Advertisement
Original article| Volume 132, ISSUE 1, P25-31, July 1998

Determination of antipituitary antibody in patients with endocrine disorders by enzyme-linked immunosorbent assay and Western blot analysis

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The identification of pituitary antigens recognized by human antipituitary antibodies (APAs) is important in evaluating the pathophysiology of multiendocrine disorders linked to autoimmune factors. However, there is no convenient method for the quantitative analysis of circulating APAs. This study reports the development of an enzyme-linked immunosorbent assay (ELISA) for the detection of APAs. APAs were measured by ELISA and confirmed by Western blot analysis in sera from patients with endocrine disorders. APAs were detected frequently in patients with autoimmune thyroiditis, insulin-dependent diabetes mellitus (IDDM), or pituitary dwarfism. Circulating APAs were detected in 18% of patients with autoimmune thyroiditis. Confirmation by Western blot revealed positivity for APAs in the serum of 36% of patients with Hashimoto disease and in 29% of patients with Graves disease. Notably, 39% of patients with IDDM were also positive for APAs by ELISA. The identification of APAs by ELISA may be useful in evaluating autoimmune mechanisms involved in patients with multiendocrine disorders.

      Abbreviations:

      APA (Antipituitary antibody), BSA (bovine serum albumin), ELISA (enzyme-linked immunosorbent assay), GH (growth hormone), IDDM (insulin-dependent diabetes mellitus), lgG (immunoglobulin G), NIDDM (non-insulin-dependent diabetes mellitus), PBS (phosphate-buffered saline solution), RT (room temperature), SDS (sodium dodecylsulfate)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Translational Research
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sauter NP
        • Ton R
        • Mclaughlin CD
        • Dyess EM
        • Kritzman J
        • Lechan RM
        Isolated ACTH deficiency associated an autoantibody to a corticotroph antigen that is not ACTH or other propiomelanocortin-derived peptides.
        J Clin Endocrinol Metab. 1990; 70: 1391-1397
        • Ozawa Y
        • Shishiba Y
        Recovery from lymphocytic hypophysitis associated with painless thyroiditis: clinical implications of circulating antipituitary antibodies.
        Acta Endocrinol (Copenh). 1993; 128: 493-498
        • Komatsu M
        • Kondo T
        • Yamauchi K
        • et al.
        Antipituitary antibodies in patients with primary empty sella syndrome.
        J Clin Endocrinol Metab. 1988; 67: 633-638
        • Mau M
        • Phillips TM
        • Ratner RE
        Presence of anti-pituitary hormone antibodies in patients with empty sella syndrome and pituitary tumors.
        Clin Endocrinol (Oxf). 1993; 38: 495-500
        • Kobayashi I
        • Inukai T
        • Takahashi M
        • et al.
        Anterior pituitary cell antibodies detected in Hashimoto's thyroiditis and Graves' disease.
        Endocrinol Japan. 1988; 35: 705-708
        • Hansen BL
        • Hagedus L
        • Hansen GN
        • Hagen C
        • Hansen JM
        • Hoier MM
        Pituitary-cell antibody diversity in sera from patients with untreated Graves' disease.
        Autoimmunity. 1989; 5: 49-57
        • Mirakian R
        • Cudworth AG
        • Bottazzo GF
        • Richardson CA
        • Doniach D
        Autoimmunity to anterior pituitary cells and the pathogenesis of insulin-dependent diabetes mellitus.
        Lancet. 1982; 2: 755-759
        • Engwall E
        • Perlman P
        Enzyme-linked immunosorbent assay (ELISA): Quantitative assay of immunoglobulin G.
        Immunochemistry. 1971; 8: 871-874
        • Yabe S
        • Murakami H
        • Kobayashi I
        • et al.
        Western blot analysis of rat pituitary antigens recognized by human pituitary antibodies.
        Endocrine I. 1995; 42: 115-119
        • Laemmli UK
        Cleavage of structural proteins during the assembly of the head of bacteriophage T4.
        Nature. 1970; 227: 680-685
        • Bottazzo GF
        • Poupland A
        • Florin-Christensen A
        • Doniach D
        Autoantibodies to prolactin-secreting cells of human pituitary.
        Lancet. 1975; 2: 97-101
        • Sugiura M
        • Hashimoto A
        • Shizawa M
        • et al.
        Heterogeneity of anterior pituitary cell antibodies detected in insulin dependent diabetes mellitus and adrenocorticotropic hormone deficiency.
        Diabetes Res. 1986; 3: 111-114
        • Schloot N
        • Eisenbarth GS
        Isohormonal therapy of endocrine autoimmunity.
        Immunol Today. 1995; 16: 289-293
        • Kobayashi T
        • Yabe S
        • Kikuchi T
        • Kanda T
        • Kobayashi I
        Presence of anti-pituitary antibodies and GAD antibodies in NIDDM and IDDM.
        Diabetes Care. 1997; 20: 864-866
        • Hashimoto K
        • Takao T
        • Makino S
        Lymphocytic adernohy-pophysitis and lymphocytic infundibuloneurohypophysitis.
        Endocrine J. 1997; 44: 1-10
        • Onodera T
        • Toniolo A
        • Notkins AL
        Virus-induced diabetes mellitus XX: Polyendocrinopathy and autoimmunity.
        J Exp Med. 1981; 153: 1457-1473
        • Tartaglia LA
        • Demski M
        • Weng X
        • et al.
        Identification and expression cloning of a leptin receptor OB-R.
        Cell. 1995; 83: 1263-1271
        • Scott J
        New chapter for the fat controller.
        Nature. 1996; 379: 113-114
        • Jeanrenaud FR
        • Jeanrenaud B
        Obesity, leptin, and the brain.
        N Engl J Med. 1996; 334: 324-325
        • Majorie M
        • Terry M
        • Ranter PRE
        Presence of anti-pituitary hormone antibodies in patients with empty sella syndrome and pituitary tumors.
        Clin Endoclinol. 1993; 38: 495-500
        • Crock P
        • Salvi M
        • Wall J
        • Guyda H
        Detection of anti-pituitary autoantibodies by immunoblotting.
        J Immmunol Methods. 1993; 162: 31-40