Skip to main content

Antibody-Induced Proteinase Activation: A Proposed Mechanism for Pemphigus

  • Chapter
Immunodermatology

Abstract

Pemphigus is a severe, blistering disease of the skin and mucous membranes which is characterized by the presence of an autoantibody directed against the surface of epidermal cells [43,45]. There are several types of pemphigus which are distinguished by their clinical presentations, histopathology, and immunopathologic findings [37].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Ablin RJ, Beutner EH (1968) Absorption studies on antigen(s) of the esophagealmucosa reactive with autoantibodies of pemphigus. Int Arch Allergy Appl Immunol 33: 227

    Article  PubMed  CAS  Google Scholar 

  2. Ablin RJ, Beutner EH (1969) Experimental production of pemphigus-like antibodies. Clin Exp Immunol 4:283

    Google Scholar 

  3. Ablin RJ, Bronson D, Beutner EH (1969) Immunochemical characterization of epithelial antigen(s) reactive with pemphigus-like antibodies of rabbit and human. J Hyg Epidemiol Microbiol Immunol (Praha) 13:321

    CAS  Google Scholar 

  4. Anderson HS, Newcomer VD, Landau JW, Rosenthal LH (1970) Pemphigus and other diseases. Results of indirect intercellular immunofluorescence. Arch Dermatol 101:538

    CAS  Google Scholar 

  5. Binder WL, Beutner EH, Chorzelski TP (1978) In vitro effects of pemphigus antibodies on skin. Br J Dermatol 99:39

    Article  PubMed  CAS  Google Scholar 

  6. Beutner, EH, Jordan RE (1964) Demonstration of skin antibodies in sera of pemphigus vulgaris patients by indirect immunofluorescent staining. Proc Soc Exp Biol Med 117:505

    PubMed  CAS  Google Scholar 

  7. Beutner EH, Lever WF, Witebsky E, Jordan RE, Chertock B (1965) Autoantibodies in pemphigus vulgaris; Response to an intercellular substance of epidermis. JAMA 192:682

    PubMed  CAS  Google Scholar 

  8. Beutner EH, Chorzelski TP, Hale WL, Hausmanowa-Petrusewicz I (1968) Autoimmunity in concurrent myasthenia gravis and pemphigus erythematosus. JAMA 203:845

    Article  PubMed  CAS  Google Scholar 

  9. Beutner EH, Jordan RE, Chorzelski TP (1968) The immunopathology of pemphigus and bullous pemphigoid. J Invest Dermatol 51:63

    PubMed  CAS  Google Scholar 

  10. Beutner EH, Chorzelski TP, Jordan RE (1970) Autosensitization in pemphigus and bullous pemphigoid. Thomas, Springfield

    Google Scholar 

  11. Braun-Falco O, Vogell W (1965) Elektronenmikroskopische untersuchungen zur dynamik der akantholyse bei pemphigus vulgaris. Arch Klin Exp-Dermatol 223:328

    Article  PubMed  CAS  Google Scholar 

  12. Chorzelski TP, von Weiss JF, Lever WF (1966) Clinical significance of autoantibodies in pemphigus. Arch Dermatol 93:570

    Article  PubMed  CAS  Google Scholar 

  13. Chorzelski TP, Jablonska S, Blaszczyk M (1968) Immunopathological investigations in the Senear-Usher Syndrome (coexistence of pemphigus and lupus erythematosus). Br J Dermatol 80:211

    Article  PubMed  CAS  Google Scholar 

  14. Chorzelski TP, Beutner EH (1969) Factors contributing to the occasional failures in demonstration of pemphigus antibodies by the immunofluorescence test. J Invest Dermatol 53:188

    PubMed  CAS  Google Scholar 

  15. Castro RM, Proenca N (1972) South American pemphigus foliaceous. Glaxo 36:17

    Google Scholar 

  16. Deng JS, Beutner EH, Shu S, Chorzelski TP (1977) Pemphigus antibody action on skin explants: Kinetics of acantholytic changes and stability of antigens in tissue cultures of normal monkey skin explants. Arch Dermatol 113:923

    Article  PubMed  CAS  Google Scholar 

  17. Diaz LA, Marcelo CL (1978) Pemphigoid and pemphigus antigens in cultured epidermal cells. Br J Dermatol 98:631

    Article  PubMed  CAS  Google Scholar 

  18. Diaz LA, Weiss HJ, Calvanico NJ (1978) Phylogenetic studies with pemphigus and pemphigoid antibodies. Acta Derm Venereol (Stockh) 58:537

