Identification of myelin basic proteins in circulating immune complexes associated with lepromatous leprosy

B Córsico1, M V Croce, R Mukherjee

  • 1Centro de Investigaciones Immunológicas Básicas y Aplicadas (CINIBA), Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Argentina.

Insights

Circulating immune complexes (CIC) in lepromatous leprosy patients contain myelin basic proteins (MBP). This finding suggests a role for MBP in leprosy nerve damage and demyelination.

Area of Science:

  • Immunology
  • Neurology
  • Infectious Diseases

Background:

  • Lepromatous leprosy (LL) is associated with nerve damage.
  • Circulating immune complexes (CIC) are implicated in autoimmune and infectious diseases.

Purpose of the Study:

  • To investigate the presence of neural antigens within CIC from LL patients.
  • To explore the potential role of CIC-associated antigens in leprosy pathogenesis.

Main Methods:

  • Measurement of CIC using 125I-C1q binding assay and PEG precipitation.
  • Isolation and characterization of CIC using affinity chromatography (Protein A-Sepharose).
  • Analysis of CIC components by SDS-PAGE and Western blotting with neural antigen antibodies.

Main Results:

  • High levels of CIC detected in LL patients (95% by 125I-C1q, 90% by PEG).
  • LL-CIC precipitates and eluates showed significant reactivity with anti-myelin basic protein (MBP) antibodies (76% and 71%, respectively).
  • No reactivity was observed with antibodies against glial fibrillary acidic proteins, S-100, or neurofilaments.

Conclusions:

  • Lepromatous leprosy CIC contain myelin basic protein (MBP) as a significant antigen.
  • MBP in LL-CIC may contribute to leprosy pathogenesis through autoimmune responses to nerve damage.
  • This mechanism could be crucial in the demyelination and nerve destruction observed in leprosy.

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