We describe an autoantibody specificity present in a subgroup of patients with a severe form of autoimmune chronic active hepatitis. These antibodies precipitate a 90-nucleotide RNA from human whole cell extracts and recognize a 48-kDa polypeptide in immunoblotting assays. The RNA is a UGA suppressor serine tRNA that carries selenocysteine (tRNAlserJs'¢), as shown by sequence analysis. The protein does not appear to be seryl-tRNA synthetase; rather, it is an excellent candidate for a factor involved in cotranslational selenocysteine incorporation in human cells.Autoantibodies reactive with cellular constituents are often detected in sera from patients with autoimmune disease. Autoantibodies that immunoprecipitate tRNA have been detected primarily in sera from patients with polymyositis (1-3) and, less frequently, in patients with systemic lupus erythematosus (4) and scleroderma (5). The reactive antigens are usually tRNA-associated proteins; in only a few cases are they the tRNAs themselves (4, 6). Some of these protein antigens have been identified as aminoacyl-tRNA synthetases (3, 6-10).Other well-characterized components of the protein synthetic machinery [for example, ribosomes (11), 5S ribonucleoprotein (12), and elongation factor la (13)] also act as autoantigens. One translational event, the incorporation of selenocysteine into a growing polypeptide chain, is not well-understood in eukaryotes, and to our knowledge, the factors involved in this process have not been implicated in autoimmunity. The synthesis of selenoproteins in Escherichia coli involves several reactions (for review, see ref. 14). Briefly, selenocysteine incorporation is cotranslational and requires an unusual suppressor aminoacyl-tRNA (selenocysteyl-tRNAsec, where Sec is selenocysteine) and a specific translation factor (the product of the selB gene) that substitutes for elongation factor Tu. Insertion is directed by certain UGA triplets that in other contexts act as termination codons. tRNASec is initially charged with serine to form seryltRNASec and is then converted to selenocysteyl-tRNAsec by the action of the selA (selenocysteine synthase) and selD gene products. In mammalian cells, selenocysteine incorporation also occurs at specific UGA codons, and a suppressor serine tRNA that carries selenocysteine (tRNA[Serlsec) has been detected (15). However, complete elucidation of the eukaryotic pathway (and identification of the factors involved) has not yet been achieved.Here we report that an RNA-protein complex is the target of an autoantibody specificity found in the sera of a subset of patients with autoimmune chronic active hepatitis (AI-CAH). The RNA corresponds to a previously identified human suppressor serine tRNA, and the antigenic protein may be a factor involved in the pathway of cotranslational incorporation of selenocysteine into specific polypeptide chains.MATERIALS AND METHODS Subjects. Sera from 35 patients with AI-CAH were collected over a period of 4 years at the Sant Pau and Valle Hebron Hospitals in Barcelona. ...