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Anti-nRNP is a type of antibody. [1] [2] They are autoantibodies against some ribonucleoproteins. [3]
HLA-DR4 in the MHC is linked to both anti-RNP antibody responses and MCTD. [52] [53] The HLA class II phenotype/genotype most closely connected with scleroderma, HLA-DR5, and its subgroups, has been demonstrated to have a negative connection with MCTD. [54] [55] Another genetic feature of MCTD is the presence of anti-RNP antibodies.
However, some researchers believe that MCTD is a clinically distinct entity and is strongly associated with the presence of titer high in antibodies Ribonucleoproteins (RNP). [4] It is estimated that up to 25% of people with systemic autoimmune disease could be considered to have UCTD. [5]
This would result in the antibody-antigen complex not precipitating; leading to invalid results. [4] In addition, some anti-SS-B antibodies commonly identified in Sjögren syndrome may not be detected with this method. However, this method is economically feasible and specific to confirm a diagnosis.
Two types of anti-RNP antibodies are closely related to Sjögren's syndrome: SS-A (Ro) and SS-B (La). Autoantibodies against snRNP are called Anti-Smith antibodies and are specific for SLE. The presence of a significant level of anti-U1-RNP also serves a possible indicator of MCTD when detected in conjunction with several other factors. [28]
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Thus, anti-Sm and anti-RNP antibodies were discovered in 1966 and 1971, respectively. In the 1970s, the anti-Ro/anti-SS-A and anti-La/anti-SS-B antibodies were discovered. The Scl-70 antibody was known to be a specific antibody to scleroderma in 1979, however the antigen (topoisomerase-I) was not characterised until 1986.