@incollection{3115436, title = "SS-B (La) AUTOANTIBODIES", author = "Routsias, John G. and Tzioufas, Athanasios G.", booktitle = "AUTOANTIBODIES, 2ND EDITION", publisher = "ELSEVIER SCIENCE BV", year = "2007", isbn = "978-0-08-046723-8; 978-0-44-452763-9", pages = "239-246", doi = "10.1016/B978-044452763-9/50036-6", abstract = "Anti-La/SS-B antibodies are usually detected in patients with Sjogren’s syndrome and Systemic Lupus Erythematosus. They target a 408 amino acid phosphoprotein - the La/SS-B autoantigen that associates with a variety of small RNAs transcribed by RNA polymerase III, protecting them from exonuclease digestion and regulating their downstream processing. La/SS-B also binds viral RNAs (e. g. adenovirus VA, Epstein Barr EBER), viral and human RNAs possessing IRES (internal ribosomal entry elements) as well as the RNA component of telomerase complex. A variety of methods including immunofluorescence (IF), immunobloting (IB), immunoprecipitation (IP), ELISA and counterimmunoelectrophoresis (CIE) have been applied for the detection of anti-La/ SS-B antibodies. Among them RNA precipitation is considered as the “gold standard” method, but due to their availability CIE, IB and ELISA are used in every day routine. Anti-La/SS-B antibodies are closely associated with Sjogren’s Syndrome, particularly with the presence of extraglandular disease (affecting kidney, lung and liver). Anti-La/SS-B antibodies are also found in the serum of mothers whose children had neonatal lupus; in systemic lupus erythematosus anti-La antibodies are typically present many years before the onset of the clinical disease. Additionally, anti-La/SS-B antibodies can be found in patients with rheumatoid factor, polyclonal hypergammaglobulinemia and cryoglobulinemia." }