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Autoantibodies against the 20S-proteasome display a broad diversity with a remarkably low frequency of individual cross-reactivity against the different subunits of the proteasome. Although their pathogenic and diagnostic significance remains obscure, an involvement in the clearance of circulating proteasomes as well as an interaction with the activity of the proteolytic complex was assumed in previous studies.

Autoimmune reactivity against the 20S-proteasome includes immunosubunits LMP2 ( 1i), MECL1 ( 2i) and LMP7 ( 5i)