Objective. To analyze the reaction of lupus sera with proliferating cell nuclear antigen (PCNA) multiprotein complexes (PCNA complexes), which are part of the protein machinery involved in cell proliferation.Methods. PCNA complexes were purified from rabbit thymus extract by affinity chromatography using anti-PCNA monoclonal antibodies (TOB7, TO17, and TO30); monomeric and trimeric PCNA forms (AK-PCNA) were purified using anti-PCNA serum AK. The reactions to these antigens of 10 anti-PCNA-positive and 40 anti-PCNA-negative sera selected from 560 lupus patients were tested by immunoblotting, immunoprecipitation, and enzyme-linked immunosorbent assays (ELISAs).Results. With one exception (serum OK), anti-PCNA-positive sera reacted exclusively with only the 34-kd polypeptide. In contrast, 14 of 40 anti-PCNAnegative sera reacted with multiple proteins within PCNA complexes. Most anti-PCNA-positive sera probably recognize as epitopes the binding sites for other proteins on PCNA, which are likely hidden when PCNA is complexed with other proteins. As a consequence, only serum OK reacted with the PCNA complex in a series of ELISAs. Using AK-PCNA as a competitive inhibitor, it was determined that serum OK reacts with both the 58-kd polypeptide and the 34-kd PCNA within complexes. Together with the results of a longitudinal analysis, these results suggest that the immune system of patient OK likely recognized the complexed PCNA protein, after which the autoimmune response spread to other elements of the complexes.Conclusion. Intermolecular-intrastructural help, leading to the spread of autoimmune response from PCNA to other proteins associated with its biologic function, plays a crucial role in the induction of the autoimmune response seen in lupus patients.Autoantibodies against proliferating cell nuclear antigen (PCNA) were first observed in a patient with systemic lupus erythematosus (SLE) (1). Using anti-PCNA antibodies from SLE patients as a probe, our group subsequently determined that PCNA is a 34-kd intranuclear polypeptide that exists mainly as a homotrimer (2,3), and that expression of PCNA is increased in the late G1 and early S phases of the cell cycle, immediately before DNA synthesis (4). These findings suggested an involvement of PCNA in DNA replication, and, indeed, PCNA was later identified as an auxiliary protein of DNA polymerase ␦ (Pol-␦), playing an essential role in DNA replication and repair (5-9).