title: Defective self-reactive antibody repertoire of serum IgM in patients with hyper-IgM syndrome.
abstract: We have analyzed the self-reactive repertoires of IgM and IgG Abs in the serum of 19 patients with hyper-IgM syndrome (HIM) by means of a quantitative immunoblotting technique that allows for a quantitative comparison of Ab repertoires in health and disease by multiparametric statistical analysis. Normal tissue extracts of liver, lung, stomach, and kidney were used as sources of self Ags. Extracts of Pseudomonas aeruginosa and Staphylococcus epidermidis were used as sources of nonself Ags. We demonstrate a significant bias in repertoires of reactivities of IgM of patients with HIM with self Ags. Ab repertoires of IgM toward nonself Ags did not differ, however, between patients and controls. No difference was found between IgM repertoires of untreated patients and those of patients receiving substitutive treatment with i.v. IgG. IgG in the serum of HIM patients lacked reactivity with self Ags, although it exhibited a pattern of reactivity with nonself Ags that was similar to that of IgG of healthy controls. The data demonstrate that functional CD40-CD40 ligand interactions are essential for the selection of natural self-reactive B cell repertoires.
authors.affiliation: Institut National de la Santé et de la Recherche Médicale (INSERM), Unit 430, Université Pierre et Marie Curie, Hôpital Broussais, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Lacroix-Desmazes
authors.forename: I
authors.initials: I
authors.lastname: Resnick
authors.forename: D
authors.initials: D
authors.lastname: Stahl
authors.forename: L
authors.initials: L
authors.lastname: Mouthon
authors.forename: T
authors.initials: T
authors.lastname: Espanol
authors.forename: J
authors.initials: J
authors.lastname: Levy
authors.forename: S V
authors.initials: SV
authors.lastname: Kaveri
authors.forename: L
authors.initials: L
authors.lastname: Notarangelo
authors.forename: M
authors.initials: M
authors.lastname: Eibl
authors.forename: A
authors.initials: A
authors.lastname: Fischer
authors.forename: H
authors.initials: H
authors.lastname: Ochs
authors.forename: M D
authors.initials: MD
authors.lastname: Kazatchkine
mesh_terms: D000293:Adolescent; D000937:Antigen-Antibody Reactions; D001323:Autoantibodies / Q000097:blood*; D001324:Autoantigens / Q000276:immunology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006942:Hypergammaglobulinemia / Q000097:blood / Q000276:immunology*; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood*; D007668:Kidney / Q000276:immunology; D008099:Liver / Q000276:immunology; D008168:Lung / Q000276:immunology; D008297:Male; D011550:Pseudomonas aeruginosa / Q000276:immunology; D013212:Staphylococcus epidermidis / Q000276:immunology; D013270:Stomach / Q000276:immunology; D013577:Syndrome
chemical_list: D001323:Autoantibodies; D001324:Autoantigens; D007074:Immunoglobulin G; D007075:Immunoglobulin M