Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?

Abstract Background The ability of anti-cytokine antibodies to play a disease-causing role in the pathogenesis of immunodeficiencies is widely accepted. The aim of this study was to investigate whether autoantibodies against BAFF (important B cell survival signal), APRIL (important plasma cell survi...

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Main Authors: Marian-Christopher Pott, Natalie Frede, Jennifer Wanders, Lennart Hammarström, Erik-Oliver Glocker, Cristina Glocker, Fariba Tahami, Bodo Grimbacher
Format: Article
Language:English
Published: BMC 2017-06-01
Series:BMC Immunology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12865-017-0217-9
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author Marian-Christopher Pott
Natalie Frede
Jennifer Wanders
Lennart Hammarström
Erik-Oliver Glocker
Cristina Glocker
Fariba Tahami
Bodo Grimbacher
author_facet Marian-Christopher Pott
Natalie Frede
Jennifer Wanders
Lennart Hammarström
Erik-Oliver Glocker
Cristina Glocker
Fariba Tahami
Bodo Grimbacher
author_sort Marian-Christopher Pott
collection DOAJ
description Abstract Background The ability of anti-cytokine antibodies to play a disease-causing role in the pathogenesis of immunodeficiencies is widely accepted. The aim of this study was to investigate whether autoantibodies against BAFF (important B cell survival signal), APRIL (important plasma cell survival signal), or Interleukin-21 (important cytokine for immunoglobulin class switch) present an alternative mechanism for the development of the following primary antibody deficiencies (PADs): common variable immune deficiency (CVID) or selective IgA deficiency (sIgAD). Results Two hundred thirty-two sera from patients with PADs were screened for autoantibodies against cytokines by ELISA. Statistical data analysis yielded a significant difference (p < 0.01) between the healthy donor sera and both PAD cohorts. The analysis was deepened by subdividing the patient collective into groups with distinct B cell phenotypes but no significant differences were found. For selected sera with notable high ELISA-read outs functional analysis ensued. Anti-BAFF and anti-APRIL antibodies were further examined by a B cell survival assay, whilst the functional relevance of putative anti-IL-21 autoantibodies was investigated by means of a STAT3 phosphorylation assay. However, the results of these experiments revealed no discernible functional effect. Conclusion Whilst statistical analysis of ELISA results showed significant differences between patients and healthy controls, in our set of patients functional tests yielded no evidence for an involvement of autoantibodies against BAFF, APRIL, or IL-21 in the pathogenesis of CVID or sIgAD.
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spelling doaj.art-b7fa29ed94d2478f833bb2414e405a9e2022-12-21T19:54:29ZengBMCBMC Immunology1471-21722017-06-011811810.1186/s12865-017-0217-9Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?Marian-Christopher Pott0Natalie Frede1Jennifer Wanders2Lennart Hammarström3Erik-Oliver Glocker4Cristina Glocker5Fariba Tahami6Bodo Grimbacher7Centre for Chronic Immunodeficiency, Medical Centre University Hospital, Medical Faculty of FreiburgCentre for Chronic Immunodeficiency, Medical Centre University Hospital, Medical Faculty of FreiburgInstitute of Immunity and Transplantation, Royal Free Hospital, University College LondonDepartment of Immunology, Karolinska InstitutetInstitute of Medical Microbiology and Hygiene, University Medical Center FreiburgCentre for Chronic Immunodeficiency, Medical Centre University Hospital, Medical Faculty of FreiburgInstitute of Immunity and Transplantation, Royal Free Hospital, University College LondonCentre for Chronic Immunodeficiency, Medical Centre University Hospital, Medical Faculty of FreiburgAbstract Background The ability of anti-cytokine antibodies to play a disease-causing role in the pathogenesis of immunodeficiencies is widely accepted. The aim of this study was to investigate whether autoantibodies against BAFF (important B cell survival signal), APRIL (important plasma cell survival signal), or Interleukin-21 (important cytokine for immunoglobulin class switch) present an alternative mechanism for the development of the following primary antibody deficiencies (PADs): common variable immune deficiency (CVID) or selective IgA deficiency (sIgAD). Results Two hundred thirty-two sera from patients with PADs were screened for autoantibodies against cytokines by ELISA. Statistical data analysis yielded a significant difference (p < 0.01) between the healthy donor sera and both PAD cohorts. The analysis was deepened by subdividing the patient collective into groups with distinct B cell phenotypes but no significant differences were found. For selected sera with notable high ELISA-read outs functional analysis ensued. Anti-BAFF and anti-APRIL antibodies were further examined by a B cell survival assay, whilst the functional relevance of putative anti-IL-21 autoantibodies was investigated by means of a STAT3 phosphorylation assay. However, the results of these experiments revealed no discernible functional effect. Conclusion Whilst statistical analysis of ELISA results showed significant differences between patients and healthy controls, in our set of patients functional tests yielded no evidence for an involvement of autoantibodies against BAFF, APRIL, or IL-21 in the pathogenesis of CVID or sIgAD.http://link.springer.com/article/10.1186/s12865-017-0217-9AutoimmunityAutoantibodiesCytokinesPrimary antibody deficiencyCommon variable immunodeficiencySelective IgA deficiency
spellingShingle Marian-Christopher Pott
Natalie Frede
Jennifer Wanders
Lennart Hammarström
Erik-Oliver Glocker
Cristina Glocker
Fariba Tahami
Bodo Grimbacher
Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?
BMC Immunology
Autoimmunity
Autoantibodies
Cytokines
Primary antibody deficiency
Common variable immunodeficiency
Selective IgA deficiency
title Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?
title_full Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?
title_fullStr Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?
title_full_unstemmed Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?
title_short Autoantibodies against BAFF, APRIL or IL21 - an alternative pathogenesis for antibody-deficiencies?
title_sort autoantibodies against baff april or il21 an alternative pathogenesis for antibody deficiencies
topic Autoimmunity
Autoantibodies
Cytokines
Primary antibody deficiency
Common variable immunodeficiency
Selective IgA deficiency
url http://link.springer.com/article/10.1186/s12865-017-0217-9
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