Ann Rheum Dis 40:267–271
Ordeig J, Guardia J (1984) Diagnostic value of antikeratin antibodies in rheumatoid arthritis. J Rheumatol 11:602–604
Hajiroussou VJ, Skingle J, Gillett AP, Webley M (1985) Significance of antikeratin antibodies in rheumatoid arthritis. J Rheumatol 12:57–59
Mallya RK, Young BJJ, Pepys MB, Hamblin TJ, Mace BEW, Hamilton EBD (1983) Antikeratin antibodies in rheumatoid arthritis: frequency and correlation with other features of the disease. Clin Exp Immunol 51:17–20
Kirnstein H, Mathiesen FK (1987) Antikeratin antibodies in rheumatoid arthritis. Scand J Rheumatology 16:331–337
Youinou P, Le Goff P, Colaco CB, Thivolet J, Tater D, Viac J, Shipley M (1985) Antikeratin antibodies in serum and synovial fluid show specificity for rheumatoid arthritis in a study of connective tissue diseases. Ann Rheum Dis 44:450–454
Meyer O, Fabregas D, Cyna L, Ryckewaert A (1986) Les anticorps antikératine. Un marqueur des polyarthrites rhumatoïdes évolutives. Rev Rhum Mal Osteoartic 53:601–605
Vincent C, Serre G, Lapeyre F, Fournié B, Ayrolles C, Fournié A, Soleilhavoup J-P (1989) High diagnostic value in rheumatoid arthritis of antibodies to the stratum corneum of rat oesophagus epithelium, so-called antikeratin antibodies. Ann Rheum Dis 48:712–722
Quismorio PF, Kaufman RL, Beardmore T, Mongan ES (1983) Reactivity of serum antibodies to the keratin layer of rat esophagus in patients with rheumatoid arthritis. Arthritis Rheum 4:494–499
Kurki P, Helve T, Virtanen I (1983) Antibodies to cytoplasmic intermediate filaments in rheumatic diseases. J Rheumatol 10:558–562
Senecal JL, Rothfield NF, Oliver JM (1982) Immunoglobulin M autoantibody to vimentin intermediate filaments. J Clin Invest 69:716–721
Kurki P, Virtanen I (1984) The detection of human antibodies against cytoskeletal components. J Immunol Methods 67:209–223
Osung OA, Chandra M, Holborow EJ (1982) Intermediate filaments in synovial lining cells in rheumatoid arthritis and other arthritides are of the vimentin type. Ann Rheum Dis 41:74–77
Toh BH, Sotelo YJ, Osung O, Holborow EJ, Kanakoudi F, Small JV (1979) Viral infections and IgM autoantibodies to cytoplasmic intermediate filaments. Clin Exp Immunol 37:76–82
Alcover A, Molano J, Renart J, Gil-Aguado A, Nieto A, Avila J (1984) Antibodies to vimentin intermediate filaments in sera from patients with systemic lupus erythematosus. Arthritis Rheum 8:922–928
Osung OA, Chandra M, Holborow EJ (1982) Antibody to intermediate filaments of the cytoskeleton in rheumatoid arthritis. Ann Rheum Dis 41:69–73
Senecal JL, Olivier JM, Rothfield N (1985) Anticytoskeletal autoantibodies in the connective tissue diseases. Arthritis Rheum 28:889–895
Westgeest AAA (1988) Autoantibodies in rheumatic diseases, Chap 7. Rheumatoid arthritis and autoantibodies: a review of the literature on antinuclear antibody and antiperinuclear factor. Thesis, University of Nijmegen
Westgeest AAA, Boerbooms AMTh, van de Putte LBA (1990) The influence of serum dilution on findings of antiperinuclear factor prevalence in rheumatoid arthritis. Arthritis Rheum 33:759–760
Youinou P, Le Goff P, Dumay A, Lelong A, Fauquert P, Jouquan J (1990) The antiperinuclear factor. I. Clinical and serologic associations. Clin Exp Rheum 8:1–6
Youinou P, Pennec P, Le Goff P (1984) Antiperinuclear factor in Sjögren’s syndrome in the presence or absence of rheumatoid arthritis. Clin Exp Rheumatol 2:5–9
