Monoclonal IgG antibodies generated from joint-derived B cells of RA patients have a strong bias toward citrullinated autoantigen recognition.

Monoclonal IgG antibodies generated from joint-derived B cells of RA patients have a strong bias toward citrullinated autoantigen recognition.
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DOI:
10.1084/jem.20121486
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发表时间:
2013-03-11
期刊:
The Journal of experimental medicine
影响因子:
--
通讯作者:
Malmström V
Malmström V
中科院分区:
其他
文献类型:
--
作者:
Amara K;Steen J;Murray F;Morbach H;Fernandez-Rodriguez BM;Joshua V;Engström M;Snir O;Israelsson L;Catrina AI;Wardemann H;Corti D;Meffre E;Klareskog L;Malmström V

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Synovial IgG-expressing B cells from patients with rheumatoid arthritis show specificity for citrullinated autoantigens. Antibodies targeting citrullinated proteins (ACPAs [anticitrullinated protein antibodies]) are commonly found in patients with rheumatoid arthritis (RA), strongly associate with distinct HLA-DR alleles, and predict a more aggressive disease course as compared with seronegative patients. Still, many features of these antibodies, including their site of production and the extent of MHC class II–driven T cell help, remain unclarified. To address these questions, we have used a single B cell–based cloning technology to isolate and express immunoglobulin (Ig) genes from joint-derived B cells of active RA patients. We found ∼25% of synovial IgG-expressing B cells to be specific for citrullinated autoantigens in the investigated ACPA+ RA patients, whereas such antibodies were not found in ACPA− patients. The citrulline-reactive monoclonal antibodies did not react with the unmodified arginine peptides, yet several reacted with more than one citrullinated antigen. A role for active antigen selection of the citrulline-reactive synovial B cells was supported by the strong bias toward amino acid replacement mutations in ACPA+ antibodies and by their loss of reactivity to citrullinated autoantigens when somatic mutations were reverted to the corresponding germline sequences.
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