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1.
Bull Exp Biol Med ; 162(6): 777-780, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28429225

ABSTRACT

Elimination of B cells producing autoantibodies to neuroantigens is considered as beneficial in the treatment of multiple sclerosis. Myelin oligodendrocyte glycoprotein (MOG) is a significant autoantigen in multiple sclerosis. It was shown that MOG-like peptoid AMogP3 can bind autoantibodies produced by pathological lymphocytes. We propose a structure of an innovative drug for targeted elimination of the pool of autoreactive B cells responsible for multiple sclerosis pathogenesis; this compound is a complex of peptoid AMogP3 with Fc fragment of human immunoglobulin. The obtained Fc-PEG-AMogP3 conjugate effectively interact with autoreactive antibodies, which attests to their high therapeutic potential.


Subject(s)
Autoantibodies/chemistry , Autoantigens/chemistry , Immunoconjugates/chemistry , Immunoglobulin Fc Fragments/chemistry , Immunoglobulin Heavy Chains/chemistry , Myelin-Oligodendrocyte Glycoprotein/chemistry , Peptoids/chemistry , Autoantibodies/metabolism , Autoantigens/immunology , B-Lymphocytes/immunology , B-Lymphocytes/pathology , Cross-Linking Reagents/chemistry , Humans , Immunoconjugates/metabolism , Immunoglobulin Fc Fragments/metabolism , Immunoglobulin Heavy Chains/metabolism , Molecular Targeted Therapy , Multiple Sclerosis/immunology , Multiple Sclerosis/pathology , Multiple Sclerosis/therapy , Myelin-Oligodendrocyte Glycoprotein/immunology , Peptide Fragments/chemistry , Peptide Fragments/immunology , Peptoids/immunology , Polyethylene Glycols/chemistry , Protein Binding , Solutions , Succinimides/chemistry
2.
Bull Exp Biol Med ; 163(2): 210-213, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28726206

ABSTRACT

Genetic constructs with different leader sequences for intra- and extracellular expression of the target protein were generated and an original method for effective selection of clones with maximum expression was developed. For intracellular expression in the Pichia pastoris system, seprin content in cells was 6 mg/liter.


Subject(s)
Anomura/chemistry , Recombinant Proteins/metabolism , Serpins/metabolism , Animals , Anticoagulants/metabolism , Pichia/genetics , Pichia/metabolism , Recombinant Proteins/genetics , Serpins/genetics
3.
Bull Exp Biol Med ; 163(2): 263-267, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28726211

ABSTRACT

We designed genetic constructs for exposing Fab-fragment library of natively paired single cell B-cell receptors on the surface of Pichia pastoris yeast cells. We have previously obtained the A17 antibody in our laboratory [6]. In this study we showed that the newly designed genetic constructs provide a compatible level of A17 antibody Fab fragment on the surface of yeast cells as well as in the case of vectors containing DNA fragments corresponding to each chain of the antibody. The data suggest that the developed approach for constructing immunoglobulin gene libraries is adequate and fully convenient for studying properties of the real human B-lymphocyte repertoire.


Subject(s)
B-Lymphocytes/metabolism , Genetic Engineering/methods , Pichia/metabolism , Immunoglobulin Fab Fragments/genetics , Immunoglobulin Fab Fragments/metabolism , Recombinant Proteins/genetics , Recombinant Proteins/metabolism
4.
Bull Exp Biol Med ; 163(6): 766-771, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29063322

ABSTRACT

Intracellular fragments of latent phase protein LMP1 of Epstein-Barr virus, denoted as CTAR1/2/3, can trigger a variety of cell cascades and contribute to the transforming potential of the virus. Generation of recombinant proteins CTAR1/2/3 is expected to yield more ample data on functional and immunogenic characteristics of LMP1. We created genetic constructs for prokaryotic expression of LMP1 CTAR fragments and selected optimal conditions for their production and purification. Using a new library of LMP1 CTAR fragments, we carried out epitope mapping of a diagnostic anti-LMP1 antibody S12. Analysis of polyclonal serum antibodies from mice immunized with full-length LMP1 confirmed immunogenicity of CTAR elements comparable with that of full-length protein.


