Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis

ObjectiveTo identify the target antigen of an anti-nuclear autoantibody (ANA) from a patient with a suspected systemic autoimmune disease and to study the autoantibody’s clinical association.MethodsThe index patient serum was screened for autoantibodies using indirect immunofluorescence assay (IFA)...

Full description

Saved in:
Bibliographic Details
Main Authors: Zitao Zeng, Ramona Miske, Madeleine Scharf, Yvonne Denno, Anthonina Ott, Stefanie Brakopp, Bianca Teegen, Winfried Stöcker, Elise Siegert, Sandra Saschenbrecker, Christian Probst, Lars Komorowski
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1477365/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832592433381113856
author Zitao Zeng
Ramona Miske
Madeleine Scharf
Yvonne Denno
Anthonina Ott
Stefanie Brakopp
Bianca Teegen
Winfried Stöcker
Elise Siegert
Elise Siegert
Sandra Saschenbrecker
Christian Probst
Lars Komorowski
author_facet Zitao Zeng
Ramona Miske
Madeleine Scharf
Yvonne Denno
Anthonina Ott
Stefanie Brakopp
Bianca Teegen
Winfried Stöcker
Elise Siegert
Elise Siegert
Sandra Saschenbrecker
Christian Probst
Lars Komorowski
author_sort Zitao Zeng
collection DOAJ
description ObjectiveTo identify the target antigen of an anti-nuclear autoantibody (ANA) from a patient with a suspected systemic autoimmune disease and to study the autoantibody’s clinical association.MethodsThe index patient serum was screened for autoantibodies using indirect immunofluorescence assay (IFA) and line blots (membrane strips coated with parallel lines of different purified antigens). Immunoprecipitation with fixed HEp-2 cells followed by SDS-PAGE and MALDI-TOF mass spectrometry was used to identify the autoantigen, which was verified by competitive inhibition experiments, recombinant HEK293 cell-based IFA, and Western and line blots based on the recombinant antigen. The prevalence of autoantibodies against this antigen was studied in 693 patients with systemic autoimmune rheumatic diseases (SARD) and 150 healthy controls.ResultsThe index patient serum displayed a homogeneous nucleolar staining pattern on HEp-2 cells and monkey liver by IFA but did not react with 27 known nuclear antigens. Nuclear valosin-containing-protein-like (NVL) was identified as the ANA target antigen. Preincubation with recombinant NVL abolished the reactivity of the patient serum with HEp-2 cells in IFA. Additionally, the patient serum reacted with recombinant NVL in cell-based IFA and Western blot analysis, whereas sera from 15 healthy controls were nonreactive. Using line blots coated with recombinant NVL, anti-NVL autoantibodies were exclusively found in four out of 378 patients with systemic sclerosis, but neither in 315 patients with other SARD nor in 150 healthy controls.ConclusionThese findings indicate that autoantibodies against NVL may be a suitable marker to help narrowing the serological gap in systemic sclerosis.
format Article
id doaj-art-bb51752fd7514cba874e2435741aa006
institution Kabale University
issn 2296-858X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-bb51752fd7514cba874e2435741aa0062025-01-21T08:36:55ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14773651477365Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosisZitao Zeng0Ramona Miske1Madeleine Scharf2Yvonne Denno3Anthonina Ott4Stefanie Brakopp5Bianca Teegen6Winfried Stöcker7Elise Siegert8Elise Siegert9Sandra Saschenbrecker10Christian Probst11Lars Komorowski12Institute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyClinical Immunological Laboratory, Groß Grönau, GermanyClinical Immunological Laboratory, Groß Grönau, GermanyDepartment of Rheumatology and Clinical Immunology, Charité – Universitätsmedizin Berlin, Berlin, GermanyBerlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyInstitute for Experimental Immunology, affiliated to EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, GermanyObjectiveTo identify the target antigen of an anti-nuclear autoantibody (ANA) from a patient with a suspected systemic autoimmune disease and to study the autoantibody’s clinical association.MethodsThe index patient serum was screened for autoantibodies using indirect immunofluorescence assay (IFA) and line blots (membrane strips coated with parallel lines of different purified antigens). Immunoprecipitation with fixed HEp-2 cells followed by SDS-PAGE and MALDI-TOF mass spectrometry was used to identify the autoantigen, which was verified by competitive inhibition experiments, recombinant HEK293 cell-based IFA, and Western and line blots based on the recombinant antigen. The prevalence of autoantibodies against this antigen was studied in 693 patients with systemic autoimmune rheumatic diseases (SARD) and 150 healthy controls.ResultsThe index patient serum displayed a homogeneous nucleolar staining pattern on HEp-2 cells and monkey liver by IFA but did not react with 27 known nuclear antigens. Nuclear valosin-containing-protein-like (NVL) was identified as the ANA target antigen. Preincubation with recombinant NVL abolished the reactivity of the patient serum with HEp-2 cells in IFA. Additionally, the patient serum reacted with recombinant NVL in cell-based IFA and Western blot analysis, whereas sera from 15 healthy controls were nonreactive. Using line blots coated with recombinant NVL, anti-NVL autoantibodies were exclusively found in four out of 378 patients with systemic sclerosis, but neither in 315 patients with other SARD nor in 150 healthy controls.ConclusionThese findings indicate that autoantibodies against NVL may be a suitable marker to help narrowing the serological gap in systemic sclerosis.https://www.frontiersin.org/articles/10.3389/fmed.2024.1477365/fullANAanti-nuclear autoantibodiesautoimmune diseasebiomarkerdiagnosisnuclear valosin-containing-protein-like
spellingShingle Zitao Zeng
Ramona Miske
Madeleine Scharf
Yvonne Denno
Anthonina Ott
Stefanie Brakopp
Bianca Teegen
Winfried Stöcker
Elise Siegert
Elise Siegert
Sandra Saschenbrecker
Christian Probst
Lars Komorowski
Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis
Frontiers in Medicine
ANA
anti-nuclear autoantibodies
autoimmune disease
biomarker
diagnosis
nuclear valosin-containing-protein-like
title Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis
title_full Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis
title_fullStr Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis
title_full_unstemmed Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis
title_short Identification of nuclear valosin-containing-protein-like as a target of anti-nuclear autoantibodies in systemic sclerosis
title_sort identification of nuclear valosin containing protein like as a target of anti nuclear autoantibodies in systemic sclerosis
topic ANA
anti-nuclear autoantibodies
autoimmune disease
biomarker
diagnosis
nuclear valosin-containing-protein-like
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1477365/full
work_keys_str_mv AT zitaozeng identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT ramonamiske identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT madeleinescharf identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT yvonnedenno identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT anthoninaott identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT stefaniebrakopp identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT biancateegen identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT winfriedstocker identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT elisesiegert identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT elisesiegert identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT sandrasaschenbrecker identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT christianprobst identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis
AT larskomorowski identificationofnuclearvalosincontainingproteinlikeasatargetofantinuclearautoantibodiesinsystemicsclerosis