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The Antiperinuclear Factor (APF) and Antikeratin Antibodies (AKA) in Rheumatoid Arthritis

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Rheumatoid Arthritis

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

  1. Valkenburg HA, Ball J, Burch TA et al. (1966) Rheumatoid factors in a rural population. Ann Rheum Dis 25:497–508

    PubMed  CAS  Google Scholar 

  2. 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

    Google Scholar 

  3. Waller MV, Toone EC, Vaughan E (1964) Study of rheumatoid factor in a normal population. Arthritis Rheum 7:513

    Article  PubMed  CAS  Google Scholar 

  4. Nienhuis RLF, Mandema E (1964) A new serum factor in patients with rheumatoid arthritis. The antiperinuclear factor. Ann Rheum Dis 23:302–305

    Article  PubMed  CAS  Google Scholar 

  5. 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

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Visconti A, Cava L, Fontana G (1964) Ricerca del fattore antiperinucleare (APF) nell’artrite reumatoide ed in altre malattie. Osp Magg 59:1357

    CAS  Google Scholar 

  8. Marmont AM, Damasio EE, Bertorello C, Rossi F (1967) Studies on the antiperinuclear factor. Arthritis Rheum 10:117–128

    Article  PubMed  CAS  Google Scholar 

  9. Roques MT (1969) Les anticorps dits périnucléaires. Thesis, Paris

    Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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

    Article  PubMed  CAS  Google Scholar 

  12. 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

    PubMed  CAS  Google Scholar 

  13. 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

    PubMed  CAS  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. 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

    PubMed  CAS  Google Scholar 

  16. Janssens X, Veys EM, Verbruggen G, Declercq L (1988) The diagnostic significance of the antiperinuclear factor for rheumatoid arthritis. J Rheumatol 15:1346–1350

    PubMed  CAS  Google Scholar 

  17. Vivino FB, Maul GG (1990) Histologic and electron microscopic characterization of the antiperinuclear factor antigen. Arthritis Rheum 33:960–969

    Article  PubMed  CAS  Google Scholar 

  18. Young BJJ, Mallya RK, Leslie RDG, Clark CJM, Hamblin TJ (1979) Antikeratin antibodies in rheumatoid arthritis. Br Med J 2:97–99

    Article  PubMed  CAS  Google Scholar 

  19. 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

    Article  PubMed  CAS  Google Scholar 

  20. Ordeig J, Guardia J (1984) Diagnostic value of antikeratin antibodies in rheumatoid arthritis. J Rheumatol 11:602–604

    PubMed  CAS  Google Scholar 

  21. Hajiroussou VJ, Skingle J, Gillett AP, Webley M (1985) Significance of antikeratin antibodies in rheumatoid arthritis. J Rheumatol 12:57–59

    PubMed  CAS  Google Scholar 

  22. 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

    PubMed  CAS  Google Scholar 

  23. Kirnstein H, Mathiesen FK (1987) Antikeratin antibodies in rheumatoid arthritis. Scand J Rheumatology 16:331–337

    Article  Google Scholar 

  24. 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

    Article  PubMed  CAS  Google Scholar 

  25. 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

    PubMed  CAS  Google Scholar 

  26. 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

    Article  PubMed  CAS  Google Scholar 

  27. 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

    Article  Google Scholar 

  28. Kurki P, Helve T, Virtanen I (1983) Antibodies to cytoplasmic intermediate filaments in rheumatic diseases. J Rheumatol 10:558–562

    PubMed  CAS  Google Scholar 

  29. Senecal JL, Rothfield NF, Oliver JM (1982) Immunoglobulin M autoantibody to vimentin intermediate filaments. J Clin Invest 69:716–721

    Article  PubMed  CAS  Google Scholar 

  30. Kurki P, Virtanen I (1984) The detection of human antibodies against cytoskeletal components. J Immunol Methods 67:209–223

    Article  PubMed  CAS  Google Scholar 

  31. 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

    Article  PubMed  CAS  Google Scholar 

  32. 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

    PubMed  CAS  Google Scholar 

  33. 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

    Article  Google Scholar 

  34. Osung OA, Chandra M, Holborow EJ (1982) Antibody to intermediate filaments of the cytoskeleton in rheumatoid arthritis. Ann Rheum Dis 41:69–73

    Article  PubMed  CAS  Google Scholar 

  35. Senecal JL, Olivier JM, Rothfield N (1985) Anticytoskeletal autoantibodies in the connective tissue diseases. Arthritis Rheum 28:889–895

    Article  PubMed  CAS  Google Scholar 

  36. 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

    Google Scholar 

  37. 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

    Article  PubMed  CAS  Google Scholar 

  38. 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

    Google Scholar 

  39. 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

    PubMed  CAS  Google Scholar 

  40. 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

    PubMed  CAS  Google Scholar 

  41. 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

    Article  PubMed  CAS  Google Scholar 

  42. 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

    PubMed  CAS  Google Scholar 

  43. 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

    PubMed  CAS  Google Scholar 

  44. 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

    PubMed  CAS  Google Scholar 

  45. 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

    Google Scholar 

  46. 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

    PubMed  CAS  Google Scholar 

  47. 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

    Article  PubMed  CAS  Google Scholar 

  48. 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

    Article  Google Scholar 

  49. 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

    Article  PubMed  CAS  Google Scholar 

  50. 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

    Article  CAS  Google Scholar 

  51. Allday MJ, Crawford DH (1988) Role of epithelium in EBV persistence and pathogenesis of B-cell tumours. Lancet 1:855–857

    Article  PubMed  CAS  Google Scholar 

  52. 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

    Google Scholar 

  53. Miossec P, Youinou P, Le Goff P, Moineau MP (1982) Clinical relevance of antikeratin antibodies in rheumatoid arthritis. Clin Rheumatol 1:185–189

    Article  PubMed  CAS  Google Scholar 

  54. Cooper C, Cotton DWK, Jones SK, Cawley MID, Young BJJ (1986) Antikeratin antibody in rheumatoid and psoriatic arthritis. Ann Rheum Dis 145:349–350

    Article  Google Scholar 

  55. 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

    Google Scholar 

  56. 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

    Article  Google Scholar 

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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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  • DOI: https://doi.org/10.1007/978-3-642-76189-8_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76191-1

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