Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?

Inhibitory antibodies directed against coagulation factor VIII (FVIII) can be found in patients with acquired and congenital hemophilia A. Such FVIII-inhibiting antibodies are routinely detected by the functional Bethesda Assay. However, this assay has a low sensitivity and shows a high inter-labora...

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Main Authors: Stefanie Hausammann, Monique Vogel, Johanna A Kremer Hovinga, Sebastien Lacroix-Desmazes, Beda M Stadler, Michael P Horn
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3634029?pdf=render
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author Stefanie Hausammann
Monique Vogel
Johanna A Kremer Hovinga
Sebastien Lacroix-Desmazes
Beda M Stadler
Michael P Horn
author_facet Stefanie Hausammann
Monique Vogel
Johanna A Kremer Hovinga
Sebastien Lacroix-Desmazes
Beda M Stadler
Michael P Horn
author_sort Stefanie Hausammann
collection DOAJ
description Inhibitory antibodies directed against coagulation factor VIII (FVIII) can be found in patients with acquired and congenital hemophilia A. Such FVIII-inhibiting antibodies are routinely detected by the functional Bethesda Assay. However, this assay has a low sensitivity and shows a high inter-laboratory variability. Another method to detect antibodies recognizing FVIII is ELISA, but this test does not allow the distinction between inhibitory and non-inhibitory antibodies. Therefore, we aimed at replacing the intricate antigen FVIII by Designed Ankyrin Repeat Proteins (DARPins) mimicking the epitopes of FVIII inhibitors. As a model we used the well-described inhibitory human monoclonal anti-FVIII antibody, Bo2C11, for the selection on DARPin libraries. Two DARPins were selected binding to the antigen-binding site of Bo2C11, which mimic thus a functional epitope on FVIII. These DARPins inhibited the binding of the antibody to its antigen and restored FVIII activity as determined in the Bethesda assay. Furthermore, the specific DARPins were able to recognize the target antibody in human plasma and could therefore be used to test for the presence of Bo2C11-like antibodies in a large set of hemophilia A patients. These data suggest, that our approach might be used to isolate epitopes from different sets of anti-FVIII antibodies in order to develop an ELISA-based screening assay allowing the distinction of inhibitory and non-inhibitory anti-FVIII antibodies according to their antibody signatures.
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spelling doaj.art-2119cbf580d44149b8c88c3731b954162022-12-21T23:47:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0184e6068810.1371/journal.pone.0060688Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?Stefanie HausammannMonique VogelJohanna A Kremer HovingaSebastien Lacroix-DesmazesBeda M StadlerMichael P HornInhibitory antibodies directed against coagulation factor VIII (FVIII) can be found in patients with acquired and congenital hemophilia A. Such FVIII-inhibiting antibodies are routinely detected by the functional Bethesda Assay. However, this assay has a low sensitivity and shows a high inter-laboratory variability. Another method to detect antibodies recognizing FVIII is ELISA, but this test does not allow the distinction between inhibitory and non-inhibitory antibodies. Therefore, we aimed at replacing the intricate antigen FVIII by Designed Ankyrin Repeat Proteins (DARPins) mimicking the epitopes of FVIII inhibitors. As a model we used the well-described inhibitory human monoclonal anti-FVIII antibody, Bo2C11, for the selection on DARPin libraries. Two DARPins were selected binding to the antigen-binding site of Bo2C11, which mimic thus a functional epitope on FVIII. These DARPins inhibited the binding of the antibody to its antigen and restored FVIII activity as determined in the Bethesda assay. Furthermore, the specific DARPins were able to recognize the target antibody in human plasma and could therefore be used to test for the presence of Bo2C11-like antibodies in a large set of hemophilia A patients. These data suggest, that our approach might be used to isolate epitopes from different sets of anti-FVIII antibodies in order to develop an ELISA-based screening assay allowing the distinction of inhibitory and non-inhibitory anti-FVIII antibodies according to their antibody signatures.http://europepmc.org/articles/PMC3634029?pdf=render
spellingShingle Stefanie Hausammann
Monique Vogel
Johanna A Kremer Hovinga
Sebastien Lacroix-Desmazes
Beda M Stadler
Michael P Horn
Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?
PLoS ONE
title Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?
title_full Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?
title_fullStr Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?
title_full_unstemmed Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?
title_short Designed ankyrin repeat proteins: a new approach to mimic complex antigens for diagnostic purposes?
title_sort designed ankyrin repeat proteins a new approach to mimic complex antigens for diagnostic purposes
url http://europepmc.org/articles/PMC3634029?pdf=render
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