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Circulating antibodies against neonatal cardiac muscarinic acetylcholine receptor in patients with Sjögren's syndrome

  • Part II: Cardiac Hypertrophy and Failure
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Abstract

Isolated congenital heart block may be associated with Primary Sjogren's Syndrome. In this work we demonstrated that IgG present in the sera ofpatients with Primary Sjogren's Syndrome (PSS) could bind and activate muscarinic acetylcholine receptors of rat neonatal atria. These antibodies were able to inhibit in a irreversible manner the binding of 3H-QNB to muscarinic cholinergic receptors of purified rat atria membranes. Moreover, IgG from PSS individuals could modify biological effects mediated by muscarinic cholinoceptors activation, i.e. decrease contractility and cAMP and increase phosphoinositide turnover and cGMP. Atropine blocked all of these effects and carbachol mimicked them; confirming muscarinic cholinergic receptors-mediated PSS IgG action. Neither binding nor biological effect were obtained using adult instead of neonatal rat atria. IgG from sera of normal women were not effective in the studied system. The prevalence of cholinergic antibody was 100% in PSS and was independent of Ro/SS-A and La/SS-B antibodies. It could be concluded that antibody against muscarinic cholinergic receptors may be another serum factor to be considered in the pathophysiology of the development of congenital heart block.

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Authors and Affiliations

  1. CEFYBO-CONICET School of Dentistry, University of Buenos Aires and CEMIC, Serrano 669, 1414, Buenos Aires, Argentina

    Enri Borda, Juan Jose Camusso, Claudia Perez Leiros, Sandra Bacman, Osvaldo Hubscher, Roberto Arana & Leonor Sterin-Borda

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  1. Enri Borda
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  2. Juan Jose Camusso
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  3. Claudia Perez Leiros
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  4. Sandra Bacman
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  5. Osvaldo Hubscher
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  6. Roberto Arana
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  7. Leonor Sterin-Borda
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Borda, E., Camusso, J.J., Perez Leiros, C. et al. Circulating antibodies against neonatal cardiac muscarinic acetylcholine receptor in patients with Sjögren's syndrome. Mol Cell Biochem 163, 335–341 (1996). https://doi.org/10.1007/BF00408674

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