Identification of anti-retinal antibodies in patients with age-related macular degeneration

Age-related macular degeneration (AMD) is the leading cause of irreversible blindness in industrial counties. Recent findings indicate that the autoimmunity is involved in the pathogenesis of the disease. However, there is no autoantibody biomarker applied in a clinical setting for diagnosis and pro...

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Veröffentlicht in:Experimental and molecular pathology 2012-10, Vol.93 (2), p.193-199
Hauptverfasser: Morohoshi, Kei, Ohbayashi, Masaharu, Patel, Nishal, Chong, Victor, Bird, Alan C., Ono, Santa J.
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container_end_page 199
container_issue 2
container_start_page 193
container_title Experimental and molecular pathology
container_volume 93
creator Morohoshi, Kei
Ohbayashi, Masaharu
Patel, Nishal
Chong, Victor
Bird, Alan C.
Ono, Santa J.
description Age-related macular degeneration (AMD) is the leading cause of irreversible blindness in industrial counties. Recent findings indicate that the autoimmunity is involved in the pathogenesis of the disease. However, there is no autoantibody biomarker applied in a clinical setting for diagnosis and prognosis of AMD. In order to reveal retinal antigens targeted by serum IgG from AMD patients, mouse retinal tissue proteins were separated by 2-dimensional electrophoresis and the proteins in the immunoblots that were specific for dry and wet AMD patients IgG were identified by LC–MS/MS. Retinol-binding protein 3 and aldolase C (ALDOC) were mainly recognized by IgG form wet AMD patients. Pyruvate kinase M2 (PKM2) was targeted by both dry and wet AMD and level of anti-PKM2 IgG antibody was correlated best with the stage of AMD. Expression of ALDOC and PKM2 was decreased in mouse retina from aging whereas PKM2 deposit on RPE was increased in aged mice. Our data demonstrate that sera of AMD patients contain autoantibodies against retinal proteins and anti-PKM2 IgG serves as a biomarker for diagnosis and prognosis of AMD. Further investigation of the association of anti-retinal antibody level with expression level of antigens in retina will be needed to reveal the disease pathogenesis.
doi_str_mv 10.1016/j.yexmp.2012.03.007
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Recent findings indicate that the autoimmunity is involved in the pathogenesis of the disease. However, there is no autoantibody biomarker applied in a clinical setting for diagnosis and prognosis of AMD. In order to reveal retinal antigens targeted by serum IgG from AMD patients, mouse retinal tissue proteins were separated by 2-dimensional electrophoresis and the proteins in the immunoblots that were specific for dry and wet AMD patients IgG were identified by LC–MS/MS. Retinol-binding protein 3 and aldolase C (ALDOC) were mainly recognized by IgG form wet AMD patients. Pyruvate kinase M2 (PKM2) was targeted by both dry and wet AMD and level of anti-PKM2 IgG antibody was correlated best with the stage of AMD. Expression of ALDOC and PKM2 was decreased in mouse retina from aging whereas PKM2 deposit on RPE was increased in aged mice. 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Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Prognosis ; Pyruvate kinase ; Pyruvate Kinase - immunology ; Retina - immunology ; Retinol-Binding Proteins - immunology ; Retinopathies ; Wet Macular Degeneration - diagnosis ; Wet Macular Degeneration - immunology</subject><ispartof>Experimental and molecular pathology, 2012-10, Vol.93 (2), p.193-199</ispartof><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. 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Recent findings indicate that the autoimmunity is involved in the pathogenesis of the disease. However, there is no autoantibody biomarker applied in a clinical setting for diagnosis and prognosis of AMD. In order to reveal retinal antigens targeted by serum IgG from AMD patients, mouse retinal tissue proteins were separated by 2-dimensional electrophoresis and the proteins in the immunoblots that were specific for dry and wet AMD patients IgG were identified by LC–MS/MS. Retinol-binding protein 3 and aldolase C (ALDOC) were mainly recognized by IgG form wet AMD patients. Pyruvate kinase M2 (PKM2) was targeted by both dry and wet AMD and level of anti-PKM2 IgG antibody was correlated best with the stage of AMD. Expression of ALDOC and PKM2 was decreased in mouse retina from aging whereas PKM2 deposit on RPE was increased in aged mice. 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subjects Age-related macular degeneration
Aged
Aged, 80 and over
Aldolase
Animals
Anti-retinal antibody
Autoantibodies - blood
Autoantibodies - isolation & purification
Autoantibody profile
Autoantigens - immunology
Biological and medical sciences
Biomarkers - blood
Female
Fructose-Bisphosphate Aldolase - immunology
Geographic Atrophy - diagnosis
Geographic Atrophy - immunology
Humans
Immunoglobulin G - immunology
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Mice
Ophthalmology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Prognosis
Pyruvate kinase
Pyruvate Kinase - immunology
Retina - immunology
Retinol-Binding Proteins - immunology
Retinopathies
Wet Macular Degeneration - diagnosis
Wet Macular Degeneration - immunology
title Identification of anti-retinal antibodies in patients with age-related macular degeneration
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