大疱性类天疱疮(BP),一种常见的自身免疫性皮肤病,与针对半网粒蛋白的IgG自身抗体有关,BP180和BP230。除了IgG,已证明IgE在该疾病中起作用。然而,疾病活动与BP180的NC16A结构域特异性IgE之间的关联尚不清楚.我们的目标是评估BP疾病活动与BP180NC16A特异性IgE血清和水泡液滴度之间的相关性,并分析治疗过程中的变化。我们使用酶联免疫吸附试验评估了37名BP患者的血清和起泡液中的抗BP180IgE自身抗体水平。我们还观察到2BP患者在4或5个不同时间点(患者首次访问我院的第0天,患者1的第5天、第14天、第39天和第62天;患者2的第0天、第4天、第8天和第17天)。当疾病得到控制(水疱消失)时,我们还从2名患者收集了额外的血清样品(第85天,第104天和第146天,患者1天,第123天,第158天和第189天)。72.97%的患者血清中检测到IgE抗BP180抗体。疾病活动评分与血清中BP180NC16AIgE滴度(r=-0.077,p>0.05)或水疱液中(r=0.262,p>0.05)无相关性。血清中自身抗体水平与水泡液中自身抗体水平呈正相关(r=0.6651,p<0.001);尽管在诊断的最初2至6周内有效控制了该疾病,但该水平继续上升。尽管类固醇的全身和局部用药有效地控制了疾病过程,但患者1的自身抗体水平在第39天和患者2的第17天达到峰值。我们得出的结论是,血清中抗BP180NC16AIgE的水平高于水泡液。这些水平通常可以反映整个疾病过程中的疾病严重程度,但不是在药物治疗的早期阶段。
Bullous pemphigoid (BP), a common autoimmune skin disease, is associated with IgG autoantibodies against the hemidesmosomal proteins, BP180 and BP230. In addition to IgG, IgE has been shown to play a role in the disease. However, the association between disease activity and IgE specific to the NC16A domain of BP180 in blister fluid remains unclear. Our objective was to evaluate the correlation between BP disease activity and BP180 NC16A-specific IgE
sera and blister fluid titers, and to analyze changes during treatment. We evaluated the levels of anti-BP180 IgE autoantibodies in the
sera and blister fluids of 37 BP patients using an Enzyme-linked immunosorbent assay. We also observed changes in the levels of these antibodies in 2 BP patients at 4 or 5 different time points (day 0 when the patient first visited our hospital, day 5, day 14, day 39 and day 62 for patient 1; day 0, day 4, day 8 and day 17 for patient 2). We also collected extra serum samples from the 2 patients when the disease was controlled (blister disappeared) (day 85, day 104 and day 146 for patient 1 and day 123, day 158 and day 189 for the other patient). IgE anti-BP180 antibodies were detected in the serum of 72.97 % of the patients. There was no correlation between disease activity scores and BP180 NC16A IgE titers in serum (r = -0.077, p > 0.05) or in blister fluid (r = 0.262, p > 0.05). The levels of the autoantibody in serum were positively correlated with that in blister fluid (r = 0.6651, p < 0.001); however, the levels continued to rise despite effective control of the disease in the initial two to 6 weeks of diagnosis. The level of this autoantibody reached a peak on day 39 for patient 1 and on day 17 for patient 2 although the systemic and topical medication of steroid had controlled the disease process effectively. We conclude that levels of anti-BP180 NC16A IgE are higher in the
sera than blister fluids. These levels could generally reflect disease severity throughout the course of the disease, but not in the early stages of medication.