Serum antibodies to thymus epithelial cells in non-A, non-B and cryptogenic chronic liver disease

Liver. 1989 Oct;9(5):279-87. doi: 10.1111/j.1600-0676.1989.tb00412.x.

Abstract

Antibodies against thymus epithelial cells (anti-TEC) and the basal cell layer (BCLA) of squamous epithelia have been described in association with HDV-related chronic liver disease (CLD). Data are lacking on their presence during nAnB virus infection. Sera from 51 patients with nAnB post-transfusion hepatitis, including acute and chronic cases diagnosed during a prospective study on candidates for cardiac surgery, and 167 with various forms of CLD were tested for the presence of anti-TEC and BCLA using indirect immunofluorescence on human thymus and rat forestomach sections. Both antibodies mainly occurred in nAnB, HDV and cryptogenic CLD (anti-TEC: 51%, 47% and 42%; BCLA: 29%, 38% and 31%, respectively). The prevalence of anti-TEC in nAnB CLD turned out to be higher than that recorded in alcoholic, HBV-related, autoimmune, liver and kidney microsomal antibody positive CLD and primary biliary cirrhosis (p ranging from less than 0.03 to less than 0.0004). Two monoclonal antibodies (Mabs) to cytokeratins gave a pattern superimposable on that of spontaneous anti-TEC (both Mabs) and BCLA (only one). Antibodies against epithelial constituents, presumably targeting cytokeratin-associated antigens, occur not only in HDV CLD, as previously reported, but also in nAnB CLD, where they might represent a diagnostic aid, due to the unavailability of reliable serological markers of nAnB infection. The close similarity of anti-TEC and BCLA status between nAnB and cryptogenic CLD suggests a nAnB etiology of at least a proportion of chronic liver patients at present scored as cryptogenic.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Antibodies, Monoclonal
  • Antibody Specificity
  • Autoantibodies / immunology*
  • Child
  • Epithelium / immunology
  • Fluorescent Antibody Technique
  • Hepatitis C / etiology
  • Hepatitis C / immunology*
  • Hepatitis, Chronic / etiology
  • Hepatitis, Chronic / immunology*
  • Hepatitis, Viral, Human / immunology*
  • Humans
  • Keratins / immunology
  • Liver Diseases / immunology
  • Prevalence
  • Prospective Studies
  • Thymus Gland / immunology*
  • Transfusion Reaction

Substances

  • Antibodies, Monoclonal
  • Autoantibodies
  • Keratins