title: Identification of target antigens of self-reactive IgG in intravenous immunoglobulin preparations.
abstract: Intravenous immunoglobulin (IVIg) contains a wide range of self-reactive immunoglobulins (Ig) G. Acidic pH is known to increase the reactivity of purified IgG with self-antigens. We describe here the target antigens of IgG autoantibodies in IVIg and analyze the influence of acidic pH on IgG reactivities. We used 2-DE and immunoblotting with protein extracts of human umbilical vein endothelial cells (HUVEC) and HEp-2 cells. Two IVIg preparations obtained by ethanol fractionation [one with an acidic pH step (acidic-IVIg) and one with beta-propiolactone (propiolactone-IVIg)] and a pool of sera from 12 healthy individuals were tested. Serum IgG of 3 healthy individuals and IgG purified from the same sera with elution at pH 2.8 were also tested individually. Finally, propiolactone-IVIg was acidified at pH 2.8. IgG obtained with a step at low pH recognized many more target spots than IgG obtained without acidic pH. Our findings demonstrate that an acidic pH step artificially enlarges the repertoire of self-reactive IgG. Thus, protein spots recognized by IgG in propiolactone-IVIg represent the core set of self-antigens targeted by IVIg. Overall, 96 proteins were identified by MS. Fourteen were recognized in both extracts including glycolysis proteins such as alpha-enolase, RNA processing and cytoskeletal proteins such as lamin-A/C.
authors.affiliation: Université Paris Descartes, Faculté de Médecine, UPRES EA 4058, Paris, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Bussone
authors.forename: Hanadi
authors.initials: H
authors.lastname: Dib
authors.forename: Jordan D
authors.initials: JD
authors.lastname: Dimitrov
authors.forename: Luc
authors.initials: L
authors.lastname: Camoin
authors.forename: Cédric
authors.initials: C
authors.lastname: Broussard
authors.forename: Nicolas
authors.initials: N
authors.lastname: Tamas
authors.forename: Loïc
authors.initials: L
authors.lastname: Guillevin
authors.forename: Srini V
authors.initials: SV
authors.lastname: Kaveri
authors.forename: Luc
authors.initials: L
authors.lastname: Mouthon
mesh_terms: D000328:Adult; D001323:Autoantibodies / Q000097:blood / Q000276:immunology*; D001324:Autoantigens / Q000737:chemistry* / Q000276:immunology; D005591:Chemical Fractionation / Q000379:methods; D015180:Electrophoresis, Gel, Two-Dimensional; D006801:Humans; D006863:Hydrogen-Ion Concentration; D016756:Immunoglobulins, Intravenous / Q000097:blood / Q000276:immunology*; D007231:Infant, Newborn; D034904:Lamin Type A / Q000737:chemistry; D008297:Male; D013058:Mass Spectrometry; D008875:Middle Aged; D010751:Phosphopyruvate Hydratase / Q000737:chemistry; D020543:Proteome / Q000737:chemistry
chemical_list: D001323:Autoantibodies; D001324:Autoantigens; D016756:Immunoglobulins, Intravenous; C494847:LMNA protein, human; D034904:Lamin Type A; D020543:Proteome; D010751:Phosphopyruvate Hydratase