Direct characterization of target podocyte antigens and auto-antibodies in human membranous glomerulonephritis: Alfa-enolase and borderline antigens

被引:95
作者
Bruschi, Maurizio [1 ,2 ]
Carnevali, Maria Luisa [4 ]
Murtas, Corrado [4 ]
Candiano, Giovanni [1 ,2 ]
Petretto, Andrea [3 ]
Prunotto, Marco [1 ,2 ]
Gatti, Rita [5 ]
Argentiero, Lucia [4 ]
Magistroni, Riccardo [6 ]
Garibotto, Giacomo [7 ]
Scolari, Francesco [8 ]
Ravani, Pietro [10 ]
Gesualdo, Loreto [9 ]
Allegri, Landino [4 ]
Ghiggeri, Gian Marco [1 ,2 ]
机构
[1] G Gaslini Children Hosp, Lab Pathophysiol Uremia, I-16148 Genoa, Italy
[2] G Gaslini Children Hosp, Div Nephrol, I-16148 Genoa, Italy
[3] G Gaslini Children Hosp, Expt & Clin Immunol Lab, Mass Spectrometry Core Facil, I-16148 Genoa, Italy
[4] Dept Clin Med Nephrol & Hlth Sci, Parma, Italy
[5] Univ Parma, Dept Expt Med, Sect Histol, I-43100 Parma, Italy
[6] Univ Modena, Chair Nephrol, I-41100 Modena, Italy
[7] Univ Genoa, Chair Nephrol, I-16126 Genoa, Italy
[8] Univ Brescia, Chair Nephrol, I-25121 Brescia, Italy
[9] Univ Foggia, Chair Nephrol, Foggia, Italy
[10] Univ Calgary, Div Nephrol, Calgary, AB, Canada
关键词
Autoimmune glomerulonephritis; Renal auto-antigen; Circulating auto-antibodies; Membranous glomerulonephritis; alpha-enolase; Proteomics; ANTIENDOTHELIAL CELL ANTIBODIES; TRANSFER-RNA-SYNTHETASE; HEYMANN NEPHRITIS; PLASMINOGEN BINDING; NEPHROTIC SYNDROME; PROTEOME ANALYSIS; RAT-KIDNEY; NEPHROPATHY; GP330; MYOSITIS;
D O I
10.1016/j.jprot.2011.05.021
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
The identification of glomerular auto-antigens in idiopathic human membranous glomerulonephritis (MGN) is a crucial step towards the definition of the mechanisms of the disease. Recent 'in vivo' studies demonstrated a heterogeneous composition of glomerular immune-deposits in MGN biopsies only a part of which have been characterized. We studied with a proteomical approach IgGs eluted from laser capture microdissected glomeruli of 8 MGN patients and showed the existence of other three immune proteins in MGN glomeruli (alpha-enolase, elongation factor 2 and Glycyl Aminoacyl-tRNA Synthetase). One of these, i.e. alpha-enolase, fulfilled all criteria for being considered an auto-antigen. Specific IgG(1) and IgG(4) reacting with podocyte alpha-enolase were, in fact, eluted from microdissected glomeruli and Confocal- and Immuno Electron-Microscopy showed co-localization of alpha-enolase with IgG(4) and C5b-9 in immune-deposits. Serum levels of anti alpha-enolase IgG(4) were determined in 131 MGN patients and were found elevated in 25% of cases. Overall, our data demonstrate that glomerular alpha-enolase is a target antigen of autoimmunity in human MGN. Circulating anti alpha-enolase auto-antibodies can be detected in sera of a significant quota of MGN patients. Like other auto-antigens, alpha-enolase may be implicated in the pathogenesis of human MGN. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:2008 / 2017
页数:10
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