Immunohistochemical studies have shown that a unique immunoreactive mo
lecule is present near the apical region of human biliary epithelial (
BE) cells in patients with primary biliary cirrhosis (PBC). This can b
e visualized by confocal microscopy in PBC livers using a number of un
ique monoclonal antibodies to the E2 component of pyruvate dehydrogena
se complex (PDC-E2), the autoantigen most commonly recognized by antim
itochondrial antibodies (AMA). One such antibody, the murine mAb C355.
1 was used to identify peptide mimotopes of PDC-E2 by screening a rand
om dodecapeptide phage library ON 159.2 to identify the possible bioch
emical nature of this apical staining molecule. Out of 36 independent
clones, 29 showed a common sequence and seven other sequences were sin
gly represented. Three common amino acid motifs (SYP, TYVS and VRH) we
re found among these eight sequences. Similar to C355.1, the human com
binatorial antibodies derived from a patient with PBC, SP1 and SP4, re
cognize the inner lipoyl domain of PDC-E2. However, when these antibod
ies are used to stain PBC BE cells, SP4 stains the apical region of PB
C BE cells with high intensity whereas SP1 produces only cytoplasmic s
taining. Competitive inhibition of immunohistochemical staining using
PDC-E2 specific human combinatorial antibodies SP1 and SP4 was perform
ed using five of the above dodecapeptides. Interestingly, the peptides
selected with C355.1 differentially inhibited the binding of SP1 and
SP4 to PBC BE cells. Finally, rabbit sera raised against one such pept
ide (WMSYPDRTLRTS) stained BE cells from patients with PBC with a high
er intensity than controls. Comparable data was obtained with immunoel
ectronmicroscopy. These data suggest that a molecular mimic of PDC-E2
is present at the external aspect of PBC BE cells. (C) 1996 Academic P
ress Limited