Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia

Previously, we described a group of patients with hemocytopenia who did not conform to diagnostic criteria of known hematological and nonhematological diseases. Most patients responded well to adrenocortical hormone and/or high-dose intravenous immunoglobulin treatment, indicating that cytopenia mig...

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Main Authors: Hui Liu, Rong Fu, Yihao Wang, Hong Liu, Lijuan Li, Honglei Wang, Jin Chen, Hong Yu, Zonghong Shao
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2013/297678
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author Hui Liu
Rong Fu
Yihao Wang
Hong Liu
Lijuan Li
Honglei Wang
Jin Chen
Hong Yu
Zonghong Shao
author_facet Hui Liu
Rong Fu
Yihao Wang
Hong Liu
Lijuan Li
Honglei Wang
Jin Chen
Hong Yu
Zonghong Shao
author_sort Hui Liu
collection DOAJ
description Previously, we described a group of patients with hemocytopenia who did not conform to diagnostic criteria of known hematological and nonhematological diseases. Most patients responded well to adrenocortical hormone and/or high-dose intravenous immunoglobulin treatment, indicating that cytopenia might be mediated by autoantibodies. Autoantibodies were detected on the membrane of various bone marrow (BM) hemopoietic cells by bone marrow mononuclear-cell-Coombs test or flow cytometric analysis. Thus, the hemocytopenia was termed “Immunorelated Pancytopenia” (IRP) to distinguish it from other pancytopenias. Autoantigens in IRP were investigated by membrane protein extraction from BM hemopoietic cells and BM supernatant from IRP patients. Autoantibody IgG was detected in the BM supernatant of 75% of patients (15/20), which was significantly higher than that in aplastic anemia, myelodysplastic syndrome, or autoimmune hemolytic anemia patients (0%) and normal healthy controls (0%) (P<0.01). Autoantigens had approximate molecular weights of 25, 30, 47.5, 60, 65, 70, and 80 kDa, some of which were further identified by mass fingerprinting. This study identified that a G-protein-coupled receptor 156 variant and chain P, a crystal structure of the cytoplasmic domain of human erythrocyte band-3 protein, were autoantigens in IRP. Further studies are needed to confirm the antigenicity of these autoantigens.
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spelling doaj-art-d999d1c416d04b6aa5bb5e23134c01852025-02-03T06:14:15ZengWileyClinical and Developmental Immunology1740-25221740-25302013-01-01201310.1155/2013/297678297678Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated PancytopeniaHui Liu0Rong Fu1Yihao Wang2Hong Liu3Lijuan Li4Honglei Wang5Jin Chen6Hong Yu7Zonghong Shao8Department of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaDepartment of Hematology, Tianjin Medical University General Hospital, 154 Anshan Street, Heping District, Tianjin 300052, ChinaPreviously, we described a group of patients with hemocytopenia who did not conform to diagnostic criteria of known hematological and nonhematological diseases. Most patients responded well to adrenocortical hormone and/or high-dose intravenous immunoglobulin treatment, indicating that cytopenia might be mediated by autoantibodies. Autoantibodies were detected on the membrane of various bone marrow (BM) hemopoietic cells by bone marrow mononuclear-cell-Coombs test or flow cytometric analysis. Thus, the hemocytopenia was termed “Immunorelated Pancytopenia” (IRP) to distinguish it from other pancytopenias. Autoantigens in IRP were investigated by membrane protein extraction from BM hemopoietic cells and BM supernatant from IRP patients. Autoantibody IgG was detected in the BM supernatant of 75% of patients (15/20), which was significantly higher than that in aplastic anemia, myelodysplastic syndrome, or autoimmune hemolytic anemia patients (0%) and normal healthy controls (0%) (P<0.01). Autoantigens had approximate molecular weights of 25, 30, 47.5, 60, 65, 70, and 80 kDa, some of which were further identified by mass fingerprinting. This study identified that a G-protein-coupled receptor 156 variant and chain P, a crystal structure of the cytoplasmic domain of human erythrocyte band-3 protein, were autoantigens in IRP. Further studies are needed to confirm the antigenicity of these autoantigens.http://dx.doi.org/10.1155/2013/297678
spellingShingle Hui Liu
Rong Fu
Yihao Wang
Hong Liu
Lijuan Li
Honglei Wang
Jin Chen
Hong Yu
Zonghong Shao
Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia
Clinical and Developmental Immunology
title Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia
title_full Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia
title_fullStr Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia
title_full_unstemmed Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia
title_short Detection and Analysis of Autoantigens Targeted by Autoantibodies in Immunorelated Pancytopenia
title_sort detection and analysis of autoantigens targeted by autoantibodies in immunorelated pancytopenia
url http://dx.doi.org/10.1155/2013/297678
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