Finbloom D S, Magilavy D B, Harford J B, Rifai A, Plotz P H
J Clin Invest. 1981 Jul;68(1):214-24. doi: 10.1172/jci110238.
To explore the possibility that the behavior of immune complexes can, under some circumstances, be directed by the antigen, we have studied the behavior of complexes of identical size made with the glycoproteins, orosomucoid (OR), and ceruloplasmin: or with their desialylated derivatives, asialo-orosomucoid (ASOR) and asialo-ceruloplasmin. Such desialylated proteins are rapidly removed from the circulation by a hepatic cell receptor for galactose, the sugar exposed upon removal of sialic acid. Mixtures of 125I-goat anti-ASOR with either ASOR or OR and mixtures of 125I-rabbit anti-OR with either ASOR or OR form complexes identically. The complexes were separated by density gradient centrifugation and injected intravenously into C3H mice. Blood clearance and hepatic uptake of the OR complexes and ASOR complexes were markedly different. T 1/2 for the goat OR complexes exceeded 300 min, whereas that for the ASOR complexes was 15 min. More detailed studies using rabbit complexes of various sizes revealed that light rabbit complexes behaved similarly to the goat complexes. The light rabbit OR complexes were cleared slowly, with only 18% found in the liver at 60 min, whereas the light rabbit ASOR complexes were cleared much more rapidly, with 62% found within the liver by 30 min. This rapid clearance was completely suppressed by a prior injection of a blocking dose of ASOR, which implies uptake by a galactose-mediated mechanism on hepatocytes. As the size of the rabbit complexes increased, so did the rate of Fc receptor-mediated clearance. Heavy rabbit OR complexes were cleared more rapidly than light OR complexes but not so rapidly as heavy ASOR complexes. The clearance and hepatic uptake of the heavy OR complexes were markedly suppressed by a prior injection of heat-aggregated gamma globulin, a known Fc receptor-blocking agent (45% hepatic uptake without and 6% with aggregated gamma globulin). The heavy rabbit ASOR complexes exhibited inhibition of blood clearance and hepatic uptake by both galactose receptor-blocking and Fc receptor-blocking agents. A blocking dose of ASOR reduced the hepatic uptake at 30 min from 75 to 49%, and heat-aggregated gamma globulin reduced it from 75 to 39%, which suggests that these heavy complexes were removed from the circulation by receptors both for the immunoglobulin and for the antigen. Cell separation studies and autoradiographs confirmed that those complexes cleared primarily by galactose-mediated mechanism were within hepatocytes, and those cleared by Fc receptors were within the nonparenchymal cells of the liver. It seems probable, therefore, the some antigen-antibody complexes may be removed from the circulation via receptors not only for immunoglobulin but also for antigen.
为了探究在某些情况下免疫复合物的行为是否会受到抗原的引导,我们研究了由糖蛋白、血清类黏蛋白(OR)和铜蓝蛋白形成的大小相同的复合物,或者它们的去唾液酸化衍生物、脱唾液酸血清类黏蛋白(ASOR)和脱唾液酸铜蓝蛋白的行为。这种去唾液酸化的蛋白质会被肝细胞上的半乳糖受体迅速从循环中清除,半乳糖是去除唾液酸后暴露出来的糖。125I标记的山羊抗ASOR与ASOR或OR的混合物,以及125I标记的兔抗OR与ASOR或OR的混合物形成的复合物是相同的。通过密度梯度离心分离复合物,并将其静脉注射到C3H小鼠体内。OR复合物和ASOR复合物的血液清除率和肝脏摄取率明显不同。山羊OR复合物的T1/2超过300分钟,而ASOR复合物的T1/2为15分钟。使用各种大小的兔复合物进行的更详细研究表明,轻兔复合物的行为与山羊复合物相似。轻兔OR复合物清除缓慢,60分钟时肝脏中仅发现18%,而轻兔ASOR复合物清除更快,30分钟时肝脏中发现62%。预先注射阻断剂量的ASOR可完全抑制这种快速清除,这意味着是通过肝细胞上半乳糖介导的机制摄取。随着兔复合物大小的增加,Fc受体介导的清除率也增加。重兔OR复合物比轻OR复合物清除得更快,但比重ASOR复合物清除得慢。预先注射热聚集的γ球蛋白(一种已知的Fc受体阻断剂)可显著抑制重OR复合物的清除和肝脏摄取(无聚集γ球蛋白时肝脏摄取率为45%,有聚集γ球蛋白时为6%)。重兔ASOR复合物的血液清除和肝脏摄取受到半乳糖受体阻断剂和Fc受体阻断剂的抑制。阻断剂量的ASOR可将30分钟时的肝脏摄取率从75%降至49%,热聚集的γ球蛋白可将其从75%降至39%,这表明这些重复合物是通过免疫球蛋白和抗原的受体从循环中清除的。细胞分离研究和放射自显影片证实,那些主要通过半乳糖介导的机制清除的复合物存在于肝细胞内,而那些通过Fc受体清除的复合物存在于肝脏的非实质细胞内。因此,似乎某些抗原 - 抗体复合物可能不仅通过免疫球蛋白受体,还通过抗原受体从循环中清除。