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A human cytochrome P-450 is recognized by anti-liver/kidney microsome antibodies in autoimmune chronic hepatitis

L Kiffel1, J Loeper, J C Homberg

  • 1INSERM U 75, CHU Necker-Enfants Malades, Paris.

Insights

Researchers identified a protein, P-LKM1, recognized by anti-liver/kidney microsome autoantibodies type 1 (anti-LKM1). This protein is likely cytochrome P-450 bufI/II, crucial in chronic active hepatitis.

Area of Science:

  • Hepatology
  • Immunology
  • Biochemistry

Background:

  • Autoimmune liver diseases, such as chronic active hepatitis, can be associated with specific autoantibodies.
  • Anti-liver/kidney microsome autoantibodies type 1 (anti-LKM1) are markers found in some pediatric cases of chronic active hepatitis.
  • Understanding the target antigens of these autoantibodies is crucial for diagnosing and understanding the pathogenesis of autoimmune liver diseases.

Purpose of the Study:

  • To isolate and identify the antigen recognized by anti-LKM1 antibodies in human liver microsomes.
  • To investigate the relationship between the anti-LKM1 antigen and cytochrome P-450 enzymes.

Main Methods:

  • Purification of a protein (P-LKM1) from human liver microsomes using anti-LKM1 autoantibodies.
  • Characterization of the purified protein using rabbit antiserum against human cytochromes P-450 bufI and P-450 bufII.
  • Immunoprecipitation assays to confirm the reactivity of the P-LKM1 antigen with both anti-LKM1 sera and anti-cytochrome P-450 bufI/II antibodies.
  • Enzyme activity assays to assess the effect of anti-LKM1 antibodies on microsomal bufuralol 1'-hydroxylation.

Main Results:

  • A specific protein, designated P-LKM1, was successfully purified from human liver microsomes.
  • The purified P-LKM1 protein was recognized by a rabbit antiserum against human cytochromes P-450 bufI and P-450 bufII.
  • Immunoprecipitation confirmed that the human liver microsomal protein targeted by anti-LKM1 sera is also recognized by antibodies against cytochromes P-450 bufI/II.
  • Anti-LKM1 antibodies demonstrated potent inhibition of microsomal bufuralol 1'-hydroxylation, an activity mediated by cytochrome P-450 enzymes.

Conclusions:

  • The results strongly suggest that the LKM1 antigen is identical to cytochrome P-450 bufI/II.
  • This identification provides a molecular basis for anti-LKM1 autoantibody production in chronic active hepatitis.
  • The findings contribute to the understanding of autoimmune responses targeting specific cytochrome P-450 enzymes in liver disease.

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