The metabolism of poly(ADP-ribose) in peripheral blood mononuclear (PB
M) cells was studied in 13 patients with systemic lupus erythematosus
(SLE) and in 12 age and sex matched controls. Poly(ADP-ribose) polymer
ase activity was measured as the net accumulation of ADP-ribose polyme
rs during the conversion of P-32-NAD to poly(ADP-ribose) in PBM cells
in vitro. The control population showed a mean activity of 418 +/- 91(
s.d.) pmol ADP-ribose/10 min/10(6) cells. The SLE population was more
heterogeneous and showed a lower mean of 225 +/- 147(s.d.) pmol ADP-ri
bose/10 min/10(6) cells. The mechanism of decreased ADP-ribose polymer
accumulation was investigated. Measurements of turnover of the ADP-ri
bose polymers and its substrate, NAD(+), showed that diminished ADP-ri
bose polymer accumulation in SLE subjects resulted from decreased poly
(ADP-ribose) synthesis and not from altered rates of polymer turnover
or NAD utilization. Western blot analyses of enzyme protein levels, ki
netic studies of poly(ADP-ribose) polymerase activity and analyses of
polymer size distribution suggested that the mechanism of poly(ADP-rib
ose) synthesis in SLE cells is not altered but that the number of acti
ve poly(ADP-ribose) polymerase molecules is reduced.