[HTML][HTML] Can antibodies with specificity for soluble antigens mimic the therapeutic effects of intravenous IgG in the treatment of autoimmune disease?

V Siragam, D Brinc, AR Crow, S Song… - The Journal of …, 2005 - Am Soc Clin Investig
V Siragam, D Brinc, AR Crow, S Song, J Freedman, AH Lazarus
The Journal of clinical investigation, 2005Am Soc Clin Investig
Intravenous Ig (IVIg) mediates protection from the effects of immune thrombocytopenic
purpura (ITP) as well as numerous other autoimmune states; however, the active antibodies
within IVIg are unknown. There is some evidence that antibodies specific for a cell-
associated antigen on erythrocytes are responsible, at least in part, for the therapeutic effect
of IVIg in ITP. Yet whether an IVIg directed to a soluble antigen can likewise be beneficial in
ITP or other autoimmune diseases is also unknown. A murine model of ITP was used to …
Intravenous Ig (IVIg) mediates protection from the effects of immune thrombocytopenic purpura (ITP) as well as numerous other autoimmune states; however, the active antibodies within IVIg are unknown. There is some evidence that antibodies specific for a cell-associated antigen on erythrocytes are responsible, at least in part, for the therapeutic effect of IVIg in ITP. Yet whether an IVIg directed to a soluble antigen can likewise be beneficial in ITP or other autoimmune diseases is also unknown. A murine model of ITP was used to determine the effectiveness of IgG specific to soluble antigens in treating immune thrombocytopenic purpura. Mice experimentally treated with soluble OVA + anti-OVA versus mice treated with OVA conjugated to rbcs (OVA-rbcs) + anti-OVA were compared. In both situations, mice were protected from ITP. Both these experimental therapeutic regimes acted in a complement-independent fashion and both also blocked reticuloendothelial function. In contrast to OVA-rbcs + anti-OVA, soluble OVA + anti-OVA (as well as IVIg) did not have any effect on thrombocytopenia in mice lacking the inhibitory receptor FcγRIIB (FcγRIIB–/– mice). Similarly, antibodies reactive with the endogenous soluble antigens albumin and transferrin also ameliorated ITP in an FcγRIIB-dependent manner. Finally, broadening the significance of these experiments was the finding that anti-albumin was protective in a K/BxN serum–induced arthritis model. We conclude that IgG antibodies directed to soluble antigens ameliorated 2 disparate IVIg-treatable autoimmune diseases.
The Journal of Clinical Investigation