Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita

Stress-induced heat shock protein 70 (Hsp70) is a key intra- and extracellular molecular chaperone implicated in autoimmune processes. Highly immunogenic extracellular Hsp70 can activate innate and acquired (adaptive) immune responses driving the generation of anti-Hsp70 autoantibodies that are freq...

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Main Authors: Stefan Tukaj, Jagoda Mantej, Krzysztof Sitko, Detlef Zillikens, Ralf J. Ludwig, Katja Bieber, Michael Kasperkiewicz
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.877958/full
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author Stefan Tukaj
Jagoda Mantej
Krzysztof Sitko
Detlef Zillikens
Ralf J. Ludwig
Katja Bieber
Michael Kasperkiewicz
author_facet Stefan Tukaj
Jagoda Mantej
Krzysztof Sitko
Detlef Zillikens
Ralf J. Ludwig
Katja Bieber
Michael Kasperkiewicz
author_sort Stefan Tukaj
collection DOAJ
description Stress-induced heat shock protein 70 (Hsp70) is a key intra- and extracellular molecular chaperone implicated in autoimmune processes. Highly immunogenic extracellular Hsp70 can activate innate and acquired (adaptive) immune responses driving the generation of anti-Hsp70 autoantibodies that are frequently observed in inflammatory/autoimmune disorders. We recently described the direct pathological role of extracellular Hsp70 in epidermolysis bullosa acquisita (EBA), an anti-type VII collagen autoantibody-mediated autoimmune blistering skin disease. Here, we determined the role of anti-Hsp70 autoantibodies in EBA. We observed that circulating anti-Hsp70 IgG autoantibodies were significantly elevated in EBA patients compared to healthy individuals and positively correlated with serum levels of pro-inflammatory interferon gamma (IFN-γ). The pathophysiological relevance of anti-Hsp70 IgG autoantibodies was demonstrated in an antibody transfer-induced EBA mouse model in which elevated serum levels of anti-Hsp70 IgG were found. In addition, anti-Hsp70 IgG-treated animals had a more intense clinical and histological disease activity, as well as upregulated nuclear factor kappa B (NF-κB) activation in skin biopsies compared to isotype-treated animals. Our results suggest that autoantibodies to Hsp70 may contribute to EBA development via enhanced neutrophil infiltration to the skin and activation of the NF-κB signaling pathway in an IFN-γ-associated manner.
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spelling doaj.art-e46f41fffa0c441487367c5d4a07bb2b2022-12-22T02:40:31ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-04-011310.3389/fimmu.2022.877958877958Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa AcquisitaStefan Tukaj0Jagoda Mantej1Krzysztof Sitko2Detlef Zillikens3Ralf J. Ludwig4Katja Bieber5Michael Kasperkiewicz6Department of Molecular Biology, Faculty of Biology, University of Gdańsk, Gdańsk, PolandDepartment of Molecular Biology, Faculty of Biology, University of Gdańsk, Gdańsk, PolandDepartment of Molecular Biology, Faculty of Biology, University of Gdańsk, Gdańsk, PolandDepartment of Dermatology and Center for Research on Inflammation of the Skin, University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology and Center for Research on Inflammation of the Skin, University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology and Center for Research on Inflammation of the Skin, University of Lübeck, Lübeck, GermanyDepartment of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United StatesStress-induced heat shock protein 70 (Hsp70) is a key intra- and extracellular molecular chaperone implicated in autoimmune processes. Highly immunogenic extracellular Hsp70 can activate innate and acquired (adaptive) immune responses driving the generation of anti-Hsp70 autoantibodies that are frequently observed in inflammatory/autoimmune disorders. We recently described the direct pathological role of extracellular Hsp70 in epidermolysis bullosa acquisita (EBA), an anti-type VII collagen autoantibody-mediated autoimmune blistering skin disease. Here, we determined the role of anti-Hsp70 autoantibodies in EBA. We observed that circulating anti-Hsp70 IgG autoantibodies were significantly elevated in EBA patients compared to healthy individuals and positively correlated with serum levels of pro-inflammatory interferon gamma (IFN-γ). The pathophysiological relevance of anti-Hsp70 IgG autoantibodies was demonstrated in an antibody transfer-induced EBA mouse model in which elevated serum levels of anti-Hsp70 IgG were found. In addition, anti-Hsp70 IgG-treated animals had a more intense clinical and histological disease activity, as well as upregulated nuclear factor kappa B (NF-κB) activation in skin biopsies compared to isotype-treated animals. Our results suggest that autoantibodies to Hsp70 may contribute to EBA development via enhanced neutrophil infiltration to the skin and activation of the NF-κB signaling pathway in an IFN-γ-associated manner.https://www.frontiersin.org/articles/10.3389/fimmu.2022.877958/fullautoimmune bullous diseases (AIBDs)epidermolysis bullosa acquisita (EBA)heat shock proteins (Hsps)Hsp70autoantibodiesnuclear factor kappa B (NF-κB)
spellingShingle Stefan Tukaj
Jagoda Mantej
Krzysztof Sitko
Detlef Zillikens
Ralf J. Ludwig
Katja Bieber
Michael Kasperkiewicz
Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita
Frontiers in Immunology
autoimmune bullous diseases (AIBDs)
epidermolysis bullosa acquisita (EBA)
heat shock proteins (Hsps)
Hsp70
autoantibodies
nuclear factor kappa B (NF-κB)
title Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita
title_full Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita
title_fullStr Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita
title_full_unstemmed Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita
title_short Pathological Relevance of Anti-Hsp70 IgG Autoantibodies in Epidermolysis Bullosa Acquisita
title_sort pathological relevance of anti hsp70 igg autoantibodies in epidermolysis bullosa acquisita
topic autoimmune bullous diseases (AIBDs)
epidermolysis bullosa acquisita (EBA)
heat shock proteins (Hsps)
Hsp70
autoantibodies
nuclear factor kappa B (NF-κB)
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.877958/full
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