Putterman C, Limpanasithikul W, Edelman M, Diamond B
Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
J Clin Invest. 1996 May 15;97(10):2251-9. doi: 10.1172/JCI118666.
Anti-double-stranded (ds) DNA antibodies are not only an important diagnostic marker for SLE, but also play an important role in tissue injury. Microbial antigen may be a stimulus for the production of these antibodies. We isolated 99D.7E, an IgG2b monoclonal antibody from a nonautoimmune BALB/c mouse that is cross-reactive with both dsDNA and phosphorylcholine, the dominant hapten on the pneumococcal cell wall. While partially protective against a bacterial challenge, 99D.7E is also pathogenic to the kidney. To identify those molecular motifs that confer on anti-PC antibodies the potential for autoreactivity, we created a panel of 99D.7E mutants with single amino acid substitutions in the heavy chain, and examined the changes in antigen binding and renal deposition. Our results support the hypothesis that charge and affinity for dsDNA are not adequate predictors of the pathogenicity of anti-DNA antibodies. Differential renal damage from anti-dsDNA antibodies may be due to differences in fine specificity, rather than differential affinity for dsDNA. Importantly, high affinity IgG antibodies cross-reactive with bacterial and self antigen exist and can display pathogenic potential, suggesting that defects in peripheral regulation of B cells, activated by foreign antigen but cross-reactive with self antigen, might lead to autoimmune disorders.
抗双链(ds)DNA抗体不仅是系统性红斑狼疮(SLE)的重要诊断标志物,而且在组织损伤中也起重要作用。微生物抗原可能是这些抗体产生的刺激因素。我们从一只非自身免疫性BALB/c小鼠中分离出99D.7E,这是一种IgG2b单克隆抗体,它与dsDNA和磷酰胆碱(肺炎球菌细胞壁上的主要半抗原)都有交叉反应。虽然99D.7E对细菌攻击有部分保护作用,但它对肾脏也有致病性。为了确定赋予抗磷酰胆碱(PC)抗体自身反应性潜力的那些分子基序,我们构建了一组在重链中有单个氨基酸替换的99D.7E突变体,并检测了抗原结合和肾脏沉积的变化。我们的结果支持这样的假设,即对dsDNA的电荷和亲和力并不能充分预测抗DNA抗体的致病性。抗dsDNA抗体导致的不同肾脏损伤可能是由于精细特异性的差异,而不是对dsDNA的亲和力差异。重要的是,存在与细菌和自身抗原交叉反应的高亲和力IgG抗体,并且它们可以表现出致病潜力,这表明被外来抗原激活但与自身抗原交叉反应的B细胞外周调节缺陷可能导致自身免疫性疾病。