Subject(s)
Antibodies, Monoclonal/chemistry , Antibodies, Viral/chemistry , Peptide Fragments/immunology , Viral Matrix Proteins/immunology , Virus Latency/immunology , Animals , Antibodies, Monoclonal/biosynthesis , Antibodies, Monoclonal/isolation & purification , Antibodies, Viral/biosynthesis , Antibodies, Viral/isolation & purification , Cloning, Molecular , Epitope Mapping/methods , Epitopes/genetics , Epitopes/immunology , Escherichia coli/genetics , Escherichia coli/metabolism , Gene Expression , Genetic Vectors/chemistry , Genetic Vectors/metabolism , Herpesvirus 4, Human/chemistry , Herpesvirus 4, Human/genetics , Herpesvirus 4, Human/immunology , Humans , Immunization , Mice , Peptide Fragments/genetics , Peptide Library , Protein Domains , Recombinant Proteins/genetics , Recombinant Proteins/immunology , Viral Matrix Proteins/genetics
5.
Dokl Biochem Biophys ; 475(1): 245-249, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28864894

ABSTRACT

It is proposed to perform quantum mechanical/molecular dynamics calculations of chemical reactions that are planned to be catalyzed by antibodies and then conduct a virtual screening of the library of potential antibody mutants to select an optimal biocatalyst. We tested the effectiveness of this approach by the example of hydrolysis of organophosphorus toxicant paraoxon using kinetic approaches and X-ray analysis of the antibody biocatalyst designed de novo.


Subject(s)
Antibodies/genetics , Antibodies/metabolism , Biocatalysis , Computational Biology/instrumentation , Mutation , Antibodies/chemistry , Models, Molecular , Protein Conformation
6.
Bull Exp Biol Med ; 161(1): 92-5, 2016 May.
Article in English | MEDLINE | ID: mdl-27265131

ABSTRACT

Major histocompatibility complex class II (MHC II) plays an important role not only in the adaptive immune responses to foreign pathogens, but also in the development of some autoimmune diseases. Non-classical MHC, HLA-DM is directly involved in MHC II loading with the peptide. To study this process, we synthesized recombinant proteins HLA-DR1 and HLA-DM. α/ß-Chains of DR1 heterodimer contained C-terminal leucine domains of the fos and jun factors, respectively. Each DM chain contained constant fragment of human antibody heavy chain fused via a long linker domain. In addition, DM α-chain carried N165D substitution suppressing potential glycosylation at this site. We observed significant acceleration of DR1 peptide loading with influenza HA306-318 hemagglutinin in the presence of DM, which indicates functionality of recombinant DR1-DM protein couple. Our results can be used to study the presentation of other viral and self-antigens and can become the basis for the development of new drug modeling.


Subject(s)
HLA-D Antigens/pharmacology , HLA-DR1 Antigen/physiology , Hemagglutinin Glycoproteins, Influenza Virus/immunology , Immunoglobulin Constant Regions/pharmacology , Immunoglobulin Heavy Chains/pharmacology , Peptide Fragments/immunology , Recombinant Fusion Proteins/pharmacology , Adaptive Immunity , Animals , Antigen Presentation/drug effects , Autoimmune Diseases/immunology , Autoimmunity , Drosophila melanogaster , HEK293 Cells , HeLa Cells , Humans , Protein Binding
7.
Prikl Biokhim Mikrobiol ; 52(2): 184-92, 2016.
Article in Russian | MEDLINE | ID: mdl-27266247

ABSTRACT

A platform for the cloning and expression of active human butyrylcholinesterase (BuChE) in the yeast Pichia pastoris is first presented. Genetic constructs for BuChE gene expression, separately and in conjunction with a proline-rich peptide called proline-rich attachment domain (PRAD), are based on the vector pPICZαA. It is shown that the highest level of production is achieved in the expression of a BuChE gene without PRAD pPICZαA. It is found that one can obtain up to 125 mg of active enzyme from 1 L of culture medium at an optimal pH environment (pH 7.6), an optical seed culture density of 3 o.u., and an optimum methanol addition mode of (0.5% methanol in the first day and 0.2% thereafter from the second day).


