Increased concentrations of antibody-bound circulatory cell-free DNA in rheumatoid arthritis.

Abstract:

BACKGROUND:Increased concentrations of cell-free DNA have been found in several disorders and have been interpreted as evidence of increased rates of cell death or turnover. Evidence from in vitro and animal experiments suggests that DNA may play a role in the pathogenesis of rheumatoid arthritis (RA). METHODS:We measured cell-free DNA in plasma and serum from patients with RA and healthy controls by use of quantitative PCR for glyceraldehyde-3-phosphate dehydrogenase (GAPDH) DNA. We used protein G Sepharosetrade mark bead adsorption of plasma and elution to isolate antibody-bound DNA. RESULTS:In paired plasma and serum samples of 16 healthy controls the median GAPDH copies were 4500 genome equivalents (GE)/mL plasma (range 319-21 000) and in 26 RA patients 17 000 GE/mL plasma (2100-2 375 000, P = 0.0001). In the serum from normal controls the median GAPDH copies were 35 000 GE/mL (1700-239 000) and from RA patients 222 000 GE/mL (21 000-2 375 000, P = 0.004). A median of 81% of the cell-free DNA in RA was associated with antibody compared with 9% in healthy controls (P = 0.001). The concentrations of DNA did not vary with the type of therapy patients received. CONCLUSIONS:These results provide new evidence for a role of cell-free DNA-antibody complexes in the etiology of RA, suggest new avenues for basic research, and may prove to be relevant to diagnosis and assessment of therapy.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Zhong XY,von Mühlenen I,Li Y,Kang A,Gupta AK,Tyndall A,Holzgreve W,Hahn S,Hasler P

doi

10.1373/clinchem.2006.084509

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1609-14

issue

9

eissn

0009-9147

issn

1530-8561

pii

53/9/1609

journal_volume

53

pub_type

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