Autoantibodies in primary biliary cirrhosis: analysis of reactivity against eukaryotic and prokaryotic 2-oxo acid dehydrogenase complexes

Hepatology. 1991 Mar;13(3):467-74.

Abstract

Six components of the mammalian 2-oxo acid dehydrogenase complexes have previously been identified as M2 autoantigens in primary biliary cirrhosis. In this report, we present data showing that both polypeptide-specific and cross-reacting antibodies are present in patients' sera. Antibodies reacting with E2 of the pyruvate dehydrogenase complex cross-react with protein X but not with any other mammalian antigen. The main immunogenic region on protein X has been localized to within its single lipoyl domain. Polypeptide-specific antibodies bind to E1 alpha and E1 beta of the pyruvate dehydrogenase complex. Antibodies reacting with the E2 polypeptides of the 2-oxoglutarate dehydrogenase complex and branched-chain 2-oxo acid dehydrogenase complex show some cross-reactivity but do not recognize any of the antigens of the pyruvate dehydrogenase complex. Antibodies against the E2 component of the mammalian pyruvate dehydrogenase complex cross-react effectively with the corresponding protein from yeast but not with E2 from Escherichia coli. Antibody titer against mammalian antigens is significantly higher than against the bacterial antigens, arguing against a bacterial origin for primary biliary cirrhosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3-Methyl-2-Oxobutanoate Dehydrogenase (Lipoamide)
  • Autoantibodies / immunology*
  • Cross Reactions
  • Escherichia coli / immunology
  • Humans
  • Ketone Oxidoreductases / immunology*
  • Liver Cirrhosis, Biliary / immunology*
  • Mitochondria / immunology
  • Multienzyme Complexes / immunology*
  • Peptides / immunology
  • Pseudomonas / immunology
  • Pyruvate Dehydrogenase (Lipoamide)
  • Pyruvate Dehydrogenase Complex / immunology
  • Saccharomyces / immunology

Substances

  • Autoantibodies
  • Multienzyme Complexes
  • PDHX protein, human
  • Peptides
  • Pyruvate Dehydrogenase Complex
  • Ketone Oxidoreductases
  • Pyruvate Dehydrogenase (Lipoamide)
  • 3-Methyl-2-Oxobutanoate Dehydrogenase (Lipoamide)