title: Aberrantly glycosylated IgA1 in IgA nephropathy patients is recognized by IgG antibodies with restricted heterogeneity.
abstract: IgA nephropathy (IgAN) is characterized by circulating immune complexes composed of galactose-deficient IgA1 and a glycan-specific IgG antibody. These immune complexes deposit in the glomerular mesangium and induce the mesangioproliferative glomerulonephritis characteristic of IgAN. To define the precise specificities and molecular properties of the IgG antibodies, we generated EBV-immortalized IgG-secreting lymphocytes from patients with IgAN and found that the secreted IgG formed complexes with galactose-deficient IgA1 in a glycan-dependent manner. We cloned and sequenced the heavy- and light-chain antigen-binding domains of IgG specific for galactose-deficient IgA1 and identified an A to S substitution in the complementarity-determining region 3 of the variable region of the gene encoding the IgG heavy chain in IgAN patients. Furthermore, site-directed mutagenesis that reverted the residue to alanine reduced the binding of recombinant IgG to galactose-deficient IgA1. Finally, we developed a dot-blot assay for the glycan-specific IgG antibody that differentiated patients with IgAN from healthy and disease controls with 88% specificity and 95% sensitivity and found that elevated levels of this antibody in the sera of patients with IgAN correlated with proteinuria. Collectively, these findings indicate that glycan-specific antibodies are associated with the development of IgAN and may represent a disease-specific marker and potential therapeutic target.
authors.affiliation: Department of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Suzuki
authors.forename: Run
authors.initials: R
authors.lastname: Fan
authors.forename: Zhixin
authors.initials: Z
authors.lastname: Zhang
authors.forename: Rhubell
authors.initials: R
authors.lastname: Brown
authors.forename: Stacy
authors.initials: S
authors.lastname: Hall
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Julian
authors.forename: W Winn
authors.initials: WW
authors.lastname: Chatham
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Wyatt
authors.forename: Zina
authors.initials: Z
authors.lastname: Moldoveanu
authors.forename: Jeannette Y
authors.initials: JY
authors.lastname: Lee
authors.forename: James
authors.initials: J
authors.lastname: Robinson
authors.forename: Milan
authors.initials: M
authors.lastname: Tomana
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Tomino
authors.forename: Jiri
authors.initials: J
authors.lastname: Mestecky
authors.forename: Jan
authors.initials: J
authors.lastname: Novak
mesh_terms: D000117:Acetylglucosamine / Q000378:metabolism; D000328:Adult; D000595:Amino Acid Sequence; D000918:Antibody Specificity / Q000276:immunology*; D002460:Cell Line; D005260:Female; D005690:Galactose / Q000172:deficiency / Q000378:metabolism; D005922:Glomerulonephritis, IGA / Q000097:blood / Q000276:immunology*; D006031:Glycosylation; D006262:Health; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood / Q000737:chemistry / Q000276:immunology* / Q000378:metabolism; D007074:Immunoglobulin G / Q000097:blood / Q000276:immunology*; D008969:Molecular Sequence Data
chemical_list: D007070:Immunoglobulin A; D007074:Immunoglobulin G; D000117:Acetylglucosamine; D005690:Galactose