    CAS  Google Scholar 

  19. Diaz LA, Patel H, Calvanico NJ (1980) Isolation of pemphigus antigen from human saliva. J Immunol 124:760

    PubMed  CAS  Google Scholar 

  20. Director W (1952) Pemphigus vegetans: a clinico-pathological correlation. Arch Dermatol 66:343

    CAS  Google Scholar 

  21. Farb, RM, Dykes R, Lazarus GS (1978) Anti-epithelial cell-surface pemphigus antibody detaches viable epidermal cells from culture plates by activation of proteinase. Proc Natl Acad Sci USA 75:459

    Article  PubMed  CAS  Google Scholar 

  22. Fitzpatrick RE, Newcomer VD (1980) The correlation of disease activity and antibody titers in pemphigus. Arch Dermatol 116:285

    Article  PubMed  CAS  Google Scholar 

  23. Grob PJ, Inderbitzen TM (1967) Experimental production in rabbits of anti-epithelial antibodies. J Invest Dermatol 49:637

    PubMed  CAS  Google Scholar 

  24. Hashimoto K, Lever WF (1967) An electron microscopic study of pemphigus vulgaris of the mouth and the skin with special reference to the intercellular cement. J Invest Dermatol 48:540

    PubMed  CAS  Google Scholar 

  25. Hashimoto K, Lever WF (1967) The intercellular cement in pemphigus vulgaris, an electron microscopic study. Dermatologica 135:27

    Article  PubMed  CAS  Google Scholar 

  26. Hashimoto K, Lever WF (1970) An ultrastructural study of cell junctions in pemphigus vulgaris. Arch Dermatol 101:287

    Article  PubMed  CAS  Google Scholar 

  27. Hashimoto K, Miki Y, Nakata S, Matsuyama M (1977) HLA-A10 in pemphigus among Japanese. Arch Dermatol 113:1518

    Article  PubMed  CAS  Google Scholar 

  28. Hashimoto K, Manuscript in preparation

    Google Scholar 

  29. Hu C-H, Michel B, Schiltz JR (1978) Epidermal acantholysis induced in vitro by pemphigus autoantibody: an ultrastructural study. Am J Pathol 90:345

    PubMed  CAS  Google Scholar 

  30. Inderbitzen TM, Grob PJ (1967) Destruction of epithelial cells in vivo by anti-epithelial antibodies. J Invest Dermatol 49:642

    Google Scholar 

  31. Jordan RE, Sams WF Jr, Diaz G, Beutner EH (1971) Negative complement immunofluorescence in pemphigus. J Invest Dermatol 57:407

    Article  Google Scholar 

  32. Jordan RE, McDuffie FC (1976) Serum and blister fluid anticomplementary activity in pemphigus and bullous pemphigoid. Sucrose density gradient studies. Proc Soc Exp Biol Med 151:594

    Google Scholar 

  33. Jordan RE, Triftshauser CT, Schroeter AL (1971) Direct immunofluorescence studies of pemphigus and bullous pemphigoid. Arch Dermatol 103:486

    Article  Google Scholar 

  34. Jordan RE, Day N, Luckasen J, Good RA (1973) Complement activation in pemphigus vulgaris blister fluid. Clin Exp Immunol 15:53

    PubMed  CAS  Google Scholar 

  35. Jordan RE, Schroeter AL, Rogers RS III, Perry HO (1974) Classical and alternative pathway activation of complement in pemphigus vulgaris lesions. J Invest Dermatol 63:256

    Article  Google Scholar 

  36. Jordan RE (1976) Complement activation in pemphigus and bullous pemphigoid. J Invest Dermatol 67:366

    Article  Google Scholar 

  37. Jordan RE (1979) Pemphigus. In: Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Austen KF (eds) Dermatology in general medicine. McGraw-Hill, New York, p 310

    Google Scholar 

  38. Judd KP, Lever WF (1979) Correlation of antibodies in skin and serum with disease severity in pemphigus. Arch Dermatol 115:428

    Article  PubMed  CAS  Google Scholar 

  39. Katz SE, Dahl MV, Penneys N, Trapani RJ, Rogentine N (1973) HLA antigens in pemphigus. Arch Dermatol 108:53

    Article  PubMed  CAS  Google Scholar 

  40. Koren HS, Handwerger BS, Wunderlich JR (1975) Identification of macrophage-like characteristics in a cultured Murine tumor line. J Immunol 114:894

