IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice

It has long been appreciated that immunoglobulins are not just the effector endpoint of humoral immunity, but rather have a complex role in regulating antibody responses themselves. Donor derived anti-RhD IgG has been used for over 50 years as an immunoprophylactic to prevent maternal alloimmunizati...

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Main Authors: Paurvi Shinde, Heather L. Howie, Tamara C. Stegmann, Ariel M. Hay, Hayley R. Waterman, Zoltan Szittner, Arthur E. H. Bentlage, Linda Kapp, Suzanne N. Lissenberg-Thunnissen, Gillian Dekkers, Richard B. M. Schasfoort, Sarah J. Ratcliffe, Mark E. Smolkin, Gestur Vidarsson, C. Ellen van der Schoot, Krystalyn E. Hudson, James C. Zimring
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.01516/full
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author Paurvi Shinde
Heather L. Howie
Tamara C. Stegmann
Ariel M. Hay
Hayley R. Waterman
Zoltan Szittner
Arthur E. H. Bentlage
Linda Kapp
Suzanne N. Lissenberg-Thunnissen
Gillian Dekkers
Richard B. M. Schasfoort
Sarah J. Ratcliffe
Mark E. Smolkin
Gestur Vidarsson
C. Ellen van der Schoot
Krystalyn E. Hudson
James C. Zimring
James C. Zimring
author_facet Paurvi Shinde
Heather L. Howie
Tamara C. Stegmann
Ariel M. Hay
Hayley R. Waterman
Zoltan Szittner
Arthur E. H. Bentlage
Linda Kapp
Suzanne N. Lissenberg-Thunnissen
Gillian Dekkers
Richard B. M. Schasfoort
Sarah J. Ratcliffe
Mark E. Smolkin
Gestur Vidarsson
C. Ellen van der Schoot
Krystalyn E. Hudson
James C. Zimring
James C. Zimring
author_sort Paurvi Shinde
collection DOAJ
description It has long been appreciated that immunoglobulins are not just the effector endpoint of humoral immunity, but rather have a complex role in regulating antibody responses themselves. Donor derived anti-RhD IgG has been used for over 50 years as an immunoprophylactic to prevent maternal alloimmunization to RhD. Although anti-RhD has dramatically decreased rates of hemolytic disease of the fetus and newborn (for the RhD alloantigen), anti-RhD also fails in some cases, and can even paradoxically enhance immune responses in some circumstances. Attempts to generate a monoclonal anti-RhD have largely failed, with some monoclonals suppressing less than donor derived anti-RhD and others enhancing immunity. These difficulties likely result, in part, because the mechanism of anti-RhD remains unclear. However, substantial evidence exists to reject the common explanations of simple clearance of RhD + RBCs or masking of antigen. Donor derived anti-RhD is a mixture of 4 different IgG subtypes. To the best of our knowledge an analysis of the role different IgG subtypes play in immunoregulation has not been carried out; and, only IgG1 and IgG3 have been tested as monoclonals. Multiple attempts to elicit alloimmune responses to human RhD epitopes in mice have failed. To circumvent this limitation, we utilize a tractable animal model of RBC alloimmunization using the human Kell glycoprotein as an antigen to test the effect of IgG subtype on immunoregulation by antibodies to RBC alloantigens. We report that the ability of an anti-RBC IgG to enhance, suppress (at the level of IgM responses), or have no effect is a function of the IgG subclass in this model system.
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spelling doaj.art-5ced9a8f9c86426f90e7e02309b976362022-12-22T00:15:52ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-07-011110.3389/fimmu.2020.01516555984IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in MicePaurvi Shinde0Heather L. Howie1Tamara C. Stegmann2Ariel M. Hay3Hayley R. Waterman4Zoltan Szittner5Arthur E. H. Bentlage6Linda Kapp7Suzanne N. Lissenberg-Thunnissen8Gillian Dekkers9Richard B. M. Schasfoort10Sarah J. Ratcliffe11Mark E. Smolkin12Gestur Vidarsson13C. Ellen van der Schoot14Krystalyn E. Hudson15James C. Zimring16James C. Zimring17Bloodworks Northwest Research Institute, Seattle, WA, United StatesDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United StatesSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United StatesBloodworks Northwest Research Institute, Seattle, WA, United StatesSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsBloodworks Northwest Research Institute, Seattle, WA, United StatesSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsMedical Cell Biophysics Group, MIRA Institute, University of Twente, Enschede, NetherlandsDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United StatesDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United StatesSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, NetherlandsDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, United StatesBloodworks Northwest Research Institute, Seattle, WA, United StatesDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United StatesIt has long been appreciated that immunoglobulins are not just the effector endpoint of humoral immunity, but rather have a complex role in regulating antibody responses themselves. Donor derived anti-RhD IgG has been used for over 50 years as an immunoprophylactic to prevent maternal alloimmunization to RhD. Although anti-RhD has dramatically decreased rates of hemolytic disease of the fetus and newborn (for the RhD alloantigen), anti-RhD also fails in some cases, and can even paradoxically enhance immune responses in some circumstances. Attempts to generate a monoclonal anti-RhD have largely failed, with some monoclonals suppressing less than donor derived anti-RhD and others enhancing immunity. These difficulties likely result, in part, because the mechanism of anti-RhD remains unclear. However, substantial evidence exists to reject the common explanations of simple clearance of RhD + RBCs or masking of antigen. Donor derived anti-RhD is a mixture of 4 different IgG subtypes. To the best of our knowledge an analysis of the role different IgG subtypes play in immunoregulation has not been carried out; and, only IgG1 and IgG3 have been tested as monoclonals. Multiple attempts to elicit alloimmune responses to human RhD epitopes in mice have failed. To circumvent this limitation, we utilize a tractable animal model of RBC alloimmunization using the human Kell glycoprotein as an antigen to test the effect of IgG subtype on immunoregulation by antibodies to RBC alloantigens. We report that the ability of an anti-RBC IgG to enhance, suppress (at the level of IgM responses), or have no effect is a function of the IgG subclass in this model system.https://www.frontiersin.org/article/10.3389/fimmu.2020.01516/fullantibodyimmune regulationIgG subclassred blood cellalloimmunity
spellingShingle Paurvi Shinde
Heather L. Howie
Tamara C. Stegmann
Ariel M. Hay
Hayley R. Waterman
Zoltan Szittner
Arthur E. H. Bentlage
Linda Kapp
Suzanne N. Lissenberg-Thunnissen
Gillian Dekkers
Richard B. M. Schasfoort
Sarah J. Ratcliffe
Mark E. Smolkin
Gestur Vidarsson
C. Ellen van der Schoot
Krystalyn E. Hudson
James C. Zimring
James C. Zimring
IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice
Frontiers in Immunology
antibody
immune regulation
IgG subclass
red blood cell
alloimmunity
title IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice
title_full IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice
title_fullStr IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice
title_full_unstemmed IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice
title_short IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice
title_sort igg subclass determines suppression versus enhancement of humoral alloimmunity to kell rbc antigens in mice
topic antibody
immune regulation
IgG subclass
red blood cell
alloimmunity
url https://www.frontiersin.org/article/10.3389/fimmu.2020.01516/full
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