Youinou P, Massé R, Peu-Duvallon P, Le Roux P, Grulier A, Miossec P, Dorval J-C, Lizan G, Férec C, Le Goff P (1982) Anticorps antipérinucléaires dans le psoriasis. Ann Dermatol Venereol 109:359–364
Youinou P, Le Goff P, Casburn-Budd R, Ferec C, Pennec Y (1984) Evidence for relationships between antiperinuclear and IgG rheumatoid factor. Rheumatol Int 4:111–114
Scherbaum WA, Youinou P, Le Goff P, Bottazzo GF (1984) Anti-perinuclear and rheumatoid factor in different forms of autoimmune thyroid disease. Clin Exp Immunol 55:516–518
Youinou P, Le Goff P, Miossec P, L’Hostis D, Pennec Y, Schwarzberg C, Ferrec C (1983) Intérêt des anticorps anti-périnucléaires dans le diagnostic et le pronostic de la polyarthrite rhumatoïde. Rev Rhum Mal Osteoartic 50:441–446
Westgeest AAA, van Loon AM, van der Logt JTM, van de Putte LBA, Boerbooms AMTh (1989) Antiperinuclear factor, a rheumatoid arthritis specific autoantibody: its relation to Epstein-Barr virus. J Rheumatol 16:626–630
Youinou P, Zabba C, Eveillaud C, Dewitte JD, Kerbourc’h JF, Ferec C, Clavier J (1984) Antiperinuclear activity in lung carcinoma patients. Cancer Immunol Immunother 2:80–81
Youinou P, Miossec P, Pennec Y, Boles JM, Le Goff P, Le Menn G (1983) Anticorps anti-périnucléaires et anti-kératine au cours des maladies du foie. Sem Hop Paris 59:589–592
Boerbooms AMTh, Westgeest AAA, Reekers P, van de Putte LBA (1990) Immunogenetic heterogeneity of seronegative rheumatoid arthritis and the perinuclear factor. Ann Rheum Dis 49:15–17
Holbrook KA (1989) Biologic structure and function: perspectives on morphologic approaches to the study of the granular layer keratinocyte. J Invest Dermatol 4S: 84S–104S
Dale BA, Holbrook KA, Kimball JR, Hoff M, Sun T-T (1985) Expression of epidermal keratins and filaggrin during fetal skin development. J Cell Biol 101:1257–1269
Hoet RM, Voorsmit R, van Venrooij WJ (1991) Keratohyalin granules of cultured buccal mucosa cells do not contain the perinuclear factor. Clin Exp Immul 84:59–65
Allday MJ, Crawford DH (1988) Role of epithelium in EBV persistence and pathogenesis of B-cell tumours. Lancet 1:855–857
Youinou P, Seigneurin JM, Le Goff P, Dumay A, Vicariot M Lelong A (1990) The antiperinuclear factor. II. Variability of the perinuclear antigen. Clin Exp Rheumatol 8:1–5
Miossec P, Youinou P, Le Goff P, Moineau MP (1982) Clinical relevance of antikeratin antibodies in rheumatoid arthritis. Clin Rheumatol 1:185–189
Cooper C, Cotton DWK, Jones SK, Cawley MID, Young BJJ (1986) Antikeratin antibody in rheumatoid and psoriatic arthritis. Ann Rheum Dis 145:349–350
Serre G, Vincent C, Viraben R, Soleilhavoup J-P (1985) Autoantibodies to keratins in normal huma sera, systemic lupus erythematosus, rheumatoid arthritis and psoriasis. Eur J Clin Invest 115:A36
Feltkamp TEW, Boerbooms AMTh, De Keyser F, Dumais M, Hoet RM, van Venrooij WJ, Verbruggen G, Veys EM, Youinou P (1990) Antiperinuclear factor — standardization program. Clin Rheumatol 9:112–113
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Hoet, R.M., van Venrooij, W.J. (1992). The Antiperinuclear Factor (APF) and Antikeratin Antibodies (AKA) in Rheumatoid Arthritis. In: Smolen, J.S., Kalden, J.R., Maini, R.N. (eds) Rheumatoid Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76189-8_20
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