Intravenous neuromyelitis optica autoantibody in mice targets aquaporin-4 in peripheral organs and area postrema.

Intravenous neuromyelitis optica autoantibody in mice targets aquaporin-4 in peripheral organs and area postrema.
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DOI:
10.1371/journal.pone.0027412
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Verkman AS
Verkman AS
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Ratelade J;Bennett JL;Verkman AS

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视神经肌萎缩症(NMO)的发病机制涉及IgG自身抗体(NMO-IgG)与中枢神经系统(CNS)星形胶质细胞上的水通道蛋白4(AQP 4)的结合。我们研究了在小鼠体内处理的重组单克隆人NMO-IgG,强烈结合小鼠AQP 4。静脉给药后,血清[NMO-IgG]在野生型小鼠中随着t1/2降低至18小时,在AQP 4敲除小鼠中随着t1/2降低至41小时。NMO-IgG定位于肾脏(集合管)、骨骼肌、气管(上皮细胞)和胃(壁细胞)中表达AQP 4的细胞膜。NMO-IgG在脑最后区的星形胶质细胞上可见,而在脑、脊髓、视神经和视网膜的其他部位未见。在机械破坏血脑屏障后,脑内注射NMO-IgG也可见。对于对照(非NMO)IgG或AQP 4敲除小鼠中的NMO-IgG,未发现选择性细胞定位。直接注射到脑实质中的NMO-IgG在24小时内扩散超过1.5mm2的面积,并靶向星形胶质细胞足突。我们的数据建立了小鼠中的NMO-IgG药代动力学和组织分布。血清NMO-IgG在外周器官中而不是CNS中快速接近AQP 4表明限制性抗体接近不能解释外周器官中没有NMO病理学。
The pathogenesis of neuromyelitis optica (NMO) involves binding of IgG autoantibodies (NMO-IgG) to aquaporin-4 (AQP4) on astrocytes in the central nervous system (CNS). We studied the in vivo processing in mice of a recombinant monoclonal human NMO-IgG that binds strongly to mouse AQP4. Following intravenous administration, serum [NMO-IgG] decreased with t1/2 ∼18 hours in wildtype mice and ∼41 hours in AQP4 knockout mice. NMO-IgG was localized to AQP4-expressing cell membranes in kidney (collecting duct), skeletal muscle, trachea (epithelial cells) and stomach (parietal cells). NMO-IgG was seen on astrocytes in the area postrema in brain, but not elsewhere in brain, spinal cord, optic nerve or retina. Intravenously administered NMO-IgG was also seen in brain following mechanical disruption of the blood-brain barrier. Selective cellular localization was not found for control (non-NMO) IgG, or for NMO-IgG in AQP4 knockout mice. NMO-IgG injected directly into brain parenchyma diffused over an area of ∼5 mm2 over 24 hours and targeted astrocyte foot-processes. Our data establish NMO-IgG pharmacokinetics and tissue distribution in mice. The rapid access of serum NMO-IgG to AQP4 in peripheral organs but not the CNS indicates that restricted antibody access cannot account for the absence of NMO pathology in peripheral organs.
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