CLONING AND ANALYSIS OF IGC-KAPPA AND IGG-LAMBDA ANTITHYROGLOBULIN AUTOANTIBODIES FROM A PATIENT WITH HASHIMOTOS-THYROIDITIS - EVIDENCE FORIN-VIVO ANTIGEN-DRIVEN REPERTOIRE SELECTION
Rs. Mcintosh et al., CLONING AND ANALYSIS OF IGC-KAPPA AND IGG-LAMBDA ANTITHYROGLOBULIN AUTOANTIBODIES FROM A PATIENT WITH HASHIMOTOS-THYROIDITIS - EVIDENCE FORIN-VIVO ANTIGEN-DRIVEN REPERTOIRE SELECTION, The Journal of immunology, 157(2), 1996, pp. 927-935
Antibodies to thyroglobulin (Tg) are commonly found in patients with t
he autoimmune thyroid diseases Graves' disease and Hashimoto's thyroid
itis as well as in individuals with apparently normal thyroid function
. Although it is not clear how Tg Abs are involved in the pathology of
the diseases, the study and analysis of these Abs may nevertheless be
instructive in allowing the development of an Ab response to an autoi
mmune disease-associated self Ag to be followed. We have prepared IgG
kappa and lambda phage display combinatorial libraries from the cervic
al lymph node of a single Hashimoto's thyroiditis patient with a high
anti-Tg titer. These were selected with purified human Tg, and 10 IgG
kappa and 9 IgG lambda clones were analyzed further. Sequence analysis
of the clones showed a very highly restricted heavy chain usage and a
less restricted light chain usage. There was a variable degree of div
ergence from germ-line sequence in the light chain sequences, with a c
lear relationship between relatively higher affinity of the Fab for hu
man Tg and an increased degree of somatic hypermutation. The Tg-select
ed Fab did not bind to Tg from other species, to reduced denatured Tg,
or to thyroid peroxidase. The Fab inhibited patient serum binding to
human Tg by between 39 and 79%. In summary, we have isolated 19 high a
ffinity, human Tg-specific Fab and shown that the relative affinity of
the Fab is directly related to the pattern of somatic hypermutation.