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Natural autoantibodies to myeloperoxidase, proteinase 3, and the glomerular basement membrane are present in normal individuals
Renal Division, Department of Medicine, Peking University First Hospital, Institute of Nephrology, Peking University, Beijing, PR China.
Renal Division, Department of Medicine, Peking University First Hospital, Institute of Nephrology, Peking University, Beijing, PR China.
Department of Nephrology, Clinical Sciences in Lund, Lund University, Lund, Sweden.
Department of Nephrology, Clinical Sciences in Lund, Lund University, Lund, Sweden.
2010 (English)In: Kidney International, ISSN 0085-2538, E-ISSN 1523-1755, Vol. 78, no 6, 590-597 p.Article in journal (Refereed) Published
Abstract [en]

Anti-neutrophil cytoplasmic antibodies (ANCAs) have a pathogenic role in ANCA-associated vasculitis. The origin of ANCAs and anti-glomerular basement membrane (GBM) antibodies, however, is unknown. In this study, we determined whether natural autoantibodies against myeloperoxidase (MPO), proteinase 3 (PR3), and GBM were present in each of 10 healthy Chinese and Swedish individuals, negative for all three antigens by routine ELISA. Antibodies were purified from isolated IgG by antigen-specific affinity columns. Natural anti-GBM autoantibodies gave a linear staining pattern along the GBM of human renal sections. On ethanol-fixed granulocytes, both natural anti-MPO and anti-PR3 autoantibodies gave cytoplasmic staining. The titers of natural anti-MPO/PR3 autoantibodies were significantly lower than those from patients with vasculitis. In competition ELISA, the binding of natural anti-MPO autoantibodies could be inhibited by MPO, but not by PR3 or noncollagenous domains from type IV collagen. The same specificity results were found for natural anti-PR3 and anti-GBM autoantibodies. Overall, individuals of the Chinese origin had more natural autoantibodies than did those of the Swedish origin, but no other differences were found. Hence, our study shows that healthy individuals have masked circulating, noncross-reactive, antigen-specific natural autoantibodies against MPO, PR3, and GBM in their serum and IgG fractions. Further studies are needed to determine their role if any in the etiology of ANCA-associated vasculitis and anti-GBM disease.

Place, publisher, year, edition, pages
London, UK: Nature Publishing Group, 2010. Vol. 78, no 6, 590-597 p.
Keyword [en]
Goodpasture's disease; myeloperoxidase; natural autoantibodies; proteinase 3; vasculitis
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-101582DOI: 10.1038/ki.2010.198ISI: 000281467100011OAI: oai:DiVA.org:liu-101582DiVA: diva2:666550
Available from: 2013-11-22 Created: 2013-11-22 Last updated: 2017-12-06Bibliographically approved

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