We have identified a scleroderma serum (Ru) with a previously undescribed specificity to protein components of the Ull smafl nuclear ribonucleoprotein particle (snRNP), a low-abundance member of the Sm class of U RNPs. The Ull RNP can be specifically immunoprecipitated from sonicated HeLa cells with Ru serum. In nuclear extracts, a fraction of the Ull particle is found complexed to the U12 RNP, an even lower abundance Sm snRNP. In glycerol gradient fractions, Ru serum identifies a 65-kDa protein that cosediments with the U11-U12 complex and is shifted upon targeted degradation of the U12 RNA. The 65-kDa protein therefore appears to be a component of the U11-U12 snRNP complex, whereas another Ru-reactive (140 kDa) protein may be associated with the free Ull RNP. The Ru serum also contains autoantibodies directed against the trimethylguanosine cap of U RNAs. This rare specificity has been described previously in only three other scleroderma patients.Scleroderma patients have in their sera autoantibodies to various cellular proteins (1). Included are nuclear antigens such as SCL-70/topoisomerase I and the kinetochore of centromeres (ACA) and nucleolar proteins such as RNA polymerase I, the nucleolar organizer (NOR-90/hUBF), and fibrillarin, a protein associated with small nucleolar RNAs. These autoantibodies are specific for scieroderma and are helpful for diagnosis and prediction of disease progression in individual patients. Antibodies to proteins associated with the uridine-rich small nuclear RNAs (U RNAs) are found in the sera of patients with systemic lupus erythematosus (2). Anti-Sm autoantibodies immunoprecipitate all the abundant U RNAs (105-1O6 copies per mammalian cell) except U3. Thus the Ul, U2, U5, and the U4-U6 small nuclear ribonucleoprotein particles (snRNPs), which are involved in the splicing of pre-mRNA (3, 4), are primary targets. There also exist several low-abundance Sm snRNPs (5). All Sm RNAs except U6 have a unique 5' 2,2,7-trimethylguanosine (TMG) cap, which in the case of Ul and U2 aids in targeting these snRNAs to the nucleus after assembly with the Sm proteins in the cytoplasm (6). Autoantibodies specific for certain Sm snRNPs have been reported in various autoimmune disorders (7-11).We describe here two rare autoantibodies from the serum of a patient (Ru) with diffuse systemic sclerosis.
MATERIALS AND METHODSAntibodies. Serum samples from the patient Ru were obtained in 1991 when she was admitted to Yale/New Haven Hospital for routine monthly extracorporeal photopheresis treatments. The patient was a 40-year-old white woman with diffuse systemic sclerosis since 1985. Her symptoms began with Raynaud phenomenon, followed by rapid progression of sclerosis of the skin of the face, trunk, and extremities in 1986. Mild restrictive lung disease and esophageal dysmotility were documented at that time. She was admitted to the Yale Scleroderma Photopheresis Protocol in 1989 and experienced some resolution of the cutaneous sclerosis, with regression to involvement of only the face and ...