    PubMed  CAS  Google Scholar 

  41. Krain LS, Terasaki PI, Newcomer VC, Mickey MR (1973) Increased frequency of HL-A10 in pemphigus vulgaris. Arch Dermatol 108:803

    Article  PubMed  CAS  Google Scholar 

  42. Kronvall G, Seal VS, Finstead J, Williams RL (1970) Phylogenetic insight into evolution of mammalian FC fragment of G globulin using staphylococcal protein A. J. Immunol 104:140 43

    PubMed  CAS  Google Scholar 

  43. Lever WF (1965) Pemphigus and bullous pemphigoid. Thomas, Springfield

    Google Scholar 

  44. Lever WF: (1972) Methotrexate and prednisone in pemphigus vulgaris. Therapeutic results obtained in 36 patients between 1961 and 1970. Arch Dermatol 106: 491

    Article  PubMed  CAS  Google Scholar 

  45. Lever WF (1979) Pemphigus and pemphigoid: a review of the advances made since 1964. J Am Acad Dermatol 1:2

    Article  PubMed  CAS  Google Scholar 

  46. Lubowe II, Mandel EH, Zeilicoff S (1966) Pemphigus in familial incidence: pemphigus erythematosus in a mother and pemphigus vegetans in a daughter. Arch Dermatol 94:371

    Google Scholar 

  47. Maize JC, Dobson RL, Provost TT (1975) Pemphigus and myasthenia gravis. Arch Dermatol 111:1334

    Article  PubMed  CAS  Google Scholar 

  48. Marcelo CL, Kim YG, Kaine J, Voorhees JJ (1978) Stratification and specialization of primary keratinocyte culture: Evidence of a functioning in vitro epidermal cell system J Cell Biol 79:356

    Article  PubMed  CAS  Google Scholar 

  49. Michel B, Ko CS (1974) Effect of pemphigus or bullous pemphigoid sera and leukocytes on normal human skin in organ culture: an in vitro model for the study of bullous diseases. J Invest Dermatol 62:541

    Google Scholar 

  50. Michel B, Ko CS (1977) An organ culture model for the study of pemphigus acantholysis. Br J Dermatol 96:295

    Article  PubMed  CAS  Google Scholar 

  51. Morioka S, Naito K, Ogawa H (to be published) The pathogenic role of pemphigus antibodies and proteinases in epidermal acantholysis. J Invest Dermatol

    Google Scholar 

  52. Nishikawa T, Kurihara S, Harada T, Sugauara M, Hatano H (1978) Comparison of the in vivo and in vitro capability of complement fixation by pemphigus and bullous pemphigoid antibodies. J Invest Dermatol 70:217

    Google Scholar 

  53. O’Laughlin S, Goldman GC, Provost T (1978) Fate of pemphigus antibody following successful therapy: preliminary evaluation of pemphigus antibody determinations to regulate therapy. Arch Dermatol 114:1769

    Article  Google Scholar 

  54. Park MS, Ahmel AR, Terasaki PI, Tiwari JL (1979) HLA-DRW4 in 91% of Jewish pemphigus vulgaris patients. Lancet 2:441

    Article  PubMed  CAS  Google Scholar 

  55. Pasricha JS, Mathur NK, Kandari KC (1972) Titers of passive cutaneous anaphylaxis antibody and clinical activity in pemphigus. Arch Dermatol 106:19

    Article  PubMed  CAS  Google Scholar 

  56. Peck SM, Osserman KE, Weiner LB, Lefkovits A, Osserman RS (1968) Studies in bullous diseases. Immunofluorescent serological tests. N Engl J Med 279:951

    CAS  Google Scholar 

  57. Perry HO, Brunsting LA (1965) Pemphigus foliaceus: further observations. Arch Dermatol 91:10

    Article  PubMed  CAS  Google Scholar 

  58. Proenca NG, Rivitti E (1977) Antiepithelial antibodies in Brazilian pemphigus foliaceus. Int J Dermatol 16:799

    Article  PubMed  CAS  Google Scholar 

  59. Rheinwald JG, Green H (1975) Serial cultivation of strains of human epidermal keratinocytes: the formation of keratinizing colonies from single cells. Cell 6:331

    Article  PubMed  CAS  Google Scholar 

  60. Sams WJ Jr, Jordan RE (1971) Correlation of pemphigoid and pemphigus antibody titres with activity of disease. Br J Dermatol 84:7

