Antibodies and B cells recognising citrullinated proteins display a broad cross-reactivity towards other post-translational modifications.

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ID: 94787
2020
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Abstract
Autoantibodies against antigens carrying distinct post-translational modifications (PTMs), such as citrulline, homocitrulline or acetyllysine, are hallmarks of rheumatoid arthritis (RA). The relation between these anti-modified protein antibody (AMPA)-classes is poorly understood as is the ability of different PTM-antigens to activate B-cell receptors (BCRs) directed against citrullinated proteins (CP). Insights into the nature of PTMs able to activate such B cells are pivotal to understand the 'evolution' of the autoimmune response conceivable underlying the disease. Here, we investigated the cross-reactivity of monoclonal AMPA and the ability of different types of PTM-antigens to activate CP-reactive BCRs.BCR sequences from B cells isolated using citrullinated or acetylated antigens were used to produce monoclonal antibodies (mAb) followed by a detailed analysis of their cross-reactivity towards PTM-antigens. Ramos B-cell transfectants expressing CP-reactive IgG BCRs were generated and their activation on stimulation with PTM-antigens investigated.Most mAbs were highly cross-reactive towards multiple PTMs, while no reactivity was observed to the unmodified controls. B cells carrying CP-reactive BCRs showed activation on stimulation with various types of PTM-antigens.Our study illustrates that AMPA exhibit a high cross-reactivity towards at least two PTMs indicating that their recognition pattern is not confined to one type of modification. Furthermore, our data show that CP-reactive B cells are not only activated by citrullinated, but also by carbamylated and/or acetylated antigens. These data are vital for the understanding of the breach of B-cell tolerance against PTM-antigens and the possible contribution of these antigens to RA-pathogenesis.
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kissel2020antibodiesannals Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Kissel, T;Reijm, S;Slot, L M;Cavallari, M;Wortel, C M;Vergroesen, R D;Stoeken-Rijsbergen, G;Kwekkeboom, J C;Kampstra, Asb;Levarht, Ewn;Drijfhout, J W;Bang, H;Bonger, K M;Janssen, Gmc;van Veelen, P A;Huizinga, Twj;Scherer, H U;Reth, M;Toes, Rem;
Journal annals of the rheumatic diseases
Year 2020
DOI
annrheumdis-2019-216499
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