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Journal of Virology, July 2000, p. 6045-6049, Vol. 74, No. 13
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Exacerbation of Autoantibody-Mediated Hemolytic Anemia by Viral Infection

Mory Meite,1,dagger Sabine Léonard,1,Dagger Mohammed El Azami El Idrissi,1,§ Shozo Izui,2 Pierre L. Masson,1 and Jean-Paul Coutelier1,*

Unit of Experimental Medicine, Christian de Duve Institute of Cellular Pathology, Université Catholique de Louvain, 1200 Brussels, Belgium,1 and Department of Pathology, Centre Médical Universitaire, Université de Genève, Geneva, Switzerland2

Received 22 November 1999/Accepted 29 March 2000

Strong enhancement of the pathogenicity of an antierythrocyte monoclonal antibody was observed after infection of mice with lactate dehydrogenase-elevating virus. While injection of the antierythrocyte antibody alone induced only moderate anemia, concomitant infection with this virus, which is harmless in most normal mice, led to a dramatic drop in the hematocrit and to death of infected animals. In vitro and in vivo analyses showed a dramatic increase in the ability of macrophages from infected mice to phagocytose antibody-coated erythrocytes. These results indicate that viruses can trigger the onset of autoimmune disease by enhancing the pathogenicity of autoantibodies. They may explain how unrelated viruses could be implicated in the etiology of autoantibody-mediated autoimmune diseases.


* Corresponding author. Mailing address: Unit of Experimental Medicine, UCL MEXP 7430, Av. Hippocrate 74, B-1200 Bruxelles, Belgium. Phone: 32 2 764 7437. Fax: 32 2 764 7430. E-mail: coutelier{at}mexp.ucl.ac.be.

dagger Present address: Service d'hématologie et d'immunologie, CHU de Yopougon, Abidjan 21, Côte d'Ivoire.

Dagger Present address: 4845 Jalhay, Belgium.

§ Present address: Department of Microbiology, University of Illinois, Chicago, IL 60612.


Journal of Virology, July 2000, p. 6045-6049, Vol. 74, No. 13
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



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