Antibodies against citrullinated proteins enhance tissue injury in experimental autoimmune arthritis.
Antibodies against citrullinated proteins are specific and predictive markers for rheumatoid arthritis although the pathologic relevance of these antibodies remains unclear. To investigate the significance of these autoantibodies, collagen-induced arthritis (CIA) in mice was used to establish an animal model of antibody reactivity to citrullinated proteins. DBA/1J mice were immunized with bovine type II collagen (CII) at days 0 and 21, and serum was collected every 7 days for analysis. Antibodies against both CII and cyclic citrullinated peptide, one such citrullinated antigen, appeared early after immunization, before joint swelling was observed. Further, these antibodies demonstrated specific binding to citrullinated filaggrin in rat esophagus by indirect immunofluorescence and citrullinated fibrinogen by Western blot. To evaluate the role of immune responses to citrullinated proteins in CIA, mice were tolerized with a citrulline-containing peptide, followed by antigen challenge with CII. Tolerized mice demonstrated significantly reduced disease severity and incidence compared with controls. We also identified novel murine monoclonal antibodies specific to citrullinated fibrinogen that enhanced arthritis when coadministered with a submaximal dose of anti-CII antibodies and bound targets within the inflamed synovium of mice with CIA. These results demonstrate that antibodies against citrullinated proteins are centrally involved in the pathogenesis of autoimmune arthritis.
Kuhn
Kristine A
KA
Department of Immunology and Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado, USA.
Kulik
Liudmila
L
Tomooka
Beren
B
Braschler
Kristin J
KJ
Arend
William P
WP
Robinson
William H
WH
Holers
V Michael
VM
D000818:Animals; D000911:Antibodies, Monoclonal / Q000276:immunology* / Q000378:metabolism; D000918:Antibody Specificity; D000937:Antigen-Antibody Reactions; D001169:Arthritis, Experimental / Q000276:immunology* / Q000382:microbiology; D001172:Arthritis, Rheumatoid / Q000276:immunology* / Q000378:metabolism; D001323:Autoantibodies / Q000096:biosynthesis*; D002417:Cattle; D003094:Collagen; D005340:Fibrinogen / Q000276:immunology / Q000378:metabolism / Q000494:pharmacology; D008177:Lupus Vulgaris / Q000276:immunology / Q000378:metabolism; D008297:Male; D051379:Mice; D008811:Mice, Inbred DBA; D010456:Peptides, Cyclic / Q000276:immunology*; D013583:Synovial Membrane / Q000276:immunology / Q000378:metabolism / Q000473:pathology; D013997:Time Factors
D000911:Antibodies, Monoclonal; D001323:Autoantibodies; D010456:Peptides, Cyclic; C487763:cyclic citrullinated peptide; D005340:Fibrinogen; D003094:Collagen