不同自體免疫疾病中的抗核抗體
Antinuclear Antibodies in Various Autoimmune Diseases
抗體 |
陽性比率(%) (percentage of positive result in different diseases) |
|||||
Systemic LE |
Drug-induced LE |
SSD |
LS (CREST) |
SS |
IM |
|
Generic ANA |
>95% |
>95% |
70~90% |
70~90% |
50~80% |
40~60% |
Anti-dsDNA |
40~60% |
<5% |
<5% |
<5% |
<5% |
<5% |
Anti-histone |
50~70% |
>95% |
<5% |
<5% |
<5% |
<5% |
Anti-Sm |
20~30% |
<5% |
<5% |
<5% |
<5% |
<5% |
Nuclear RNP |
30~40% |
<5% |
<5% |
10% |
<5% |
<5% |
SS-A(Ro) |
30~50% |
<5% |
<5% |
<5% |
70~95% |
10% |
SS-B(La) |
10~15% |
<5% |
<5% |
<5% |
60~90% |
<5% |
Scl-70 |
<5% |
<5% |
28~70% |
10~18% |
<5% |
<5% |
Anti-centromere |
<5% |
<5% |
22~36% |
90% |
<5% |
<5% |
Jo-1 |
<5% |
<5% |
<5% |
<5% |
<5% |
25% |
LE = lupus erythematosus、SSD = systemic sclerosis-diffuse = systemic scleroderma、LS = limited scleroderma = CREST = Calcinosis, Raynaud's syndrome, Esophageal dysmotility, Sclerodactyly, Telangiectasis、SS = Sjögren syndrome、IM = inflammatory myopathies
Many nuclear antigens (DNA, RNA, proteins) → Generic ANA (antinuclear antibodies)
Native DNA → Anti-dsDNA (double-stranded DNA)
Histones → Anti-histone
Core proteins of small nuclear ribonucleoprotein (RNP) particles (Smith antigen) → Anti-Sm
RNP (U1 RNP) → Nuclear RNP
RNP → SS-A(Ro) or SS-B(La)
DNA topoisomerase 1 → Scl-70
Centromeric proteins → Anticentromere
Histidyl-tRNA synthetase →Jo-1
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