Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease

Immunoglobulin A (IgA) is generally considered as a non-inflammatory regulator of mucosal immunity, and its importance in diversifying the gut microbiota is increasingly appreciated. IgA autoantibodies have been found in several autoimmune or chronic inflammatory diseases, but their role in pathophy...

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Main Authors: Amelie Bos, Esil Aleyd, Lydia P. E. van der Steen, P. J. Winter, Niels Heemskerk, Stephan M. Pouw, Louis Boon, Rene J. P. Musters, Jantine E. Bakema, Cassian Sitaru, Michel Cogné, Marjolein van Egmond
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.732977/full
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author Amelie Bos
Esil Aleyd
Lydia P. E. van der Steen
P. J. Winter
Niels Heemskerk
Stephan M. Pouw
Louis Boon
Rene J. P. Musters
Jantine E. Bakema
Cassian Sitaru
Michel Cogné
Marjolein van Egmond
Marjolein van Egmond
author_facet Amelie Bos
Esil Aleyd
Lydia P. E. van der Steen
P. J. Winter
Niels Heemskerk
Stephan M. Pouw
Louis Boon
Rene J. P. Musters
Jantine E. Bakema
Cassian Sitaru
Michel Cogné
Marjolein van Egmond
Marjolein van Egmond
author_sort Amelie Bos
collection DOAJ
description Immunoglobulin A (IgA) is generally considered as a non-inflammatory regulator of mucosal immunity, and its importance in diversifying the gut microbiota is increasingly appreciated. IgA autoantibodies have been found in several autoimmune or chronic inflammatory diseases, but their role in pathophysiology is ill-understood. IgA can interact with the Fc receptor FcαRI on immune cells. We now established a novel IgA autoimmune blistering model, which closely resembles the human disease linear IgA bullous disease (LABD) by using genetically modified mice that produce human IgA and express human FcαRI. Intravital microscopy demonstrated that presence of IgA anti-collagen XVII, - the auto-antigen in LABD-, resulted in neutrophil activation and extravasation from blood vessels into skin tissue. Continued exposure to anti-collagen XVII IgA led to massive neutrophil accumulation, severe tissue damage and blister formation. Importantly, treatment with anti-FcαRI monoclonal antibodies not only prevented disease, but was also able to resolve existing inflammation and tissue damage. Collectively, our data reveal a novel role of neutrophil FcαRI in IgA autoantibody-mediated disease and identify FcαRI as promising new therapeutic target to resolve chronic inflammation and tissue damage.
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spelling doaj.art-4af949826139448faa844c9e290be8b02022-12-21T19:22:27ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-03-011310.3389/fimmu.2022.732977732977Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated DiseaseAmelie Bos0Esil Aleyd1Lydia P. E. van der Steen2P. J. Winter3Niels Heemskerk4Stephan M. Pouw5Louis Boon6Rene J. P. Musters7Jantine E. Bakema8Cassian Sitaru9Michel Cogné10Marjolein van Egmond11Marjolein van Egmond12Department of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsReseach and Development, JJP Biologics, Warsaw, PolandDepartment of Physiology, Amsterdam UMC, Vrije Universiteit, Amsterdam, NetherlandsDepartment of Otolaryngology/Head-Neck Surgery, Amsterdam UMC, Vrije Universiteit, Amsterdam, NetherlandsDepartment of Dermatology, University of Freiburg, Freiburg, GermanyDepartment of Immunology, University of Limoges, Limoges, FranceDepartment of Molecular Cell Biology and Immunology, Amsterdam UMC, Vrije Universiteit, Research Institute of Amsterdam Institute for Infection and Immunity, Research Institute of Amsterdam Institute for Infection and Immunity, Amsterdam, NetherlandsDepartment of Surgery, Amsterdam UMC, Vrije Universiteit, Amsterdam, NetherlandsImmunoglobulin A (IgA) is generally considered as a non-inflammatory regulator of mucosal immunity, and its importance in diversifying the gut microbiota is increasingly appreciated. IgA autoantibodies have been found in several autoimmune or chronic inflammatory diseases, but their role in pathophysiology is ill-understood. IgA can interact with the Fc receptor FcαRI on immune cells. We now established a novel IgA autoimmune blistering model, which closely resembles the human disease linear IgA bullous disease (LABD) by using genetically modified mice that produce human IgA and express human FcαRI. Intravital microscopy demonstrated that presence of IgA anti-collagen XVII, - the auto-antigen in LABD-, resulted in neutrophil activation and extravasation from blood vessels into skin tissue. Continued exposure to anti-collagen XVII IgA led to massive neutrophil accumulation, severe tissue damage and blister formation. Importantly, treatment with anti-FcαRI monoclonal antibodies not only prevented disease, but was also able to resolve existing inflammation and tissue damage. Collectively, our data reveal a novel role of neutrophil FcαRI in IgA autoantibody-mediated disease and identify FcαRI as promising new therapeutic target to resolve chronic inflammation and tissue damage.https://www.frontiersin.org/articles/10.3389/fimmu.2022.732977/fullFcαRICD89IgAneutrophilsLABD
spellingShingle Amelie Bos
Esil Aleyd
Lydia P. E. van der Steen
P. J. Winter
Niels Heemskerk
Stephan M. Pouw
Louis Boon
Rene J. P. Musters
Jantine E. Bakema
Cassian Sitaru
Michel Cogné
Marjolein van Egmond
Marjolein van Egmond
Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease
Frontiers in Immunology
FcαRI
CD89
IgA
neutrophils
LABD
title Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease
title_full Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease
title_fullStr Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease
title_full_unstemmed Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease
title_short Anti-FcαRI Monoclonal Antibodies Resolve IgA Autoantibody-Mediated Disease
title_sort anti fcαri monoclonal antibodies resolve iga autoantibody mediated disease
topic FcαRI
CD89
IgA
neutrophils
LABD
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.732977/full
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