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2018 ; 9
(ä): 1447
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A Spectrum of Neural Autoantigens, Newly Identified by Histo-Immunoprecipitation,
Mass Spectrometry, and Recombinant Cell-Based Indirect Immunofluorescence
#MMPMID30038610
Scharf M
; Miske R
; Kade S
; Hahn S
; Denno Y
; Begemann N
; Rochow N
; Radzimski C
; Brakopp S
; Probst C
; Teegen B
; Stöcker W
; Komorowski L
Front Immunol
2018[]; 9
(ä): 1447
PMID30038610
show ga
BACKGROUND: A plurality of neurological syndromes is associated with
autoantibodies against neural antigens relevant for diagnosis and therapy.
Identification of these antigens is crucial to understand the pathogenesis and to
develop specific immunoassays. Using an indirect immunofluorescence assay
(IFA)-based approach and applying different immunoprecipitation (IP),
chromatographic and mass spectrometric protocols was possible to isolate and
identify a spectrum of autoantigens from brain tissue. METHODS: Sera and CSF of
320 patients suspected of suffering from an autoimmune neurological syndrome were
comprehensively investigated for the presence of anti-neural IgG autoantibodies
by IFA using mosaics of biochips with brain tissue cryosections and established
cell-based recombinant antigen substrates as well as immunoblots. Samples
containing unknown brain tissue-specific autoantibodies were subjected to IP with
cryosections of cerebellum and hippocampus (rat, pig, and monkey) immobilized to
glass slides or with lysates produced from homogenized tissue, followed by sodium
dodecyl sulfate-polyacrylamide gel electrophoresis, tryptic digestion, and
matrix-assisted laser desorption/ionization-time of flight mass spectrometry
analysis. Identifications were confirmed by IFA with recombinant HEK293 cells and
by neutralizing the patients' autoantibodies with the respective recombinantly
expressed antigens in the tissue-based immunofluorescence test. RESULTS: Most
samples used in this study produced speckled, granular, or homogenous stainings
of the hippocampal and cerebellar molecular and/or granular layers. Others
exclusively stained the Purkinje cells. Up to now, more than 20 different
autoantigens could be identified by this approach, among them ATP1A3, CPT1C,
Flotillin1/2, ITPR1, NBCe1, NCDN, RGS8, ROCK2, and Syntaxin-1B as novel
autoantigens. DISCUSSION: The presented antigen identification strategy offers an
opportunity for identifying up to now unknown neural autoantigens. Recombinant
cell substrates containing the newly identified antigens can be used in serology
and the clinical relevance of the autoantibodies can be rapidly evaluated in
cohort studies.