Skip to main content
Top
Published in: Archives of Dermatological Research 5/2011

01-07-2011 | Original Paper

ACE inhibitors can induce circulating antibodies directed to antigens of the superficial epidermal cells

Authors: Emanuele Cozzani, Gian Marco Rosa, Massimo Drosera, Chiara Intra, Antonio Barsotti, Aurora Parodi

Published in: Archives of Dermatological Research | Issue 5/2011

Login to get access

Abstract

Drug-induced pemphigus has been reported in patients receiving angiotensin-converting enzyme inhibitors. The aim of this work was to study a group of hypertensive patients without skin diseases treated with angiotensin-converting enzyme (ACE) Inhibitors (I), to verify the presence of serum circulating anti-antibodies. The indirect immunofluorescence showed that 33 sera (52.38%) presented autoantibodies directed to an antigen of the cytoplasm of the superficial epidermal keratinocytes. Two of the 33 positive sera had antibodies to Dsg1 and/or 3 in ELISA. Immunoblot analyses were negative. All the 48 control sera were found to have no circulating antibodies using the three assays. Our results would confirm that ACEI drugs may trigger the production of circulating autoantibodies also in patients without clinical manifestations of pemphigus.
Literature
1.
go back to reference Amagai M, Komai A, Hashimoto T et al (1999) Usefulness of enzyme-linked immunosorbent assay using recombinant desmogleins 1 and 3 for serodiagnosis of pemphigus. Br J Dermatol 140:351–357PubMedCrossRef Amagai M, Komai A, Hashimoto T et al (1999) Usefulness of enzyme-linked immunosorbent assay using recombinant desmogleins 1 and 3 for serodiagnosis of pemphigus. Br J Dermatol 140:351–357PubMedCrossRef
2.
3.
4.
go back to reference Cirillo N, Femiano F, Gombos F, Lanza A (2009) High-dose pemphigus antibodies against linear epitopes of desmoglein 3 (Dsg3) can induce acantholysis and depletion of Dsg3 from keratinocytes. Immunol Lett 122:208–213PubMedCrossRef Cirillo N, Femiano F, Gombos F, Lanza A (2009) High-dose pemphigus antibodies against linear epitopes of desmoglein 3 (Dsg3) can induce acantholysis and depletion of Dsg3 from keratinocytes. Immunol Lett 122:208–213PubMedCrossRef
5.
go back to reference Cozzani E, Kanitakis J, Nicolas JF et al (1994) Comparative study of indirect immunofluorescence and immunoblotting for the diagnosis of autoimmune pemphigus. Arch Dermatol Res 286:295–299PubMedCrossRef Cozzani E, Kanitakis J, Nicolas JF et al (1994) Comparative study of indirect immunofluorescence and immunoblotting for the diagnosis of autoimmune pemphigus. Arch Dermatol Res 286:295–299PubMedCrossRef
6.
go back to reference De Angelis E, Lombardi ML, Grassi M et al (1992) Enalapril: a powerful in vitro non-thiol acantholytic agent. Int J Dermatol 31:722–724PubMedCrossRef De Angelis E, Lombardi ML, Grassi M et al (1992) Enalapril: a powerful in vitro non-thiol acantholytic agent. Int J Dermatol 31:722–724PubMedCrossRef
7.
go back to reference Godard W, Lambert D, Gavanou J et al (1980) Pemphigus induced by treatment with a propanolol–meprobamate combination. Ann Dermatol Venereol 107:1213–1216PubMed Godard W, Lambert D, Gavanou J et al (1980) Pemphigus induced by treatment with a propanolol–meprobamate combination. Ann Dermatol Venereol 107:1213–1216PubMed
8.
go back to reference Jiao D, Bystryn JC (1997) Sensitivity of indirect immunofluorescence, substrate specificity, and immunoblotting in the diagnosis of pemphigus. J Am Acad Dermatol 37:211–216PubMedCrossRef Jiao D, Bystryn JC (1997) Sensitivity of indirect immunofluorescence, substrate specificity, and immunoblotting in the diagnosis of pemphigus. J Am Acad Dermatol 37:211–216PubMedCrossRef
9.
go back to reference Kaplan RP, Potter TS, Fox JN (1992) Drug-induced pemphigus related to angiotensin-converting enzyme inhibitors. J Am Acad Dermatol 26:364–366PubMedCrossRef Kaplan RP, Potter TS, Fox JN (1992) Drug-induced pemphigus related to angiotensin-converting enzyme inhibitors. J Am Acad Dermatol 26:364–366PubMedCrossRef
10.
go back to reference König C, Eickert A, Scharfetter-Kochanek K et al (2001) Linear IgA bullous dermatosis induced by atorvastatin. J Am Acad Dermatol 44:689–692PubMedCrossRef König C, Eickert A, Scharfetter-Kochanek K et al (2001) Linear IgA bullous dermatosis induced by atorvastatin. J Am Acad Dermatol 44:689–692PubMedCrossRef
11.
go back to reference Korman NJ, Eyre RW, Zone J et al (1991) Drug-induced pemphigus: autoantibodies directed against the pemphigus antigen complexes are present in penicillamine and captopril-induced pemphigus. J Invest Dermatol 96:273–276PubMedCrossRef Korman NJ, Eyre RW, Zone J et al (1991) Drug-induced pemphigus: autoantibodies directed against the pemphigus antigen complexes are present in penicillamine and captopril-induced pemphigus. J Invest Dermatol 96:273–276PubMedCrossRef
