Molecular structure of human GM-CSF in complex with a disease-associated anti-human GM-CSF autoantibody and its

Michaela Blech1, Daniel Seeliger, Barbara Kistler

  • 1Department of Lead Identification and Optimization Support, Structural Research Group, Boehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Strasse 65, 88397 Biberach, Germany. michaela.blech@boehringer-ingelheim.com

Insights

Researchers determined the structure of an autoantibody targeting granulocyte-macrophage colony-stimulating factor (GM-CSF). This autoantibody, MB007, found in pulmonary alveolar proteinosis, shows limited GM-CSF neutralization, offering insights into autoimmune disease mechanisms.

Area of Science:

  • Structural biology
  • Immunology
  • Biochemistry

Background:

  • Autoantibodies against granulocyte-macrophage colony-stimulating factor (GM-CSF) are characteristic of pulmonary alveolar proteinosis (PAP) and other autoimmune conditions.
  • MB007 is a high-affinity autoantibody targeting human GM-CSF, isolated from a PAP patient, with modest neutralization capacity.

Purpose of the Study:

  • To determine the crystal structure of the MB007 autoantibody-binding fragment (Fab).
  • To model the complex between MB007 and human GM-CSF.
  • To elucidate the structural basis for the autoantibody's mode of action.

Main Methods:

  • X-ray crystallography was used to determine the Fab structure at 1.9 Å resolution.
  • Nuclear Magnetic Resonance (NMR) chemical shift perturbation and computational methods were employed to model the antigen-autoantibody complex.
  • The modelled complex was superimposed with the human GM-CSF-receptor complex.

Main Results:

  • The crystal structure of the human IgG1λ autoantibody Fab fragment (MB007) targeting GM-CSF was determined.
  • The CDR3-H region of MB007 significantly differs from previously reported VH7 germline IgG1 structures.
  • The modelled complex revealed minimal overlap between the autoantibody and the GM-CSF receptor binding sites.

Conclusions:

  • The study provides the first crystal structure of a cytokine-directed human autoantibody Fab fragment.
  • The structural model offers insights into how MB007 binds GM-CSF without significantly blocking receptor interaction.
  • This work lays the foundation for understanding the structural mechanisms underlying autoimmune diseases involving anti-GM-CSF autoantibodies.