Subject(s)
Antidotes , Butyrylcholinesterase/biosynthesis , DNA/biosynthesis , Butyrylcholinesterase/chemistry , Butyrylcholinesterase/genetics , Cloning, Molecular , DNA/genetics , Humans , Organophosphates/chemistry , Organophosphates/toxicity , Peptides/chemistry , Pichia/enzymology , Pichia/genetics , Proline/chemistry
8.
Biochemistry (Mosc) ; 77(10): 1139-46, 2012 Oct.
Article in English | MEDLINE | ID: mdl-23157294

ABSTRACT

Development of new ways of creating catalytic antibodies possessing defined substrate specificity towards artificial substrates has important fundamental and practical aspects. Low immunogenicity combined with high stability of immunoglobulins in the blood stream makes abzymes potent remedies. A good example is the cocaine-hydrolyzing antibody that has successfully passed clinical trials. Creation of an effective antidote against organophosphate compounds, which are very toxic substances, is a very realistic goal. The most promising antidotes are based on cholinesterases. These antidotes are now expensive, and their production methods are inefficient. Recombinant antibodies are widely applied in clinics and have some advantage compared to enzymatic drugs. A new potential abzyme antidote will combine effective catalysis comparable to enzymes with high stability and the ability to switch on effector mechanisms specific for antibodies. Examples of abzymes metabolizing organophosphate substrates are discussed in this review.


Subject(s)
Antibodies, Catalytic/metabolism , Organophosphates/metabolism , Animals , Organophosphate Poisoning/drug therapy , Organophosphates/chemistry , Substrate Specificity
9.
Bioorg Khim ; 38(3): 306-14, 2012.
Article in Russian | MEDLINE | ID: mdl-22997702

ABSTRACT

Multiple Sclerosis (MS) is a serve autoimmune neurodegenerative disease. Development of innovative approaches of MS treatment is of a high priority in the modern immunology and pharmacy. In the present study we showed high therapeutic efficiency of immunodominant peptides of myelin basic protein (MBP) incorporated into the monolayer mannosylated liposomes on the development of experimental autoimmune encephalomyelitis (EAE) in DA rats. MBP is a component ofoligodendrocytes' membrane, which form axonal sheath, and is one of the major autoantigens in MS. We analyzed binding pattern ofanti-MBP autoantibodies from MS patients using previously designed MBP epitope library. Utilizing the same approach we investigated pool of anti-MBP antibodies from SJL/J and C57/BL6 mice and DA rats with induced EAE. The most relevant rodent model to MS was EAE in DA rats according to the autoantibodies' binding pattern. We selected three immunodominant MBP fragments encapsulated in monolayer mannosylated liposomes for the following treatment of verified DA rodent model. MBP fragment 46-62 was the most effective in reducing of the first EAE attack, whereas MBP 124-139 and 147-160 inhibited development of pathology during remission stage. Simultaneous administration of these peptides in liposomes significantly decreased level of anti-MBP antibodies. Synergetic therapeutic effect of MBP fragments reduced integral disease score by inhibiting first EAE wave and subsequent remission, thus, our findings disclosure novel approaches for efficient treatment of Multiple Sclerosis.


Subject(s)
Encephalomyelitis, Autoimmune, Experimental/drug therapy , Immunodominant Epitopes/administration & dosage , Multiple Sclerosis/drug therapy , Myelin Basic Protein/administration & dosage , Nanocapsules/administration & dosage , Peptide Fragments/administration & dosage , Adult , Amino Acid Sequence , Animals , Autoantibodies/immunology , Guinea Pigs , Humans , Immunodominant Epitopes/immunology , Immunodominant Epitopes/therapeutic use , Liposomes , Mice , Mice, Inbred C57BL , Middle Aged , Molecular Sequence Data , Myelin Basic Protein/immunology , Myelin Basic Protein/therapeutic use , Nanocapsules/chemistry , Peptide Fragments/immunology , Peptide Fragments/therapeutic use , Rats , Rats, Inbred Strains
10.
Mol Biol (Mosk) ; 45(1): 86-95, 2011.
Article in Russian | MEDLINE | ID: mdl-21485500

ABSTRACT

Expression of recombinant antibodies in mammalian cells is one of key problems in immunobiotechnology. Alternatively, expression of a broad panel of antibodies and of their fragments may be effectively done in yeast cells. We obtained expression strains of the methylotrophic beast Pichia pastoris producing single chain human catalytic antibody A17 (A.17scFv), Fab-fragment (A.17Fab) and full-size light chain (A.17Lch). These antibodies were characterized in terms of functional activity. The capacity to specifically bind and transform organophosphorus compounds has been demonstrated for A.17scFv and A.17Fab. The loss of activity of the antibody light chain when expressed alone indicates that the active site is formed by both heavy and light chains of the antibody. We determined the reversible constant Kd and the first order constant (k2) of the reaction of the covalent modification of A.17scFv and A.17Fab by irreversible inhibitor of the serine proteases p-nitrophenyl 8-methyl-8-azobicyclo[3.2.1]phosphonate (Phosphonate X). Calculated values indicate that activity of the antibodies expressed in yeast is similar to the full-size antibody A17 and single chain antibody A.17 expressed in CHO and E. coli cells respectively.


