An autoimmune disease variant of IgG1 modulates B cell activation and differentiation

X Chen, X Sun, W Yang, B Yang, X Zhao, S Chen, L He… - Science, 2018 - science.org
X Chen, X Sun, W Yang, B Yang, X Zhao, S Chen, L He, H Chen, C Yang, L Xiao, Z Chang…
Science, 2018science.org
The maintenance of autoreactive B cells in a quiescent state is crucial for preventing
autoimmunity. Here we identify a variant of human immunoglobulin G1 (IgG1) with a
Gly396→ Arg substitution (hIgG1-G396R), which positively correlates with systemic lupus
erythematosus. In induced lupus models, murine homolog Gly390→ Arg (G390R) knockin
mice generate excessive numbers of plasma cells, leading to a burst of broad-spectrum
autoantibodies. This enhanced production of antibodies is also observed in hapten …
The maintenance of autoreactive B cells in a quiescent state is crucial for preventing autoimmunity. Here we identify a variant of human immunoglobulin G1 (IgG1) with a Gly396→Arg substitution (hIgG1-G396R), which positively correlates with systemic lupus erythematosus. In induced lupus models, murine homolog Gly390→Arg (G390R) knockin mice generate excessive numbers of plasma cells, leading to a burst of broad-spectrum autoantibodies. This enhanced production of antibodies is also observed in hapten-immunized G390R mice, as well as in influenza-vaccinated human G396R homozygous carriers. This variant potentiates the phosphorylation of the IgG1 immunoglobulin tail tyrosine (ITT) motif. This, in turn, alters the availability of phospho-ITT to trigger longer adaptor protein Grb2 dwell times in immunological synapses, leading to hyper–Grb2–Bruton’s tyrosine kinase (Btk) signaling upon antigen binding. Thus, the hIgG1-G396R variant is important for both lupus pathogenesis and antibody responses after vaccination.
AAAS