A hot spot region was identified in the exon 7 of the nuclear autoanti
gen La (SS-B). Two La cDNAs were identified which contained a frame sh
ift mutation in the hot spot region. One La cDNA was isolated from a c
DNA library made from peripheral blood lymphocytes of an autoimmune pa
tient with primary Sjogren's Syndrome, the other La cDNA was isolated
from a human liver cDNA Library. The patient's La cDNA had a deletion
and the liver La cDNA had an insert of an (A)-residue at the same posi
tion. Inserts of 4, 16 and 24 more or less homogeneous (A)-residues we
re found at the same site in the three La retropseudogenes. The hot sp
ot region located in one of the major autoepitope regions of the La an
tigen. Both frame shift mutations resulted in premature stop codons. Z
n case of the human liver La cDNA, the premature stop codon located a
single amino acid downstream of the frame shift mutation, while it loc
ated eleven amino acids downstream of the frame shift mutation in the
patient's La cDNA. In consequence, only the sequence of the La peptide
encoded by the patient's La cDNA markedly differed from the correspon
ding La peptide sequence. Translation of the patients mutant La mRNA i
n transfected mouse cells resulted in a C-terminally truncated La pept
ide. Due to the lack of the nuclear location signal it remained in the
cytoplasm. The modified La peptide shared homology with (i) La protei
n itself and (ii) a series of DNA binding proteins including other aut
oantigens and viral proteins such as topoisomerase I, RNA dependent RN
A polymerase of influenza virus and reverse transcriptase. The self-ho
mology region includes the amino acids which the La protein shares wit
h B1 Laminin. It represents a putative neo-epitope that could be invol
ved in triggering of the autoimmune response. (C) 1996 Academic Press
Limited