Subject(s)
Antibodies, Catalytic/biosynthesis , Antibodies, Monoclonal/biosynthesis , Gene Expression , Pichia , Recombinant Proteins/biosynthesis , Single-Chain Antibodies/biosynthesis , Animals , Antibodies, Catalytic/genetics , Antibodies, Monoclonal/genetics , CHO Cells , Cricetinae , Cricetulus , Humans , Recombinant Proteins/genetics , Single-Chain Antibodies/genetics
11.
Bioorg Khim ; 37(1): 45-54, 2011.
Article in Russian | MEDLINE | ID: mdl-21460880

ABSTRACT

Proteolytic degradation of autoantigens is of prime importance in current biochemistry and immunology. The most fundamental issue in this field is the functional role of peptides produced when the specificity of hydrolysis changes during the shift from health to disease and from normal state to pathology. The identification of specific peptide fragments in many cases proposes the diagnostic and prognostic criterion in the pathology progression. The aim of this work is comparative study of the degradation peculiarities of one of the main neuroantigen, myelin basic protein by proteases, activated during progress of pathological demyelinating process, and by proteasome of different origin. The comparison of specificity of different studied biocatalysts gives reason to discuss the critical change in the set of myelin basic protein fragments capable to be presented by major histocompatibility complex class I during neurodegeneration, which can promote the progress of autoimmune pathological process.


Subject(s)
Myelin Basic Protein/metabolism , Peptide Hydrolases/metabolism , Proteasome Endopeptidase Complex/metabolism , Amino Acid Sequence , Animals , Calpain/metabolism , Cathepsin D/metabolism , Cell Line , Cricetinae , Cricetulus , Humans , Matrix Metalloproteinase 3/metabolism , Matrix Metalloproteinase 9/metabolism , Mice , Mice, Inbred BALB C , Molecular Sequence Data , Peptide Fragments/metabolism , Proteomics , Trypsin/metabolism
13.
Vestn Ross Akad Med Nauk ; (4): 8-15, 2010.
Article in Russian | MEDLINE | ID: mdl-20540348

ABSTRACT

Disseminated sclerosis is currently regarded as a CNS autoimmune disease. One of the mechanisms behind this pathology is antibody (AB) formation. In this context, recent data on AB with proteolytic activity are of importance because they participate in selective proteolysis of myelin proteins in patients with disseminated sclerosis. This paper focuses on AB-proteases associated with disseminated sclerosis and site-specificity of antibody-mediated proteolysis of myelin basic protein. Protocol of serodiagnostic algorithm to be used in clinical practice is described.


Subject(s)
Autoantibodies/metabolism , Multiple Sclerosis/immunology , Peptide Hydrolases/metabolism , Amino Acid Sequence , Antibody Specificity , Antigen-Presenting Cells/immunology , Autoantibodies/blood , Autoantibodies/immunology , Epitopes , Humans , Molecular Sequence Data , Multiple Sclerosis/diagnosis , Multiple Sclerosis/etiology , Myelin Basic Protein/immunology , Myelin Basic Protein/metabolism , Serologic Tests , Substrate Specificity
14.
Bioorg Khim ; 34(1): 56-62, 2008.
Article in Russian | MEDLINE | ID: mdl-18365738

ABSTRACT

The stable strain of methylotrophic yeast Pichia pastoris secreting human serum albumin into cultural medium was obtained. Optimal conditions for expression of the protein were determined. We characterized the recombinant protein by mass spectrometry and circular dichroism and analyzed its catalytic activity.


