Hypro Diagnostics presents an insightful exploration of autoantibodies targeting Ro/SSA and La/SSB autoantigens, originally identified in Sjögren’s disease and systemic lupus erythematosus (SLE). Beyond their initial association, subsequent research reveals the expansive presence of anti-Ro/SSA antibodies across various autoimmune conditions, ranging from systemic sclerosis to rheumatoid arthritis. In the realm of pregnancy, these antibodies, often accompanied by anti-La/SSB antibodies, serve as crucial indicators for identifying women at an increased risk of neonatal lupus syndrome. Notably, anti-Ro/SSA antibodies may emerge as the primary autoantibodies in a subset of “antinuclear antibody (ANA)-negative” SLE patients. Hypro Diagnostics’ comprehensive review focuses on the intricate Ro/SSA and La/SSB antibody systems, shedding light on their clinical significance. Within the Ro/SSA antigens, the two key players, Ro52 and Ro60, exhibit distinctive roles. Ro60, also known as TROVE2, emerges as an RNA chaperone, binding Y RNAs and contributing to the degradation of defective pre-5S ribosomal RNA. Its binding capabilities extend to both single- and double-stranded RNA, fostering interactions with various cellular and viral RNAs. Mice lacking functional Ro60 genes manifest an autoimmune syndrome, emphasizing its potential role in preventing systemic autoimmune diseases. On the other hand, Ro52, or TRIM21, operates as an interferon-inducible protein with E3 ubiquitin ligase function, enhancing cellular processes in the cytoplasm by adding ubiquitin to target proteins. Belonging to the tripartite motif protein family, Ro52’s functions are distinct from Ro60, despite initial assumptions of interaction. Noteworthy is their residence in separate cellular compartments—Ro60 in the nucleus/nucleolus and Ro52 in the cytoplasm. This nuanced understanding of the Ro/SSA and La/SSB antibody systems enriches our comprehension of their clinical implications in autoimmune diseases and pregnancy, aligning with Hypro Diagnostics’ commitment to delivering comprehensive and advanced diagnostics. For a detailed exploration of other antinuclear antibodies, associated autoimmune conditions, and the clinical significance of antibodies targeting dsDNA, U1 RNP, Sm, and ribosomal P proteins, additional reviews from Hypro Diagnostics are available.
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