Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains

B cell clonal expansion and cerebrospinal fluid (CSF) oligoclonal IgG bands are established features of the immune response in multiple sclerosis (MS). Clone-specific recombinant monoclonal IgG1 Abs (rAbs) derived from MS patient CSF plasmablasts bound to conformational proteolipid protein 1 (PLP1)...

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Main Authors: Gregory P. Owens, Timothy J. Fellin, Adeline Matschulat, Vanessa Salas, Kristin L. Schaller, Katherine S. Given, Alanna M. Ritchie, Andre Navarro, Kevin Blauth, Ethan G. Hughes, Wendy B. Macklin, Jeffrey L. Bennett
Format: Article
Language:English
Published: American Society for Clinical Investigation 2023-10-01
Series:The Journal of Clinical Investigation
Subjects:
Online Access:https://doi.org/10.1172/JCI162731
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author Gregory P. Owens
Timothy J. Fellin
Adeline Matschulat
Vanessa Salas
Kristin L. Schaller
Katherine S. Given
Alanna M. Ritchie
Andre Navarro
Kevin Blauth
Ethan G. Hughes
Wendy B. Macklin
Jeffrey L. Bennett
author_facet Gregory P. Owens
Timothy J. Fellin
Adeline Matschulat
Vanessa Salas
Kristin L. Schaller
Katherine S. Given
Alanna M. Ritchie
Andre Navarro
Kevin Blauth
Ethan G. Hughes
Wendy B. Macklin
Jeffrey L. Bennett
author_sort Gregory P. Owens
collection DOAJ
description B cell clonal expansion and cerebrospinal fluid (CSF) oligoclonal IgG bands are established features of the immune response in multiple sclerosis (MS). Clone-specific recombinant monoclonal IgG1 Abs (rAbs) derived from MS patient CSF plasmablasts bound to conformational proteolipid protein 1 (PLP1) membrane complexes and, when injected into mouse brain with human complement, recapitulated histologic features of MS pathology: oligodendrocyte cell loss, complement deposition, and CD68+ phagocyte infiltration. Conformational PLP1 membrane epitopes were complex and governed by the local cholesterol and glycolipid microenvironment. Abs against conformational PLP1 membrane complexes targeted multiple surface epitopes, were enriched within the CSF compartment, and were detected in most MS patients, but not in inflammatory and noninflammatory neurologic controls. CSF PLP1 complex Abs provide a pathogenic autoantibody biomarker specific for MS.
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spelling doaj.art-5c9b85e85c2341ef917d380b1f3354df2023-11-07T16:20:55ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382023-10-0113319Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domainsGregory P. OwensTimothy J. FellinAdeline MatschulatVanessa SalasKristin L. SchallerKatherine S. GivenAlanna M. RitchieAndre NavarroKevin BlauthEthan G. HughesWendy B. MacklinJeffrey L. BennettB cell clonal expansion and cerebrospinal fluid (CSF) oligoclonal IgG bands are established features of the immune response in multiple sclerosis (MS). Clone-specific recombinant monoclonal IgG1 Abs (rAbs) derived from MS patient CSF plasmablasts bound to conformational proteolipid protein 1 (PLP1) membrane complexes and, when injected into mouse brain with human complement, recapitulated histologic features of MS pathology: oligodendrocyte cell loss, complement deposition, and CD68+ phagocyte infiltration. Conformational PLP1 membrane epitopes were complex and governed by the local cholesterol and glycolipid microenvironment. Abs against conformational PLP1 membrane complexes targeted multiple surface epitopes, were enriched within the CSF compartment, and were detected in most MS patients, but not in inflammatory and noninflammatory neurologic controls. CSF PLP1 complex Abs provide a pathogenic autoantibody biomarker specific for MS.https://doi.org/10.1172/JCI162731AutoimmunityNeuroscience
spellingShingle Gregory P. Owens
Timothy J. Fellin
Adeline Matschulat
Vanessa Salas
Kristin L. Schaller
Katherine S. Given
Alanna M. Ritchie
Andre Navarro
Kevin Blauth
Ethan G. Hughes
Wendy B. Macklin
Jeffrey L. Bennett
Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains
The Journal of Clinical Investigation
Autoimmunity
Neuroscience
title Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains
title_full Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains
title_fullStr Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains
title_full_unstemmed Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains
title_short Pathogenic myelin-specific antibodies in multiple sclerosis target conformational proteolipid protein 1–anchored membrane domains
title_sort pathogenic myelin specific antibodies in multiple sclerosis target conformational proteolipid protein 1 anchored membrane domains
topic Autoimmunity
Neuroscience
url https://doi.org/10.1172/JCI162731
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