Subject(s)
Pichia , Recombinant Proteins/biosynthesis , Serum Albumin/biosynthesis , Catalysis , Circular Dichroism , Humans , Pichia/genetics , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Serum Albumin/chemistry , Serum Albumin/genetics
16.
Vestn Ross Akad Med Nauk ; (7): 32-6, 2007.
Article in Russian | MEDLINE | ID: mdl-17722295

ABSTRACT

Natural antibodies possessing catalytic activity present a new group of biologically active substances that are found in various autoimmune diseases such as autoimmune thyroiditis, myocarditis, multiple sclerosis, and system lupus erythematosus. Presently, an interconnection between the activity of these antibodies and the extent of organic and tissue lesion in autoaggression have been revealed. Clinical use of catalytic antibodies as a diagnostic criterion to evaluate the severity of disease, a prognostic criterion of the risk of invalidization, and as a pathogenetic basis for medicamentous treatment of autoimmune process is a promising directions of study of the role of catalytic antibodies.


Subject(s)
Antibodies, Catalytic , Multiple Sclerosis/diagnosis , Myelin-Associated Glycoprotein/immunology , Nerve Fibers, Myelinated/pathology , Disease Progression , Humans , Multiple Sclerosis/immunology , Multiple Sclerosis/metabolism , Myelin-Associated Glycoprotein/metabolism , Nerve Fibers, Myelinated/metabolism , Prognosis , Severity of Illness Index
17.
Ter Arkh ; 78(6): 59-66, 2006.
Article in Russian | MEDLINE | ID: mdl-16881365

ABSTRACT

AIM: To compare clinicopathogenetic value of DNA-hydrolizing autoantibodies or DNA-abzymes in patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). MATERIAL AND METHODS: We studied sera from 180 patients with SLE, 180 RA patients and 128 healthy donors matched by age and gender; assessed catalytic and cytotoxic activity of DNA-abzymes in patients with different variants of SLE and RA course. RESULTS: The highest catalytic and cytotoxic activities of DNA abzymes were observed in SLE patients. In SLE catalytic and cytotoxic activities of DNA abzymes ranged widely and their mean values depended on SLE activity in patients with systemic lesions. DNA-abzymes in RA patients showed lower catalytic and cytotoxic activities in relation to substrate DNA and target cells than in SLE. DNA-abzymes occurred most frequently in patients with high activity of RA, slow-progressive and lingering course of RA, especially in early development of visceral (extra-articular) pathology. Characteristic for DNA-abzymes in RA and SLE is the phenomenon of wide-range fluctuations due to factors determinating probability of induction of function of Ab-mediated catalysis and, therefore, incidence rates of DNA-abzymes, probably catalytic autoAb of the other specificity in a population of patients with systemic autoimmune diseases. CONCLUSION: The data indicate the validity of DNA abzymes use in clinical practice for realization of diagnostic and therapeutic programs in SLE and RA.


Subject(s)
Antibodies, Catalytic/immunology , Arthritis, Rheumatoid/genetics , Arthritis, Rheumatoid/immunology , Autoantibodies/immunology , DNA, Catalytic/genetics , Lupus Erythematosus, Systemic/genetics , Lupus Erythematosus, Systemic/immunology , Adult , Aged , Antibodies, Catalytic/genetics , Autoantibodies/genetics , Female , Flow Cytometry , Humans , Immunoglobulin A/immunology , Immunoglobulin G/immunology , Immunoglobulin M/immunology , Male , Middle Aged
18.
Ter Arkh ; 78(11): 70-6, 2006.
Article in Russian | MEDLINE | ID: mdl-17195532

ABSTRACT

AIM: To develop a conceptual model of using catalytic autoantibodies as diagnostic and monitoring tools in organ-specific autoimmune disorders. MATERIAL AND METHODS: A total of 99 patients (56 males and 43 females aged 21-52 years) with autoimmune myocarditis (AM) and 198 patients (77 males and 121 females aged 8-79 years) with autoimmune uveitis (A U) participated in the study. AM patients were examined for anticardiomyosin and anti-DNA autoantibodies (ACM, ADNAab), AU patients - for autoantibodies to S-antigen, IRBP, redopsin, phosphocine, autoDNA. RESULTS: AM patients had double level of DNA-binding autoantibodies. In 1/3 of them there was hydrolysing DNA and cytotoxic activity. In AU patients maximal titers were in Behcet's disease, sympathic ophthalmia, generalized uveitis and viral uveitis. CONCLUSION: Autoantibodies with different specificity and function including DNA-abzymes can be additional diagnostic and prognostic markers.


