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EDITORIAL Levels of Antibodies to BP180 Correlate With Disease Activity in Bullous Pemphigoid HE ARTICLE by Schmidt et al in this issue passive transfer of antibodies to murine BP180 results in of the ARCHIVES is interesting and may skin lesions in mice that are similar to those occurring in have relevance to our clinical practice in human BP. It is not surprising that antibodies to BP180 the future. In order to make valuable the are pathogenic since the extracellular domain of BP180 T interpretation of their data and to under- is accessible to circulating antibodies, unlike BP230 stand the biological significance of their findings, it is which is completely intracellular. It is presently believed important to highlight the milestones in the research on that antibodies to BP230 are secondary, nonpathogenic, bullous pemphigoid (BP) during the last 15 years. and result from “epitope spreading,” an event that occurs in several autoimmune disorders in which an Unlike patients with pemphigus in whom there is a immune response to a specific epitope is slowly followed direct correlation between disease activity and pemphi- by an immune response to a neighboring epitope or gus antibody titers as detected by standard indirect molecule. The proximity
JAMA Dermatology – American Medical Association
Published: Feb 1, 2000
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