Anti-SSA/Ro autoantibodies
Anti-SSA/Ro autoantibodies
Anti-SSA/Ro autoantibodies are a type of autoantibody associated with several autoimmune diseases. These antibodies target the Ro ribonucleoprotein complex, which is involved in various cellular processes, including RNA metabolism and cellular stress response.
Structure and Function
The Ro ribonucleoprotein complex consists of the Ro60 protein and several small cytoplasmic RNA molecules known as Y RNAs. The Ro60 protein is a ring-shaped RNA-binding protein that plays a role in the quality control of non-coding RNAs. Anti-SSA/Ro autoantibodies primarily target the Ro60 protein, but they can also recognize other components of the complex.
Clinical Significance
Anti-SSA/Ro autoantibodies are commonly detected in patients with systemic lupus erythematosus (SLE) and Sjogren's syndrome. They are also associated with other conditions such as subacute cutaneous lupus erythematosus, neonatal lupus, and congenital heart block.
Systemic Lupus Erythematosus
In systemic lupus erythematosus, the presence of anti-SSA/Ro autoantibodies is associated with photosensitivity, cutaneous manifestations, and a higher risk of nephritis.
Sjogren's Syndrome
In Sjogren's syndrome, these autoantibodies are often present and are associated with the characteristic symptoms of dry mouth and dry eyes due to lymphocytic infiltration of the exocrine glands.
Neonatal Lupus
Neonatal lupus is a condition that occurs in infants born to mothers with anti-SSA/Ro autoantibodies. It can lead to skin rash, liver dysfunction, and, in some cases, congenital heart block.
Detection
Anti-SSA/Ro autoantibodies are typically detected using immunofluorescence assays or enzyme-linked immunosorbent assay (ELISA). The presence of these antibodies can help in the diagnosis and management of autoimmune diseases.
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Contributors: Prab R. Tumpati, MD