Enrichment of sialylated IgG by lectin fractionation does not enhance the efficacy of immunoglobulin G in a murine model of immune thrombocytopenia.

Enrichment of sialylated IgG by lectin fractionation does not enhance the efficacy of immunoglobulin G in a murine model of immune thrombocytopenia.
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DOI:
10.1371/journal.pone.0021246
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Rispens T
Rispens T
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Guhr T;Bloem J;Derksen NI;Wuhrer M;Koenderman AH;Aalberse RC;Rispens T

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静脉注射免疫球蛋白 G (IVIg) 广泛用于治疗一系列临床症状。为了将其用于免疫调节疗法,例如治疗免疫性血小板减少性紫癜,需要高剂量的 IVIg。有人认为,只有一小部分 IVIg 会产生这种抗免疫调节作用。最近的研究表明,该部分是 Fc-唾液酸化 IgG 部分。我们研究的目的是确定富含唾液酸化 IgG (IVIg-SA (+)) 的 IVIg 在被动免疫血小板减少症 (PIT) 小鼠模型中的功效。我们通过黑接骨木凝集素 (SNA) 凝集素分级富集 IVIg 的唾液酸化 IgG,并测定唾液酸化程度。使用基于凝集素的 ELISA 对 IVIg-SA (+) 进行分析表明,我们主要富集了 Fab 唾液酸化 IgG,而我们没有发现 Fc 唾液酸化 IgG 增加。质谱分析证实 SNA 凝集素分级后 Fc 唾液酸化没有改变。通过在注射大鼠抗小鼠血小板单克隆抗体前24小时施用IVIg或IVIg-SA (+)来测量唾液酸化IgG的功效。我们发现注射抗血小板单克隆抗体后血小板计数减少了 85%,注射 IVIg 后血小板计数减少了 70%(p<0.01)。相反,IVIg-SA (+)对血小板计数没有影响。 IVIg 和 IVIg-SA (+) 的血清水平相似,排除了 IgG 清除率增强这一可能的解释。我们的结果表明,SNA 凝集素分级分离不是富集 IVIg 中 Fc-唾液酸化 IgG 的合适方法。使用富含 Fab 唾液酸化 IgG 的 IVIg 消除了 IVIg 在小鼠 PIT 模型中的功效。
Intravenous immunoglobulin G (IVIg) is widely used against a range of clinical symptoms. For its use in immune modulating therapies such as treatment of immune thrombocytopenic purpura high doses of IVIg are required. It has been suggested that only a fraction of IVIg causes this anti immune modulating effect. Recent studies indicated that this fraction is the Fc-sialylated IgG fraction. The aim of our study was to determine the efficacy of IVIg enriched for sialylated IgG (IVIg-SA (+)) in a murine model of passive immune thrombocytopenia (PIT). We enriched IVIg for sialylated IgG by Sambucus nigra agglutinin (SNA) lectin fractionation and determined the degree of sialylation. Analysis of IVIg-SA (+) using a lectin-based ELISA revealed that we enriched predominantly for Fab-sialylated IgG, whereas we did not find an increase in Fc-sialylated IgG. Mass spectrometric analysis confirmed that Fc sialylation did not change after SNA lectin fractionation. The efficacy of sialylated IgG was measured by administering IVIg or IVIg-SA (+) 24 hours prior to an injection of a rat anti-mouse platelet mAb. We found an 85% decrease in platelet count after injection of an anti-platelet mAb, which was reduced to a 70% decrease by injecting IVIg (p<0.01). In contrast, IVIg-SA (+) had no effect on the platelet count. Serum levels of IVIg and IVIg-SA (+) were similar, ruling out enhanced IgG clearance as a possible explanation. Our results indicate that SNA lectin fractionation is not a suitable method to enrich IVIg for Fc-sialylated IgG. The use of IVIg enriched for Fab-sialylated IgG abolishes the efficacy of IVIg in the murine PIT model.
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DOI: 10.1002/1097-0142(19910915)68:6
发表时间: 1991-09-15
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