12.
go back to reference Kuechle MK, Hutton KP, Muller SA (1994) Angiotensin-converting enzyme inhibitor-induced pemphigus three case reports and literature review. Mayo Clin Proc 69:1166–1171PubMed Kuechle MK, Hutton KP, Muller SA (1994) Angiotensin-converting enzyme inhibitor-induced pemphigus three case reports and literature review. Mayo Clin Proc 69:1166–1171PubMed
13.
go back to reference Lo Schiavo A, Guerrera V, Cozzani E et al (1999) In vivo enalapril-induced acantholysis. Dermatology 198:391–393PubMedCrossRef Lo Schiavo A, Guerrera V, Cozzani E et al (1999) In vivo enalapril-induced acantholysis. Dermatology 198:391–393PubMedCrossRef
14.
go back to reference Müller R, Svoboda V, Wenzel E et al (2008) IgG against extracellular subdomains of desmoglein 3 relates to clinical phenotype of pemphigus vulgaris. Exp Dermatol 17:35–43PubMed Müller R, Svoboda V, Wenzel E et al (2008) IgG against extracellular subdomains of desmoglein 3 relates to clinical phenotype of pemphigus vulgaris. Exp Dermatol 17:35–43PubMed
15.
go back to reference Ruocco V, Pisani M, de Angelis E et al (1990) Biochemical acantholysis provoked by thiol drugs. Arch Dermatol 126:965–966PubMedCrossRef Ruocco V, Pisani M, de Angelis E et al (1990) Biochemical acantholysis provoked by thiol drugs. Arch Dermatol 126:965–966PubMedCrossRef
16.
go back to reference Ruocco V, de Angelis E, Lombardi ML et al (1988) In vitro acantholysis by captopril and thiopronine. Dermatologica 176:115–123PubMedCrossRef Ruocco V, de Angelis E, Lombardi ML et al (1988) In vitro acantholysis by captopril and thiopronine. Dermatologica 176:115–123PubMedCrossRef
17.
go back to reference Sharma PM, Choi EJ, Kuroda K, Hachiya T et al (2009) Pathogenic anti-desmoglein MAbs show variable ELISA activity because of preferential binding of mature versus proprotein isoforms of desmoglein 3. J Invest Dermatol 129:2309–2312PubMedCrossRef Sharma PM, Choi EJ, Kuroda K, Hachiya T et al (2009) Pathogenic anti-desmoglein MAbs show variable ELISA activity because of preferential binding of mature versus proprotein isoforms of desmoglein 3. J Invest Dermatol 129:2309–2312PubMedCrossRef
18.
go back to reference Su H, Reano A, Viac J, Thivolet J (1989) Comparative expression of bullous pemphigoid antigens in normal human epidermis and cultured keratinocytes. Clin Immunol Immunopathol 5:406–413CrossRef Su H, Reano A, Viac J, Thivolet J (1989) Comparative expression of bullous pemphigoid antigens in normal human epidermis and cultured keratinocytes. Clin Immunol Immunopathol 5:406–413CrossRef
19.
go back to reference Yamagami J, Kacir S, Ishii K et al (2009) Antibodies to the desmoglein 1 precursor proprotein but not to the mature cell surface protein cloned from individuals without pemphigus. J Immunol 183:5615–5621PubMedCrossRef Yamagami J, Kacir S, Ishii K et al (2009) Antibodies to the desmoglein 1 precursor proprotein but not to the mature cell surface protein cloned from individuals without pemphigus. J Immunol 183:5615–5621PubMedCrossRef
20.
go back to reference Yokel BK, Hood AF, Anhalt GJ (1989) Induction of acantholysis in organ explant culture by penicillamine and captopril. Arch Dermatol 125:1367–1370PubMedCrossRef Yokel BK, Hood AF, Anhalt GJ (1989) Induction of acantholysis in organ explant culture by penicillamine and captopril. Arch Dermatol 125:1367–1370PubMedCrossRef
21.
go back to reference Yokouchi M, Saleh MA, Kuroda K et al (2009) Pathogenic epitopes of autoantibodies in pemphigus reside in the amino-terminal adhesive region of desmogleins which are unmasked by proteolytic processing of prosequence. J Invest Dermatol 129:2156–2166PubMedCrossRef Yokouchi M, Saleh MA, Kuroda K et al (2009) Pathogenic epitopes of autoantibodies in pemphigus reside in the amino-terminal adhesive region of desmogleins which are unmasked by proteolytic processing of prosequence. J Invest Dermatol 129:2156–2166PubMedCrossRef
Metadata
Title
ACE inhibitors can induce circulating antibodies directed to antigens of the superficial epidermal cells
Authors
Emanuele Cozzani
Gian Marco Rosa
Massimo Drosera
Chiara Intra
Antonio Barsotti
Aurora Parodi
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
Archives of Dermatological Research / Issue 5/2011
Print ISSN: 0340-3696
Electronic ISSN: 1432-069X
DOI
https://doi.org/10.1007/s00403-010-1060-5

Other articles of this Issue 5/2011

Archives of Dermatological Research 5/2011 Go to the issue