Anticardiolipin antibodies (aCL) found in sera from patients with anti
phospholipid syndrome recognize a cryptic epitope that appears on the
beta 2-glycoprotein I (beta 2-GPI) molecule when beta 2-GPI interacts
with a lipid membrane composed of negatively charged phospholipid or w
hen beta 2-GPI is adsorbed on a polyoxygenated polystyrene plate. A ho
mology based model of beta 2-GPI was constructed based on the NMR coor
dinates of sushi domains of human factor H. The conformation was like
a cylinder consisting of five domains, its IV and V domains being glue
d by electrostatic interaction. We used phage-displayed random peptide
libraries to search the epitopes of human aCL. Structures similar to
consensus sequences selected by a biopanning method was found on domai
n IV of beta 2-GPI.