title: Identification and cloning of a granule autoantigen (carboxypeptidase-H) associated with type I diabetes.
abstract: Using serum from a prediabetic patient as a probe, we screened 0.5 x 10(6) recombinants from a rat islet lambda gt11 expression library. One plaque-producing antigen reactive with this prediabetic serum was identified, subcloned, and sequenced. Analysis of the sequence reveals that the clone encodes a 136-amino acid fragment of carboxypeptidase-H (enkephalin convertase). Carboxypeptidase-H is a molecule expressed within islet secretory granules and neurendocrine cells. The patient whose antibodies recognize this recombinant molecule (termed DG-1) was negative for anti-DG-1 antibodies in 1984, developed the antibodies by 1986, and remained positive until the development of diabetes in 1988. To date, serum from 5 of 20 cytoplasmic islet cell antibody-positive relatives reacted with the expressed protein, while none of 14 control sera reacted. On Western blotting, the initial patient's serum used for the screening reacts with a 52-kDa antigen corresponding to the mol wt of the membrane form of carboxypeptidase-N. The current study has identified carboxypeptidase-H as an autoantigen recognized by serum of pretype I diabetes, and the methodology used should aid in identification of additional autoantigens associated with type I diabetes.
authors.affiliation: Joslin Diabetes Center, Harvard Medical School, Brigham and Women's Hospital, New England Deaconess Hospital, Boston, Massachusetts 02215.
authors.forename: L
authors.initials: L
authors.lastname: Castaño
authors.forename: E
authors.initials: E
authors.lastname: Russo
authors.forename: L
authors.initials: L
authors.lastname: Zhou
authors.forename: M A
authors.initials: MA
authors.lastname: Lipes
authors.forename: G S
authors.initials: GS
authors.lastname: Eisenbarth
mesh_terms: D000906:Antibodies / Q000032:analysis; D001324:Autoantigens / Q000032:analysis / Q000235:genetics*; D001483:Base Sequence; D015153:Blotting, Western; D043423:Carboxypeptidase H; D002268:Carboxypeptidases / Q000097:blood / Q000235:genetics*; D003001:Cloning, Molecular; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000276:immunology; D006801:Humans; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction
chemical_list: D000906:Antibodies; D001324:Autoantigens; D002268:Carboxypeptidases; D043423:Carboxypeptidase H