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Subepidermal blistering induced by human autoantibodies to BP180 requires innate immune players in a humanized bullous pemphigoid mouse model

Zhi Liu*, Wen Sui, Minglang Zhao, Zhuowei Li, Ning Li, Randy Thresher, George J. Giudice, Janet A. Fairley, Cassian Sitaru, Detlef Zillikens, Gang Ning, M. Peter Marinkovich, Luis A. Diaz

*Corresponding author for this work

Abstract

Bullous pemphigoid (BP) is a cutaneous autoimmune inflammatory disease associated with subepidermal blistering and autoantibodies against BP180, a transmembrane collagen and major component of the hemidesmosome. Numerous inflammatory cells infiltrate the upper dermis in BP. IgG autoantibodies in BP fix complement and target multiple BP180 epitopes that are highly clustered within a non-collagen linker domain, termed NC16A. Anti-BP180 antibodies induce BP in mice. In this study, we generated a humanized mouse strain, in which the murine BP180NC14A is replaced with the homologous human BP180NC16A epitope cluster region. We show that the humanized NC16A (NC16A+/+) mice injected with anti-BP180NC16A autoantibodies develop BP-like subepidermal blisters. The F(ab′)2 fragments of pathogenic IgG fail to activate the complement cascade and are no longer pathogenic. The NC16A+/+ mice pretreated with mast cell activation blocker or depleted of complement or neutrophils become resistant to BP. These findings suggest that the humoral response in BP critically depends on innate immune system players.

Original languageEnglish
JournalJournal of Autoimmunity
Volume31
Issue number4
Pages (from-to)331-338
Number of pages8
ISSN0896-8411
DOIs
Publication statusPublished - 12.2008

Funding

We thank Dr. Pamela Groben for routine histology, Shiliang Wang and Sarah Rice for their excellent technical assistance, and Eric Bankaitis for assistance with manuscript preparation. We are indebted to Dr. Lowell Goldsmith and Lisa Leighty for their critical reading of the manuscript. This work was supported in part by U.S. Public Health Service NIH grants AI40768 and AI61430 (Z.L.), AR052109 and AR053313 (N.L.), AR32599 and AR32081 (L.A.D.). R01CA129443-02 and R01AR047223 and VA Palo Alto Office of Research and Development (M.P.M).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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