Kramers C, Hylkema M N, van Bruggen M C, van de Lagemaat R, Dijkman H B, Assmann K J, Smeenk R J, Berden J H
Department of Nephrology, University Hospital Nijmegen, The Netherlands.
J Clin Invest. 1994 Aug;94(2):568-77. doi: 10.1172/JCI117371.
Histones can mediate the binding of DNA and anti-DNA to the glomerular basement membrane (GBM). In ELISA histone/DNA/anti-DNA complexes are able to bind to heparan sulfate (HS), an intrinsic constituent of the GBM. We questioned whether histone containing immune complexes are able to bind to the GBM, and if so, whether the ligand in the GBM is HS. Monoclonal antibodies (mAbs) complexed to nucleosomal antigens and noncomplexed mAbs were isolated from culture supernatants of four IgG anti-nuclear mAbs. All noncomplexed mAbs showed strong anti-nucleosome reactivity in ELISA. One of them showed in addition anti-DNA reactivity in noncomplexed form. The other three mAbs only showed anti-DNA reactivity when they were complexed to nucleosomal antigens. After renal perfusion a fine granular binding of complexed mAbs to the glomerular capillary wall and activation of complement was observed in immunofluorescence, whereas noncomplexed mAbs did not bind. Immuno-electron microscopy showed binding of complexes to the whole width of the GBM. When HS in the GBM was removed by renal heparinase perfusion the binding of complexed mAb decreased, but did not disappear completely. We conclude that anti-nucleosome mAbs, which do not bind DNA, become DNA reactive once complexed to nucleosomal antigens. These complexed mAbs can bind to the GBM. The binding ligand in the GBM is partly, but not solely, HS. Binding to the GBM of immune complexes containing nucleosomal material might be an important event in the pathogenesis of lupus nephritis.
组蛋白可介导DNA和抗DNA与肾小球基底膜(GBM)的结合。在酶联免疫吸附测定(ELISA)中,组蛋白/DNA/抗DNA复合物能够与硫酸乙酰肝素(HS)结合,HS是GBM的一种固有成分。我们质疑含组蛋白的免疫复合物是否能够与GBM结合,如果可以,GBM中的配体是否为HS。将与核小体抗原复合的单克隆抗体(mAb)和未复合的mAb从四种IgG抗核mAb的培养上清液中分离出来。所有未复合的mAb在ELISA中均显示出强烈的抗核小体反应性。其中一种在未复合形式下还显示出抗DNA反应性。另外三种mAb只有在与核小体抗原复合时才显示出抗DNA反应性。肾灌注后,在免疫荧光中观察到复合mAb与肾小球毛细血管壁的细颗粒状结合以及补体激活,而未复合的mAb未结合。免疫电子显微镜显示复合物与GBM的整个宽度结合。当通过肾肝素酶灌注去除GBM中的HS时,复合mAb的结合减少,但并未完全消失。我们得出结论,不结合DNA的抗核小体mAb一旦与核小体抗原复合就会变得具有DNA反应性。这些复合mAb可以与GBM结合。GBM中的结合配体部分但并非完全是HS。含有核小体物质的免疫复合物与GBM的结合可能是狼疮性肾炎发病机制中的一个重要事件。