Purpose. A host-parasite interaction is thought to be involved in the
pathogenesis of Mooren's ulcer. We have identified a cornea-associated
antigen (CO-Ag), which may be a target for the autoimmune process res
ulting in Mooren's ulcer. This study presents the cloning, expression,
and identification of a cDNA encoding human CO-Ag, Methods. Reverse t
ranscription-polymerase chain reaction (RT-PCR) was performed to ampli
fy a cDNA encoding CO-Ag in the human cornea. The cDNA fragment was cl
oned into a prokaryotic expression vector and the resulting plasmid wa
s transformed into DH5 E. coli cells. Autoantibody reactivity to the G
O-A:: fusion protein in patient sera was tested by Western blots. Resu
lts. A cDNA encoding human CO-Ag was amplified by RT-PCR. The entire m
RNA coding region was 273 nucleotides in length, predicting a 91-amino
acid protein with a molecular weight of 10,683 daltons. The cDNA sequ
ence was identical to human neutrophil calgranulin C (CaGC). Human CO-
Ag was expressed in E. coli carrying a plasmid in which the CO-Ag cDNA
was under control of the E. coli trc promoter. The CO Ag fusion prote
in, which comprised as much as 15% of the total bacterial protein, was
purified to 90% homogeneity by affinity chromatography on an immobili
zed metal column. The recombinant CO-Ag protein produced was recognize
d by autoantibodies in the sera of 6 of 15 patients with Mooren's ulce
r and none of 14 normal control sera by Western blots. Conclusion. CO-
Ag is identical to calgranulin C, a neutrophil protein found on the su
rface of filarial nematodes. A host-parasite interaction may cause aut
oimmunity to CO-Ag (CaGC) in the cornea resulting in a Mooren's ulcer.