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Anti-Nuclear Antibody Screening Using HEp-2 Cells
Published on: June 24, 2014
The spindle kinesin-like protein HsEg5 is an autoantigen in systemic lupus erythematosus
C M Whitehead1, R J Winkfein, M J Fritzler
1University of Calgary, Alberta, Canada.
Objective:
Autoantibodies directed against the mitotic spindle apparatus (MSA) have been shown to target an antigen referred to as NuMA (nuclear mitotic apparatus). In this study, we identified a second MSA antigen as the spindle kinesin-like protein HsEg5. We studied the frequency of antibodies to HsEg5 in human sera that demonstrate the MSA pattern of staining, the frequency of autoantibodies to HsEg5 in patients with systemic lupus erythematosus (SLE), and the clinical features of patients with antibodies to HsEg5.
Methods:
A prototype serum from an SLE patient was used to isolate a 4.8-kilobase complementary DNA (cDNA) from a HeLa cDNA library. Western blot, immunoprecipitation, and sequence analysis revealed that the antigen was an approximately 130-kd protein, HsEg5. The frequency of autoantibodies to recombinant HsEg5 in 51 sera that demonstrated an MSA pattern of staining on HEp-2 and HeLa cells was detected by immunoblotting 2 constructs of the cDNA. The clinical features of patients with antibodies directed against HsEg5 was obtained by retrospective chart review.
Results:
The antigen responsible for the MSA-35 pattern was identified as the human kinesin-like protein HsEg5. Seven of 51 sera (14%) that demonstrated an MSA pattern of staining reacted with recombinant HsEg5. Six of 7 of the HsEg5-positive patients (86%) had SLE, and 1 had Sjögren's syndrome. The indirect immunofluorescent staining pattern of sera that reacted with HsEg5 could be distinguished from the other sera that reacted with NuMA. In an unselected cohort of 52 SLE patients, 3 (6%) had autoantibodies reactive with the recombinant HsEg5.
Conclusion:
Autoantibodies to MSA fall into 2 major classes: those reactive with NuMA and those reactive with HsEg5. Autoantibodies to HsEg5 are found in a lower frequency than NuMA in sera that demonstrate the MSA pattern of staining and appear to be specifically associated with SLE. HsEg5 can be distinguished from NuMA by indirect immunofluorescence and Western blotting.
Insights
Autoantibodies targeting the mitotic spindle apparatus (MSA) can recognize HsEg5, a protein distinct from NuMA. These HsEg5 autoantibodies are less common than NuMA autoantibodies and are specifically linked to systemic lupus erythematosus (SLE).
Area of Science:
- Immunology
- Cell Biology
- Rheumatology
Background:
- Autoantibodies against the mitotic spindle apparatus (MSA) have been identified, primarily targeting the nuclear mitotic apparatus (NuMA) protein.
- The existence of other antigens within the MSA targeted by autoantibodies remained to be fully elucidated.
Purpose of the Study:
- To identify a second autoantigen within the mitotic spindle apparatus (MSA).
- To determine the frequency of autoantibodies against the identified antigen, HsEg5, in human sera with an MSA staining pattern.
- To investigate the association of HsEg5 autoantibodies with systemic lupus erythematosus (SLE) and their clinical correlations.
Main Methods:
- Isolation and characterization of the HsEg5 antigen using cDNA library screening, Western blotting, and immunoprecipitation.
- Detection of autoantibodies against recombinant HsEg5 in 51 sera with an MSA pattern via immunoblotting.
- Retrospective chart review to ascertain clinical features of patients with HsEg5 autoantibodies.
Main Results:
- The human kinesin-like protein HsEg5 was identified as a novel MSA autoantigen.
- Autoantibodies to HsEg5 were detected in 14% of sera with an MSA pattern, with 86% of these patients having SLE.
- In an SLE cohort, 6% exhibited autoantibodies reactive to HsEg5, distinguishable from NuMA by immunofluorescence and Western blotting.
Conclusions:
- Autoantibodies to the mitotic spindle apparatus (MSA) comprise at least two distinct classes: anti-NuMA and anti-HsEg5.
- Anti-HsEg5 autoantibodies are less prevalent than anti-NuMA antibodies in MSA-pattern sera and show a specific association with SLE.
- HsEg5 autoantibodies can be differentiated from NuMA autoantibodies using standard immunological techniques.
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