Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, the Netherlands.
Department of Medical Microbiology, Leiden University Medical Center, Leiden, Leiden, the Netherlands.
Transplantation. 2018 Nov;102(11):1844-1849. doi: 10.1097/TP.0000000000002369.
Antibodies directed against HLA can develop through pregnancy, blood transfusions, or organ transplants. Anecdotal evidence suggests that virus-specific antibodies may have the capacity to cross-react with HLA, a phenomenon called heterologous immunity, which is well described for T-cell alloreactivity.
To determine whether antibody cross-reactivity between viral antigens and HLA is common, we tested 51 virus-specific human monoclonal antibodies (mAbs) specific for human immunodeficiency virus, varicella zoster virus, cytomegalovirus, and parvovirus, for reactivity against HLA class I and class II in single-antigen bead assays. In addition, we tested the reactivity of 41 HLA-specific human mAbs against common viral antigens of cytomegalovirus, varicella zoster virus, human immunodeficiency virus, Epstein-Barr virus, and BK polyomavirus.
No cross-reactivity of any of the virus-specific mAbs with either HLA class I or class II molecules, as well as no cross-reactivity of any of the HLA-specific mAbs with any of the viral antigens was observed.
These findings indicate that the frequency of cross-reactivity on the antibody level between viral antigens and HLA, if present at all, is low. The emergence of HLA antibodies upon viral infection or vaccination is therefore probably due to bystander activation of dormant HLA-specific memory B cells.
针对 HLA 的抗体可通过妊娠、输血或器官移植产生。有传闻证据表明,病毒特异性抗体可能具有与 HLA 交叉反应的能力,这种现象称为异源免疫,其在 T 细胞同种异体反应中已有很好的描述。
为了确定病毒抗原与 HLA 之间的抗体交叉反应是否常见,我们在单个抗原珠测定中测试了 51 种针对人类免疫缺陷病毒、水痘带状疱疹病毒、巨细胞病毒和细小病毒的病毒特异性人单克隆抗体 (mAb) 对 HLA I 类和 II 类的反应性。此外,我们还测试了 41 种 HLA 特异性人 mAb 对巨细胞病毒、水痘带状疱疹病毒、人类免疫缺陷病毒、EB 病毒和 BK 多瘤病毒常见病毒抗原的反应性。
未观察到任何病毒特异性 mAb 与 HLA I 类或 II 类分子的交叉反应,也未观察到任何 HLA 特异性 mAb 与任何病毒抗原的交叉反应。
这些发现表明,病毒抗原与 HLA 之间在抗体水平上的交叉反应频率(如果存在的话)很低。因此,病毒感染或接种疫苗后出现 HLA 抗体可能是由于潜伏的 HLA 特异性记忆 B 细胞的旁观者激活。