An anti-phospholipase A2 receptor quantitative immunoassay and epitope analysis in membranous nephropathy reveals different antigenic domains of the receptor

The phospholipase A2 receptor (PLA2R) was recently discovered as a target autoantigen in patients with idiopathic membranous nephropathy (IMN). Published evidence suggests that the autoantibodies directed towards a conformation dependent epitope are currently effectively detected by a cell based ass...

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Veröffentlicht in:PloS one 2013-04, Vol.8 (4), p.e61669-e61669
Hauptverfasser: Behnert, Astrid, Fritzler, Marvin J, Teng, Beina, Zhang, Meifeng, Bollig, Frank, Haller, Hermann, Skoberne, Andrej, Mahler, Michael, Schiffer, Mario
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container_title PloS one
container_volume 8
creator Behnert, Astrid
Fritzler, Marvin J
Teng, Beina
Zhang, Meifeng
Bollig, Frank
Haller, Hermann
Skoberne, Andrej
Mahler, Michael
Schiffer, Mario
description The phospholipase A2 receptor (PLA2R) was recently discovered as a target autoantigen in patients with idiopathic membranous nephropathy (IMN). Published evidence suggests that the autoantibodies directed towards a conformation dependent epitope are currently effectively detected by a cell based assay (CBA) utilizing indirect immunofluorescence (IIF) on tissue culture cells transfected with the PLA2R cDNA. Limitations of such IIF-CBA assays include observer dependent subjective evaluation of semi-quantitative test results and the protocols are not amenable to high throughput diagnostic testing. We developed a quantitative, observer independent, high throughput capture immunoassay for detecting PLA2R autoantibodies on an addressable laser bead immunoassay (ALBIA) platform. Since reactive domains of PLA2R (i.e. epitopes) could be used to improve diagnostic tests by using small peptides in various high throughput diagnostic platforms, we identified PLA2R epitopes that bound autoantibodies of IMN patients. These studies confirmed that inter-molecular epitope spreading occurs in IMN but use of the cognate synthetic peptides in immunoassays was unable to conclusively distinguish between IMN patients and normal controls. However, combinations of these peptides were able to effectively absorb anti-PLA2R reactivity in IIF-CBA and an immunoassay that employed a lysate derived from HEK cells tranfected with and overexpressing PLA2R. While we provide evidence of intermolecular epitope spreading, our data indicates that in addition to conformational epitopes, human anti-PLA2R reactivity in a commercially available CBA and an addressable laser bead immunoassay is significantly absorbed by peptides representing epitopes of PLA2R.
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Published evidence suggests that the autoantibodies directed towards a conformation dependent epitope are currently effectively detected by a cell based assay (CBA) utilizing indirect immunofluorescence (IIF) on tissue culture cells transfected with the PLA2R cDNA. Limitations of such IIF-CBA assays include observer dependent subjective evaluation of semi-quantitative test results and the protocols are not amenable to high throughput diagnostic testing. We developed a quantitative, observer independent, high throughput capture immunoassay for detecting PLA2R autoantibodies on an addressable laser bead immunoassay (ALBIA) platform. Since reactive domains of PLA2R (i.e. epitopes) could be used to improve diagnostic tests by using small peptides in various high throughput diagnostic platforms, we identified PLA2R epitopes that bound autoantibodies of IMN patients. These studies confirmed that inter-molecular epitope spreading occurs in IMN but use of the cognate synthetic peptides in immunoassays was unable to conclusively distinguish between IMN patients and normal controls. However, combinations of these peptides were able to effectively absorb anti-PLA2R reactivity in IIF-CBA and an immunoassay that employed a lysate derived from HEK cells tranfected with and overexpressing PLA2R. 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These studies confirmed that inter-molecular epitope spreading occurs in IMN but use of the cognate synthetic peptides in immunoassays was unable to conclusively distinguish between IMN patients and normal controls. However, combinations of these peptides were able to effectively absorb anti-PLA2R reactivity in IIF-CBA and an immunoassay that employed a lysate derived from HEK cells tranfected with and overexpressing PLA2R. While we provide evidence of intermolecular epitope spreading, our data indicates that in addition to conformational epitopes, human anti-PLA2R reactivity in a commercially available CBA and an addressable laser bead immunoassay is significantly absorbed by peptides representing epitopes of PLA2R.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23637879</pmid><doi>10.1371/journal.pone.0061669</doi><oa>free_for_read</oa></addata></record>
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subjects Amino Acid Sequence
Antigens
Arthritis
Autoantibodies
Autoantibodies - analysis
Autoantibodies - immunology
Autoantigens - chemistry
Autoantigens - immunology
Biology
Cell culture
Conformation
Diagnostic systems
Disease
Epitope Mapping - methods
Epitopes
Glomerulonephritis, Membranous - diagnosis
HEK293 Cells
Humans
Immunoassay
Immunoassay - methods
Immunoassays
Immunofluorescence
Immunoglobulins
Lasers
Medical schools
Medicine
Membranous nephropathy
Molecular Sequence Data
Nephrology
Nephropathy
Patients
Peptide Fragments - chemistry
Peptide Fragments - immunology
Peptides
Phospholipase
Phospholipase A2
Protein Structure, Tertiary
Receptors, Phospholipase A2 - chemistry
Receptors, Phospholipase A2 - immunology
Rodents
Spreading
Synthetic peptides
Tissue culture
title An anti-phospholipase A2 receptor quantitative immunoassay and epitope analysis in membranous nephropathy reveals different antigenic domains of the receptor
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