Bolton W Kline, Chen Lanlin, Hellmark Thomas, Fox Jay, Wieslander Jorgen
University of Virginia Health Sciences Center, Post Office Box 800133, Charlottesville, Virginia 22908-0133, USA.
Trans Am Clin Climatol Assoc. 2005;116:229-36; discussion 237-8.
Goodpasture's syndrome is an autoimmune disease characterized by pulmonary hemorrhage, glomerulonephritis, and antiglomerular basement membrane (GBM) antibodies. We have studied a rat model with chimeric proteins (CPs) consisting of portions of the nephritogenic non-collagenous domain of alpha3 type IV collagen (alpha3(IV)NC1) and non-nephritogenic alpha1(IV)NC1. CPs with aminoterminal alpha3 that contains the major epitope for Goodpasture antibody binding induced EAG. We next immunized with D3, an alpha1(IV)NC1 CP with 69AA of alpha3(IV)NC1 (binds Goodpasture sera), D4, the D3 construct shortened by 4 AA (nonbinding), P9 and P10, single AA mutants (nonbinding) and S2, an alpha1(IV)NC1 with nine AA of alpha3(IV)NC1 (binding). GBM, S2 and D3 induced EAG. GBM immunized rats had intense IgG deposits but S2 and D3 rats had minimal deposits. A 13 mer rat peptide encompassing the aminoterminal site induced EAG sans antibody, while peptides not encompassing the region failed to induce GN. Asparagine at position 19 rather than isoleucine was essential for disease induction. These studies define critical limited AA sequences of alpha3(IV)NC1 associated with glomerulonephritis without antibody, and demonstrate that this region contains a T-cell epitope responsible for induction of glomerulonephritis.
肺出血肾炎综合征是一种自身免疫性疾病,其特征为肺出血、肾小球肾炎和抗肾小球基底膜(GBM)抗体。我们研究了一种大鼠模型,该模型使用由α3IV型胶原(α3(IV)NC1)的致肾炎非胶原结构域部分和非致肾炎的α1(IV)NC1组成的嵌合蛋白(CPs)。含有Goodpasture抗体结合主要表位的氨基末端α3的CPs诱导了实验性自身免疫性肾小球肾炎(EAG)。接下来,我们用D3(一种含有69个α3(IV)NC1氨基酸(能结合Goodpasture血清)的α1(IV)NC1 CP)、D4(D3构建体缩短4个氨基酸(不结合))、P9和P10(单个氨基酸突变体(不结合))以及S2(一种含有9个α3(IV)NC1氨基酸(结合)的α1(IV)NC1)进行免疫。GBM、S2和D3诱导了EAG。用GBM免疫的大鼠有强烈的IgG沉积,但用S2和D3免疫的大鼠沉积极少。一个包含氨基末端位点的13聚体大鼠肽在无抗体的情况下诱导了EAG,而不包含该区域的肽未能诱导肾小球肾炎(GN)。第19位的天冬酰胺而非异亮氨酸对于疾病诱导至关重要。这些研究确定了与无抗体的肾小球肾炎相关的α3(IV)NC1关键有限氨基酸序列,并证明该区域包含一个负责诱导肾小球肾炎的T细胞表位。