title: Conformational epitopes on CYP2D6 are recognized by liver/kidney microsomal antibodies.
abstract: OBJECTIVE
  Four linear antigenic sites have been shown on the CYP2D6 molecule that are recognized by serum positive for liver/kidney microsomal antibody (LKM) type 1. The aim of this study was to search for antibodies against CYP2D6 conformational antigenic sites in LKM-1-positive sera.
  
  
  METHODS
  The capacity of four LKM-1-positive sera, before and after absorption with synthetic peptides representing CYP2D6 linear antigenic sites, and rabbit sera against linear antigenic sites between CYP2D6 amino acids 254-271 and 373-389 to inhibit the O-demethylation of dextromethorphan by CYP2D6 was tested in vitro.
  
  
  RESULTS
  Inhibition of O-demethylation of dextromethorphan was not modified by absorption of antibodies against linear CYP2D6 antigenic sites. In addition, rabbit sera against two of these sites did not inhibit the reaction. These results strongly suggest that antibodies against CYP2D6 conformational antigenic sites were present in LKM-1-positive sera.
  
  
  CONCLUSIONS
  The autoimmune response against CYP2D6 is directed against linear and conformational antigenic sites. These results strengthen the argument that the LKM-1 response is polyclonal and antigen driven.
authors.affiliation: INSERM Unité 347, Hôpital de Bicêtre, Paris, France.
authors.forename: J C
authors.initials: JC
authors.lastname: Duclos-Vallée
authors.forename: O
authors.initials: O
authors.lastname: Hajoui
authors.forename: A M
authors.initials: AM
authors.lastname: Yamamoto
authors.forename: E
authors.initials: E
authors.lastname: Jacz-Aigrain
authors.forename: F
authors.initials: F
authors.lastname: Alvarez
mesh_terms: D000818:Animals; D001323:Autoantibodies / Q000097:blood / Q000276:immunology*; D001327:Autoimmune Diseases / Q000097:blood / Q000276:immunology*; D002648:Child; D019389:Cytochrome P-450 CYP2D6; D003577:Cytochrome P-450 Enzyme System / Q000276:immunology*; D003917:Dextrorphan / Q000037:antagonists & inhibitors / Q000378:metabolism; D000939:Epitopes / Q000276:immunology*; D006505:Hepatitis / Q000097:blood / Q000276:immunology*; D006801:Humans; D006899:Mixed Function Oxygenases / Q000276:immunology*; D011817:Rabbits; D051381:Rats; D017207:Rats, Sprague-Dawley
chemical_list: D001323:Autoantibodies; D000939:Epitopes; C060729:anti-liver kidney microsome antibody; D003917:Dextrorphan; D003577:Cytochrome P-450 Enzyme System; D006899:Mixed Function Oxygenases; D019389:Cytochrome P-450 CYP2D6