Subject(s)
Antibodies, Catalytic/blood , Autoantibodies/blood , Autoimmune Diseases/diagnosis , Myocarditis/diagnosis , Uveitis/diagnosis , Adolescent , Adult , Aged , Antibodies, Antinuclear/blood , Arrestin/immunology , Biomarkers/blood , Child , DNA/immunology , Eye Proteins/immunology , Female , Humans , Male , Middle Aged , Myosins/immunology , Prognosis , Retinol-Binding Proteins/immunology , Rhodopsin/immunology
19.
Vestn Ross Akad Med Nauk ; (9): 38-43, 2005.
Article in Russian | MEDLINE | ID: mdl-16250330

ABSTRACT

Catalytic autoantibodies (abzymes) are autoantibodies that are potentially ready to realize certain effects in the organism, first of all antibody-mediated catalysis and cytotoxicity. Natural abzymes with protolytic (protabzymes) and DNA-hydrolyzing DNA-abzymes) activity are of the greatest interest. The most impressive example of the catalytic activity of protabzymes is hydrolysis of specific proteins, revealed in patients with autoimmune diseases, such as bronchial asthma (vasoactive intestinal neuropeptide), autoimmune thyroiditis (thyroglobulin), multiple sclerosis (myelin basic protein), and autoimmune myocarditis (cardiomyosin). The pathogenic role of DNA-abzymes is not quite clear yet. However, it has been proven that they present a powerful regulator of apoptosis and other cytotoxicity mechanisms in systemic autoimmune diseases and tumors. The most promising is use of abzymes as illness activity markers, and as therapeutic agents capable of catalyzing specific proteins or activating antitumoral chemotherapeutic preparations.


Subject(s)
Antibodies, Catalytic/metabolism , Autoantibodies/immunology , Autoimmune Diseases/immunology , Animals , Apoptosis/immunology , Asthma/immunology , Asthma/metabolism , Autoantibodies/metabolism , Autoimmune Diseases/metabolism , Biomarkers , Cytotoxicity, Immunologic , DNA/immunology , DNA/metabolism , Humans , Hydrolysis , Mice , Multiple Sclerosis/immunology , Multiple Sclerosis/metabolism , Myelin Basic Protein/immunology , Myelin Basic Protein/metabolism , Prodrugs , Thyroglobulin/immunology , Thyroiditis, Autoimmune/immunology , Thyroiditis, Autoimmune/metabolism , Vasoactive Intestinal Peptide/immunology
20.
Ter Arkh ; 77(11): 75-80, 2005.
Article in Russian | MEDLINE | ID: mdl-16404867

ABSTRACT

AIM: To study possible pathogenetic role and clinical significance of DNA-hydrolysing autoantibodies (autoAB) or DNA-abzymes in patients with rheumatoid arthritis. MATERIAL AND METHODS: Prevalence of DNA-abzymes and their catalytic activity were studied in 400 patients with rheumatoid arthritis (RA) and 88 healthy donors matched by age and gender. RESULTS: Associated with DNA-binding autoAB DNA-hydrolysing activity was detected in 41.5% cases of RA. DNA-abzymes were maximally active in men with rheumatoid factor (RF) and women without RF, while it was minimal in men without RF and women with RF. By catalytic activity there was no significant differences between patients with RF and without it. The highest catalytic activity of DNA abzymes was detected in patients with distinct extraarticular pathology. DNA-abzymes were also active in patients with x-ray stage III-IV of the disease in association with high prevalence of catalytic autoAB. DNA abzymes were also active in patients with RA activity stage II and III. CONCLUSION: It is possible to use DNA-abzymes in clinical practice for monitoring of the disease activity in RA.


Subject(s)
Antibodies, Catalytic/blood , Arthritis, Rheumatoid/diagnosis , DNA/immunology , Monitoring, Immunologic , Antibodies, Catalytic/metabolism , Arthritis, Rheumatoid/diagnostic imaging , Arthritis, Rheumatoid/immunology , Autoantibodies/blood , Autoantibodies/metabolism , DNA/metabolism , Disease Progression , Female , Humans , Hydrolysis , Male , Prognosis , Radiography , Rheumatoid Factor/blood
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