A number of drugs and chemicals can induce autoimmune disorders. The u
se of autoantibody assays in toxicology has been evaluated as a tool t
o predict and explain autoimmune reactions. Autoantibodies are divided
between organ-specific and ubiquitous autoantibodies and several mech
anisms have been proposed for their pathogenesis. Assay methods depend
on the autoantibody investigated and the specificity of the assay req
uired. There is only a partial correlation between the presence of aut
oantibodies in humans or animals and the risk of developing an autoimm
une disease. Responses in animals vary according to genetic influence
and extrapolation to humans is difficult. Therefore, autoantibody assa
ys were not considered absolutely predictive of the potential of a new
drug to trigger autoimmune diseases. However assays such as the Coomb
s test for hemolytic anemia or anti-thyroid antibody assay for thyroid
itis, can be useful for explaining the possible mechanisms of autoimmu
ne reactions which occur during toxicology studies. (C) 1997 Elsevier
Science Ireland Ltd.