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Cassian Sitaru, Sidonia Mihai, Christoph Otto, Mircea T. Chiriac, Ingrid Hausser, Barbara Dotterweich, Hitoshi Saito, Christian Rose, Akira Ishiko, Detlef Zillikens
J Clin Invest. 2005;
115(4):870
doi:10.1172/JCI21386
Abstract |
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E
pidermolysis bullosa acquisita (EBA) is a subepidermal blistering disorder associated with tissue-bound and circulating autoantibodies specific to type VII collagen, a major constituent of the dermal-epidermal junction. Previous attempts to transfer the disease by injection of patient autoantibodies into mice have been unsuccessful. To study the pathogenic relevance of antibodies specific to type VII collagen in vivo, we generated and characterized rabbit antibodies specific to a murine form of this antigen and passively transferred them into adult nude, BALB/c, and C57BL/6 mice. Immune rabbit IgG bound to the lamina densa of murine skin and immunoblotted type VII collagen. Mice injected with purified IgG specific to type VII collagen, in contrast to control mice, developed subepidermal skin blisters, reproducing the human disease at the clinical, histological, electron microscopical, and immunopathological levels. Titers of rabbit IgG in the serum of mice correlated with the extent of the disease. F(ab′)2 fragments of rabbit IgG specific to type VII collagen were not pathogenic. When injected into C5-deficient mice, antibodies specific to type VII collagen failed to induce the disease, whereas C5-sufficient mice were susceptible to blister induction. This animal model for EBA should facilitate further dissection of the pathogenesis of this disease and development of new therapeutic strategies.
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(15)
| Title and authors |
Publication |
Year |
Heat-shock protein 90 inhibition in autoimmunity to type VII collagen: evidence that nonmalignant plasma cells are not therapeutic targets
M. Kasperkiewicz, R. Muller, R. Manz, M. Magens, C. M. Hammers, C. Somlai, J. Westermann, E. Schmidt, D. Zillikens, R. J. Ludwig, A. Orosz
|
Blood
|
2011 |
Generation of Antibodies of Distinct Subclasses and Specificity Is Linked to H2s in an Active Mouse Model of Epidermolysis Bullosa Acquisita
Ralf J Ludwig, Andreas Recke, Katja Bieber, Susen Müller, Andreia de Castro Marques, David Banczyk, Misa Hirose, Michael Kasperkiewicz, Norito Ishii, Enno Schmidt, Jürgen Westermann, Detlef Zillikens, Saleh M Ibrahim
|
J Investig Dermatol
|
2010 |
Can Type VII Collagen Injections Cure Dystrophic Epidermolysis Bullosa?
Leena Bruckner-Tuderman
|
Mol Ther
|
2009 |
Immunopathology and molecular diagnosis of autoimmune bullous diseases
Sidonia Mihai, Cassian Sitaru
|
Journal of Cellular and Molecular Medicine
|
2007 |
Autoimmunity to Type VII Collagen: Epidermolysis Bullosa Acquisita
David T. Woodley, Jennifer Remington, Mei Chen
|
Clinic Rev Allerg Immunol
|
2007 |
What’s new in blistering disorders?
Paru Chaudhari, M. Peter Marinkovich
|
Curr Allergy Asthma Rep
|
2007 |
The relevance of the IgG subclass of autoantibodies for blister induction in autoimmune bullous skin diseases
Cassian Sitaru, Sidonia Mihai, Detlef Zillikens
|
Arch Dermatol Res
|
2007 |
IgG4 autoantibodies induce dermal–epidermal separation
Sidonia Mihai, Mircea T. Chiriac, Josep E. Herrero-González, Margaret Goodall, Roy Jefferis, Caroline O. S. Savage, Detlef Zillikens, Cassian Sitaru
|
Journal of Cellular and Molecular Medicine
|
2007 |
Experimental models of epidermolysis bullosa acquisita
Cassian Sitaru
|
Experimental Dermatology
|
2007 |
Rituximab in Treatment-Resistant Autoimmune Blistering Skin Disorders
Enno Schmidt, Eva-Bettina Bröcker, Matthias Goebeler
|
Clinic Rev Allerg Immunol
|
2007 |
|