title: The cartilage matrix protein subdomain of type VII collagen is pathogenic for epidermolysis bullosa acquisita.
abstract: Epidermolysis bullosa acquisita (EBA) is an acquired bullous disease of the skin characterized by IgG autoantibodies against type VII (anchoring fibril) collagen. We previously defined four immunodominant antigenic epitopes within the noncollagenous 1 (NC1) domain of type VII collagen. In this study, we produced an additional recombinant fusion protein from the NC1 domain corresponding to the N-terminal 227 amino acids (residues 1 to 227), which contains homology with cartilage matrix protein (CMP). Using enzyme-linked immunosorbent assay and immunoblot analysis, we tested sera from EBA patients (n = 32), bullous systemic lupus erythematosus patients (n = 3), bullous pemphigoid patients (n = 15), and normal humans (n = 12). Twenty-six of 32 EBA sera and two of three bullous systemic lupus erythematosus sera reacted with the CMP domain, whereas none of the control sera did. Affinity-purified anti-CMP EBA antibodies injected into hairless mice produced the clinical, histological, immunological, and ultrastructural features of EBA. F(ab')(2) fragments generated from anti-CMP EBA autoantibodies did not induce disease. Our studies provide the first evidence that EBA autoantibodies to the CMP subdomain of NC1 are pathogenic and induce blister formation. This is the first antigenic epitope on type VII collagen demonstrated to be a pathogenic target for EBA autoantibodies.
authors.affiliation: Department of Dermatology, The Keck School of Medicine, University of Southern California, 1303 Mission Road, Los Angeles, CA 90033, USA. chenm@usc.edu
authors.forename: Mei
authors.initials: M
authors.lastname: Chen
authors.forename: Arvin
authors.initials: A
authors.lastname: Doostan
authors.forename: Pubali
authors.initials: P
authors.lastname: Bandyopadhyay
authors.forename: Jennifer
authors.initials: J
authors.lastname: Remington
authors.forename: Xinyi
authors.initials: X
authors.lastname: Wang
authors.forename: Yingping
authors.initials: Y
authors.lastname: Hou
authors.forename: Ziu
authors.initials: Z
authors.lastname: Liu
authors.forename: David T
authors.initials: DT
authors.lastname: Woodley
mesh_terms: D000818:Animals; D001323:Autoantibodies / Q000276:immunology; D064236:Cartilage Oligomeric Matrix Protein; D024102:Collagen Type VIII / Q000737:chemistry* / Q000235:genetics / Q000378:metabolism*; D016107:Epidermolysis Bullosa Acquisita / Q000276:immunology / Q000473:pathology; D000939:Epitopes; D016326:Extracellular Matrix Proteins / Q000737:chemistry* / Q000235:genetics* / Q000276:immunology; D006023:Glycoproteins / Q000737:chemistry* / Q000235:genetics* / Q000276:immunology; D006801:Humans; D064235:Matrilin Proteins; D051379:Mice; D008819:Mice, Nude; D017434:Protein Structure, Tertiary; D011993:Recombinant Fusion Proteins / Q000737:chemistry / Q000235:genetics / Q000276:immunology; D012867:Skin / Q000166:cytology / Q000378:metabolism / Q000473:pathology
chemical_list: D001323:Autoantibodies; D064236:Cartilage Oligomeric Matrix Protein; D024102:Collagen Type VIII; D000939:Epitopes; D016326:Extracellular Matrix Proteins; D006023:Glycoproteins; C577540:Matn1 protein, mouse; D064235:Matrilin Proteins; D011993:Recombinant Fusion Proteins; C577553:TSP5 protein, human