    Article  PubMed  Google Scholar 

  61. Sams WM Jr, Jordan RE (1971) Pemphigus antibodies: Their role in disease. J Invest Dermatol 56:474

    Article  PubMed  CAS  Google Scholar 

  62. Schiltz JR, Michel B (1976) Production of epidermal acantholysis in normal human skin in vitro by the IgG fraction from pemphigus serum. J Invest Dermatol 67:254

    Article  PubMed  CAS  Google Scholar 

  63. Schiltz JR, Michel B, Papay R (1978) Pemphigus antibody interaction with human epidermal cells in culture: a proposed mechanism for pemphigus acantholysis. J Clin Invest 62:778

    Article  PubMed  CAS  Google Scholar 

  64. Schiltz, JR, Hu C, Michel B (1979) Corticosteroids, ’aurothioglucose and soybean trypsin inhibitor do not prevent pemphigus antibody-induced acantholysis in vitro. Br J Dermatol 101:279

    Article  PubMed  CAS  Google Scholar 

  65. Schiltz JR, Michel B, Papay R (1979) Appearance of “pemphigus acantholysis factor” in human skin cultured with pemphigus antibody. J Invest Dermatol 73:575

    Article  PubMed  CAS  Google Scholar 

  66. Schiltz R (1980) Pemphigus acantholysis: a unique immunological injury. J Invest Dermatol 74:359

    Article  PubMed  CAS  Google Scholar 

  67. Shevach EM, Ellman L, Davie YM, Green I (1972) LZC guinea pig lymphatic leukemia: a “B” cell leukemia. Blood 39:1

    PubMed  CAS  Google Scholar 

  68. Shu SY, Beutner EH (1973) Isolation and characterization of antigens reactive with pemphigus antibodies. J Invest Dermatol 61:270

    Article  PubMed  CAS  Google Scholar 

  69. Singer KH, Sawka NJ, Samowitz HR, Lazarus GS (1980) Proteinase activation: a mechanism for cellular dyshesion in pemphigus. J Invest Dermatol 74:363

    Article  PubMed  CAS  Google Scholar 

  70. Stanley JR, Hawley-Nelson P, Poirier M, Katz SI, Yuspa SH (1980) Synthesis of pemphigoid and pemphigus antigen and keratin by cultured human epidermal cells. Clin Res 28:582 A

    Google Scholar 

  71. Tagami H, Imamura S, Noguchi S, Nishitani H (1976) Coexistence of peculiar pemphigus, myasthenia gravis and malignant thymoma. Dermatologica 152:181

    Article  PubMed  CAS  Google Scholar 

  72. Tappeiner G, Heine K, Kahl J, Jordan R (1977) Clq binding substances in pemphigus and bullous pemphigoid. Detection with a 131I Clq binding assay. Clin Exp Immunol 28:40

    CAS  Google Scholar 

  73. van Joost T, Cormane RH, Pondman KW (1972) Direct immunofluorescent study of the skin on occurrance of complement in pemphigus. Br J Dermatol 87:466

    Article  PubMed  Google Scholar 

  74. Voelter WW, Newell GB, Schwartz SL, Bean SF, Mullins JF (1973) Familial occurrence of pemphigus foliaceus. Arch Dermatol 108:93

    Article  PubMed  CAS  Google Scholar 

  75. Weissman V, Feuerman EJ, Joshua H, Hazaz B (1978) The correlation between the antibody titers in sera of patients with pemphigus vulgaris and their clinical state. J Invest Dermatol 71:107

    Article  PubMed  CAS  Google Scholar 

  76. Wilgram GF, Caulfield JB, Lever WF (1961) An electron microscopic study of acantholysis in pemphigus vulgaris. J Invest Dermatol 36:373

    PubMed  CAS  Google Scholar 

  77. Wood GW, Beutner EH, Chorzelski TP (1972) Studies in immunodermatology: II Production of pemphigus-like lesions by intradermal injection of monkeys with Brazilian pemphigus foliaceus sera. Int Arch Allergy Appl Immunol 42:556

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Singer, K.H., Hashimoto, K., Lazarus, G.S. (1983). Antibody-Induced Proteinase Activation: A Proposed Mechanism for Pemphigus. In: Gigli, I.N., Miescher, P.A., Müller-Eberhard, H.J. (eds) Immunodermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68702-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-68702-0_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-11738-4

  • Online ISBN: 978-3-642-68702-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics