Tronstrøm Julie, Draborg Anette Holck, Hansen Paul Robert, Houen Gunnar, Trier Nicole Hartwig
Department of Clinical Biochemistry, Immunology and Genetics, Statens Serum Institute, Artillerivej 5, 2300 Copenhagen S, Denmark.
Protein Pept Lett. 2014;21(1):25-31. doi: 10.2174/09298665113209990085.
Rheumatoid arthritis (RA) is a chronic autoimmune disorder, characterized by progressive joint destruction and disability. Classical autoantibodies of RA are rheumatoid factors and citrulline antibodies. Patients positive for these autoantibodies are usually associated with a progressive disease course. A subgroup of RA patients does not express citrulline antibodies, instead are approximately 35% of these anti-citrulline-negative patients reported to express autoantibodies to the heterogeneous nucleoriboprotein A2, a ribonucleoprotein involved in RNA transport and processing also referred to as RA33. In the absence of citrulline antibodies, RA33 antibodies have been suggested to be associated with a milder disease course. In this study we screened the reactivity of a monoclonal antibody to RA33-derived peptides by modified enzyme-linked immunosorbent assays (ELISA). Terminally truncated resin-bound peptides were applied for determination of the functional epitope necessary for antibody recognition. In addition, screening of substituted peptides by modified ELISA identified amino acids necessary for antibody reactivity. A potential epitope was identified in the region 71-79 (PHSIDGRVV), where the amino acids Ser, Ile and Asp were found to be essential for antibody reactivity. These amino acids were found to contribute to the antibody-antigen interface through side-chain interactions, possibly in combination with a positively charged amino acid in position 77. Moreover, the amino acids in the N-terminal end (Pro and His) were found to contribute to the interface through backbone contributions. No notable reactivity was found with RA-positive patient sera, thus screening of RA33 antibodies does not seem to be a supplementary for the diagnosis of RA.
类风湿性关节炎(RA)是一种慢性自身免疫性疾病,其特征是进行性关节破坏和残疾。RA的典型自身抗体是类风湿因子和瓜氨酸抗体。这些自身抗体呈阳性的患者通常与疾病的进展过程相关。有一小部分RA患者不表达瓜氨酸抗体,相反,据报道,这些抗瓜氨酸阴性患者中约35%表达针对异质性核糖核蛋白A2的自身抗体,异质性核糖核蛋白A2是一种参与RNA转运和加工的核糖核蛋白,也被称为RA33。在缺乏瓜氨酸抗体的情况下,RA33抗体被认为与病情较轻的病程相关。在本研究中,我们通过改良的酶联免疫吸附测定(ELISA)筛选了一种单克隆抗体对RA33衍生肽的反应性。应用末端截短的树脂结合肽来确定抗体识别所需的功能性表位。此外,通过改良ELISA筛选取代肽确定了抗体反应性所需的氨基酸。在71-79区域(PHSIDGRVV)鉴定出一个潜在表位,发现其中的丝氨酸、异亮氨酸和天冬氨酸对抗体反应性至关重要。发现这些氨基酸通过侧链相互作用有助于抗体-抗原界面,可能与77位带正电荷的氨基酸结合。此外,发现N末端的氨基酸(脯氨酸和组氨酸)通过主链作用有助于形成界面。在RA阳性患者血清中未发现明显反应性,因此筛查RA33抗体似乎不能作为RA诊断的补充手段。