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Experimental Studies |
Thyroid Molecular Biology Unit, Veterans Administration Medical Center, and the University of California, San Francisco, California 94121
Address all correspondence and requests for reprints to: Dr. Sandra McLachlan, Veterans Administration Medical Center, Thyroid Molecular Biology Unit (111T), 4150 Clement Street, San Francisco, California 94121.
A recombinant autoantibody Fab (SP1.4) to thyroid peroxidase (TPO),
cloned from intrathyroidal B cell immunoglobulin genes, interacts with
an epitope on TPO recognized by all patients with autoimmune thyroid
disease. To compare the biological properties of IgG1 and IgG4 TPO
autoantibodies, we converted Fab SP1.4 to full-length immunoglobulins.
The SP1.4 heavy and
light chain variable region genes, spliced by
overlap PCR to a mammalian signal peptide, were transferred to
expression vectors for human IgG1, IgG4, and
L chains. Plasmids
containing the IgG1 (or IgG4) heavy chain and the
L chain were
cotransfected into SP2/0 mouse myeloma cells. Cells secreting TPO
autoantibodies were cloned, and IgG1-SP and IgG4-SP were affinity
purified from medium using protein G. Their subclass specificities were
confirmed by enzyme-linked immunosorbent assay and fluorometry after
binding to Chinese hamster ovary cells expressing cell surface TPO.
Further confirmation of SP1.4 Fab conversion to full-length molecules
was the ability of protein A to precipitate IgG1-SP and IgG4-SP
complexed to [125I]TPO. IgG1-SP1.4, IgG4-SP1.4, and Fab
SP1.4 had similar high affinities for TPO (Kd =
2
x 10-10 mol/L). Complexes of [125I]TPO and
IgG1-SP (but not IgG4-SP) bound to peripheral blood mononuclear cells
(PBMC), but not to a B cell line. Flow cytometry demonstrated Fc
receptors Fc
RI, Fc
RII, and Fc
RIII on PBMC, but only Fc
RII
on the B cell line. Together, these data indicate that IgG1-SP/TPO
complexes bind to either Fc
RI on monocytes or RIII on natural killer
cells. In assays for antibody-dependent cytotoxicity using PBMC,
51Cr release was higher for thyroid cells preincubated with
IgG1-SP (13.4%) than with IgG4-SP (2.5%) or with culture medium alone
(-0.7%). No specific 51Cr release was observed when
either fibroblasts or Chinese hamster ovary cells expressing cell
surface TPO were used as target cells.
In conclusion, a human TPO-specific Fab converted to IgG1, but not IgG4, can mediate cytotoxic effects on human thyroid cells in vitro. These observations support the clinical relevance of TPO autoantibody subclass distribution and emphasize the likelihood that, as opposed to being simple markers of thyroid damage, TPO autoantibodies may play a role in the induction of thyroid dysfunction in vivo.
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