M. Borretzen et al., CONTROL OF AUTOANTIBODY AFFINITY BY SELECTION AGAINST AMINO-ACID REPLACEMENTS IN THE COMPLEMENTARITY-DETERMINING REGIONS, Proceedings of the National Academy of Sciences of the United Statesof America, 91(26), 1994, pp. 12917-12921
Rheumatoid factor (RF) autoantibodies can be produced in healthy indiv
iduals after infections or immunizations and thus escape normal toleri
zation mechanisms. It has not been clear whether such autoantibodies c
an undergo somatic hypermutation and affinity maturation similar to an
tibodies to exogenous antigens. We have investigated how these autoant
ibodies are regulated in normal individuals by analyzing the sequences
of monoclonal IgM RFs obtained as hybridomas from donors after immuni
zation. The variable regions undergo extensive hypermutation, but in c
ontrast to antibodies against exogenous antigens, there is a strong se
lection against mutations that result in replacement of amino acids in
the hypervariable, or complementarity-determining, regions. Furthermo
re, we found no increase in affinity of these RFs with the accumulatio
n of mutations. This suggests that high-affinity variants are tolerize
d during the hypermutation process and there is a peripheral mechanism
operating on certain autoreactive B cells that, while not deleting of
anergizing all autoreactive cells, prevents the generation of high-af
finity autoantibodies. Comparison of RFs by using the V(H)1 DP-10 heav
y chain variable region segment from both normal individuals and rheum
atoid arthritis (RA) patients suggests that RF from RA patients may no
t be subject to such a controlling mechanism.