2000
DOI: 10.1046/j.1365-2133.2000.03659.x
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The distribution of pemphigus vulgaris-IgG subclasses and their reactivity with desmoglein 3 and 1 in pemphigus patients and their first-degree relatives

Abstract: These results support the concept of a genetic predisposition in pemphigus. The non-complement-fixing PV-IgG4 and at least one complement-fixing PV-IgG subclass appear to be involved in the pathogenesis of the disease. The absence of PV-IgG4 among relatives who were PV-IgG carriers seems to be linked to the fact that they do not develop pemphigus. The exact nature of this linkage is still unclear.

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Cited by 109 publications
(107 citation statements)
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“…The main histopathological characteristic of PV is acantholysis of epidermis provoked by the disruption of keratinocyte intercellular interactions. This disruption seems to be a consequence of signaling pathways triggered by the binding of PV-IgG antibodies to keratinocytes, as has been shown by different in vivo and in vitro studies [22][23][24]. Therefore, PVIgG antibodies were able to produce in cultured HaCaT keratinocytes an effect similar to the features observed in animal models of PV and human patients affected by this disease.…”
Section: Pv-igg Provokes Disruption Of Cell-cell Contacts In Hacatsupporting
confidence: 51%
“…The main histopathological characteristic of PV is acantholysis of epidermis provoked by the disruption of keratinocyte intercellular interactions. This disruption seems to be a consequence of signaling pathways triggered by the binding of PV-IgG antibodies to keratinocytes, as has been shown by different in vivo and in vitro studies [22][23][24]. Therefore, PVIgG antibodies were able to produce in cultured HaCaT keratinocytes an effect similar to the features observed in animal models of PV and human patients affected by this disease.…”
Section: Pv-igg Provokes Disruption Of Cell-cell Contacts In Hacatsupporting
confidence: 51%
“…Indeed, the pathogenic role of autoreactive IgG4 is suspected in several autoimmune diseases, particularly dermatological bullous diseases. IgG4 towards the major autoantigens of such diseases were reported to be associated to clinical features: to disease progression and severity in Pemphigus vulgaris [53,54], to progression from a preclinical to a clinical form in P. foliaceus [55], and to a long disease duration in bullous pemphigoid [56]. Finally, IgG1 in mice (the human IgG4 counterpart) may trigger immune effector functions via FcgRIII [42], supporting our hypothesis that a particular interaction between AhFibA subclasse(s) and particular type(s) of IgG receptors may be critical in the self-maintenance of inflammation.…”
Section: Discussionmentioning
confidence: 99%
“…Previously, it was demonstrated that the main isotypes of tissue-bound and circulating abs are IgG4 and IgG1 in both pemphigus and BP [8,[35][36][37], but the role of Th1/Th2-cells as target for specific modulation of T-cell-dependent production of pathogenic auto-abs in these disorders still remains a matter of debate. It is reported that intraepidermal blister formation in pemphigus group is caused by binding of IgG to keratinocyte cells without engaging innate immune effectors, and IgG4 abs seem to mainly mediate acantholysis [16].…”
Section: A B C Dmentioning
confidence: 99%