Specific but ubiquitous cytoplasmic proteins are the targets of autoan
tibodies such as anti-Ro/SS-A, anti-La/SS-B, and anti-calreticulin. Th
ese antibodies may be pathogenic in systemic lupus erythematosus (SLE)
and Sjogren's syndrome (SS). Tissue localization of the pathogenic pr
ocess could be best explained by an abnormal expression of these cytop
lasmic proteins. Several factors could likely displace the host protei
ns to the cell surface. This study was designed to use cytomegalovirus
(CMV) infected human fibroblasts (MRC-5) as a model, to test whether
a viral infection would induce the expression of the human autoantigen
(s). Expression of Ro/SS-A, calreticulin, and MHC class I antigens, bo
th in the cytoplasm and on the cell surface, was examined by a fixed c
ell ELISA, immunofluorescence, and immunoblotting. Infection of fibrob
lasts with CMV was found to increase the cell surface expression of ca
lreticulin (p = 0.0314), but not the 60KD Ro/SS-A. Cytoplasmic express
ion of both the autoantigens tested increased following CMV infection.
Enhanced expression of class I MHC was detected on the cell surface i
n response to the virus infection. The expression of the autoantigens
and MHC class I polypeptides, as well as the virally induced elevated
mitotic rate, diminished after 24 h of infection. Viral infection was
found to alter the distribution of host cell proteins, including autoa
ntigens. Cell surface expression of calreticulin could provide a targe
t for circulating autoantibody and contribute to the autoimmune proces
s.