Abstract

Intestinal goblet cells of patients with ulcerative colitis and Crohn's disease highly express a binding protein of the Fc portion of IgG (FcγBP), which is entirely different from the Fcγ receptors I, II, and III on neutrophils and macrophages. In this study, we proved the qualitative existence of FcγBP antigen in the sera of patients with rheumatoid arthritis and systemic lupus erythematosus, and, further, established a highly sensitive and quantitatively reproducible assay for FcγBP antigen in order to prevent the cross-reactivity of FcγBP with von Willebrand factor which has about 30% homology. This assay revealed a higher level of FcγBP antigen in the blood stream of patients with autoimmune diseases, especially progressive systemic sclerosis. This would suggest that abnormal production of autoantibodies reflects increased generation of FcγBP in goblet cells and its secretion into the circulation by an unknown mechanism.

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