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Group name PlateformePP2I
Item Type Journal Article
Title 4C3 Human Monoclonal Antibody: A Proof of Concept for Non-pathogenic Proteinase 3 Anti-neutrophil Cytoplasmic Antibodies in Granulomatosis With Polyangiitis
Creator Granel et al.
Author Jérôme Granel
Author Roxane Lemoine
Author Eric Morello
Author Yann Gallais
Author Julie Mariot
Author Marion Drapeau
Author Astrid Musnier
Author Anne Poupon
Author Martine Pugnière
Author Seda Seren
Author Dalila Nouar
Author Valérie Gouilleux-Gruart
Author Hervé Watier
Author Brice Korkmaz
Author Cyrille Hoarau
Abstract Granulomatosis with polyangiitis (GPA) is a severe autoimmune vasculitis associated with the presence of anti-neutrophil cytoplasmic antibodies (ANCA) mainly targeting proteinase 3 (PR3), a neutrophilic serine proteinase. PR3-ANCA binding to membrane-bound PR3 on neutrophils induce their auto-immune activation responsible for vascular lesions. However, the correlation between PR3-ANCA level and disease activity remains inconsistent, suggesting the existence of non-pathogenic PR3-ANCA. In order to prove their existence, we immortalized B lymphocytes from blood samples of GPA patients in remission having persistent PR3-ANCA to isolate non-activating PR3-ANCA. We obtained for the first time a non-activating human IgG1? anti-PR3 monoclonal antibody (mAb) named 4C3. This new mAb binds soluble PR3 with a high affinity and membrane-bound PR3 on an epitope close to the PR3 hydrophobic patch and in the vicinity of the active site. 4C3 is able to bind Fc?RIIA and Fc?RIIIB and has a G2F glycosylation profile on asparagine 297. 4C3 did not induce activation of neutrophils and could inhibit human polyclonal PR3-ANCA-induced activation suggesting that 4C3 is non-pathogenic. This characteristic relies on the recognized epitope on PR3 rather than to the Fc portion properties. The existence of non-pathogenic PR3-ANCA, which do not activate neutrophils, could explain the persistence of high PR3-ANCA levels in some GPA patients in remission and why PR3-ANCA would not predict relapse. Finally, these results offer promising perspectives particularly regarding the understanding of PR3-ANCA pathogenicity and the development of new diagnostic and therapeutic strategies in GPA.
Publication Frontiers in Immunology
Volume 11
Pages 573040
Date 2020
Journal Abbr Front Immunol
Language eng
DOI 10.3389/fimmu.2020.573040
ISSN 1664-3224
Short Title 4C3 Human Monoclonal Antibody
Library Catalog PubMed
Extra 00000 PMID: 33101296 PMCID: PMC7546423
Tags anti-neutrophil cytoplasmic antibodies, author, epitope, granulomatosis with polyangiitis, human neutrophils, original, pp2i, proteinase 3
Date Added 2020/11/05 - 11:17:37
Date Modified 2021/01/06 - 16:41:27
Notes and Attachments PubMed entry (Attachment)


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