Summary

SRP54 and Polymyositis in-vitro Diagnostics
New insights into PM/Scl Antigens
Autoantigens for Myositis Diagnostics
SurModics Stabilizers
North American Distributor
Calendar 2007, where you can meet the DIARECT and SurModics management
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DIARECT Newsletter No. 1/2007

Dear Madame or Sir,
Whereas most if not all SLE-associated autoantigens are localized in the cell nucleus, a number of myositis-specific antigens are cytoplasmic and play a major role in protein biosynthesis. For example, the myositis-related aminoacyl-tRNA synthetases (Jo-1, PL-7, PL-12) are cytoplasmic targets that catalyze the linking of aminoacyl residues to their corresponding tRNAs. Another cytoplasmic antigen complex which plays a key role in myositis diagnosis is the signal recognition particle (SRP), an RNA-protein complex. In terms of diagnostic relevance, SRP54 has been shown to be the main target, and we are pleased to present this new recombinant antigen, which can now be included into your in-vitro diagnostic tool box.

In this newsletter we also report on recently performed studies clarifying the importance of PM/Scl 100 and PM/Scl 75 antigens for improving polymyositis, scleroderma, and overlap syndrome testing.

And our partners from SurModics, Inc., have put together a highly informative overview table to help you in deciding which of the famous stabilization product family is most suitable for your application.


Pleasant reading!
Your DIARECT team

SRP54 and Polymyositis in-vitro Diagnostics

SDS-PAGE analysis of five independent lots of SRP54


Cell Biology of SRP

The signal recognition particle (SRP) is a cytoplasmic ribonucleoprotein complex that directs the translocation of newly synthesized protein from the polysome to the endoplasmic reticulum. SRP is composed of six polypeptides and a tRNA-like molecule known as 7SL RNA. The 54-kDa subunit of SRP (SRP54) is a GTP-binding protein and has been shown to interact with the signal sequences of nascent secretory and membrane proteins. The 54-kDa subunit of SRP contains three domains: an N-terminal helical bundle domain, a GTPase domain, and the M-domain that binds the 7SL RNA as well as the signal sequence.


Dot-blot analysis of three SRP54 lots. One microliter of each sample was applied.


Autoantibodies and Disease

Human autoantibodies often recognize epitopes that are conserved during evolution and are essential for the cellular function of the autoantigen. Anti-SRP autoantibodies occur almost exclusively in patients with polymyositis, an autoimmune syndrome characterized by chronic muscle inflammation of unknown cause (1). These auto-antibodies immunoprecipitate several of the SRP subunits (plus RNA) but predominantly recognize the SRP54 subunit (2). Anti-SRP autoantibodies are rare: about 5% of myositis patients are positive, however 18% of those with cytoplasmic antibodies other than Jo-1. The classic 'anti-SRP syndrome' is a severe form of polymyositis in which the myositic inflammation is acute and aggressive in onset, and myalgias and cardiac involvement are common. Normally poor response to therapy is observed with a 5-year survival rate in the range of 25%.

Recombinant Human Antigen

DIARECT is now introducing the full-length, human SRP54 produced in the baculovirus/Sf9 expression system. Excellent test results with this antigen were obtained in line assays (immuno-dot) as well as EIA systems.

Ref. (1) Targoff, I.N. et al. (1990) Antibody to signal recognition particle in polymyositis. Arthritis Rheum 33, 1361-70.
(2) Römisch, K. et al. (2006) Human autoantibodies against the 54 kDa protein of the signal recognition particle block function at multiple stages. Arthritis Research & Therapy 8:R39.


Analysis of different myositis patient sera in western blots (Data courtesy of Prof. Humbel, Luxembourg)


New insights into PM/Scl Antigens

Of the numerous nucleolar targets, the clinical significance and diagnostic relevance of PM/Scl 100 antibodies for premium in-vitro testing of myositides, scleroderma and overlap syndromes is undisputed. However, the debate on the particular diagnostic importance of the 100-kDa antigen vs. its 75-kDa counterpart has been increasing over the last decade. Recently Raijmakers et al. (1) described a new, N-terminally elongated PM/Scl 75 polypeptide and were able to determine its diagnostic value for analysing sera from patients with polymyositis/scleroderma overlap syndrome. The data of this investigation indicated that the use of the 'long' PM/Scl 75 isoform in addition to PM/Scl 100 in ELISA significantly increases the number of patients in which anti-PM/Scl autoantibodies can be detected.
To establish comparable conditions for testing full-length constructs of PM/Scl 100 and PM/Scl 75 antigens in parallel, DIARECT has expressed both polypeptides in Baculovirus-infected insect cells and purified them by IMAC.
We made these recombinant human antigens available to a number of internationally distinguished research and reference labs (Prof. Humbel, Luxembourg; Prof. Pruijn, Nijmegen; Dr. Mierau, Aachen). The results were characterized by a rather high degree of uniformity in that most of the PM/Scl-positive sera were positive for the PM/Scl 100 target with a somewhat smaller percentage of sera also positive for PM/Scl 75. Surprisingly a rather small number of sera clearly negative for PM/Scl 100 were borderline and low to moderately positive for PM/Scl 75. Therefore, the addition of PM/Scl 75 (to complement PM/Scl 100) has the potential to increase sensitivity without any loss of specificity.
If you are interested in testing your valuable serum bank specimens with both PM/Scl targets (100-kDa and 75-kDa ), DIARECT is now offering evaluation samples of both antigens for the price of one.

Ref. (1) Raijmakers, R. et al. (2004) PM-Scl-75 is the main autoantigen in patients with the polymyositis/scleroderma overlap syndrome. Arthritis Rheum. 50:565-9.

Autoantigens for Myositis Diagnostics

Over the last couple of years DIARECT has introduced a number myositis-related autoantigens some of which were until then commercially very limited, if not completely inaccessible . We now offer the most complete panel of recombinant targets for polymyositis and dermatomyositis autoantibody testing:


12900Histidyl-tRNA Synthetase (Jo-1)Poly/Dermatomyositis
15600Threonyl-tRNA Synthetase (PL-7)Poly/Dermatomyositis
15700Alanyl-tRNA Synthetase (PL-12)Poly/Dermatomyositis
18400SRP54Poly/Dermatomyositis
18100Mi-2 Dermatomyositis
16000PM/Scl 100Poly/Dermatomyositis
17000PM/Scl 75 (on request)Poly/Dermatomyositis

SurModics Stabilizers

SurModics offers a full line of high-performance protein stabilization reagents for the in vitro diagnostics market. These proprietary stabilizers are formulated for a variety of applications, including the preservation of antibodies and antigens used in immunoassays, HRP and AP conjugates, and microarray proteins immobilized to beads in suspension or dried in array formats. Through its expertise in surface modification and protein stabilization, SurModics is bringing innovation together ™ with customers around the world.

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North American Distributor

North American customers please contact our distributor:

SurModics, Inc.
9924 West 74th Street
Eden Pairie, MN 55344
Tel: 952-829-2709
Fax: 952-829-2743
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Calendar 2007, where you can meet the DIARECT and SurModics management

107th ASM General Meeting
Toronto, Ontario, Canada, May 21 - 25, 2007

2007 AACC Annual Meeting
San Diego, CA, USA, July 15 - 19, 2007

2007 AMLI Annual Meeting
The Westin
Michigan Avenue
Chicago, IL, USA, August 9 - 12, 2007

8th Dresden Symposium on Autoantibodies
Dresden, Germany, September 12 - 15, 2007

Medica
Düsseldorf, Germany, November 14 - 17, 2007

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