“…In some diseases, autoantibodies develop before clinical manifestations of autoimmune disease appear; examples include Sjögren’s syndrome (SS), autoimmune hepatitis, multiple sclerosis, systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and primary biliary cirrhosis. The roles of autoantibodies in the pathology of these diseases are different; indeed, these antibodies can have diverse effects against the same antigen depending on the target epitope [ 2 , 7 , 8 , 9 , 10 , 11 ]. Some autoantibodies in the sera of autoimmune disease patients exert various functions; for example, they act as pathogenic molecules that mimic hormone stimulation of receptors, block neural transmission by binding to receptors, affect signaling pathways, lyse cells, and induce inflammation at the site of autoantibody binding [ 8 ].…”