PMID- 10479390 OWN - NLM STAT- MEDLINE DCOM- 20001019 LR - 20061115 IS - 0896-8411 (Print) IS - 0896-8411 (Linking) VI - 13 IP - 2 DP - 1999 Sep TI - Isolation and characterization of two human monoclonal anti-phospholipid IgG from patients with autoimmune disease. PG - 215-23 AB - The antigenic specificity of anti-phospholipid antibodies (APA) is a matter of intensive investigation. To further characterize these antibodies, we attempted to isolate human monoclonal APA. B-cells of patients with at least one positive test for antibodies against cardiolipin, phosphatidylserine, beta2-glycoprotein I (beta2-GPI) or the lupus anti-coagulant were immortalized by transformation with Epstein-Barr virus and screened for production of specific IgG. Positive pools were fused with a heteromyeloma cell line and APA-secreting clones were isolated by standard procedures. Two monoclonal APA, HL-5B from a 51-year-old man with primary anti-phospholipid syndrome and recurrent cerebral microinfarctions, and RR-7F from a 48-year-old women with systemic lupus erythematosus but no evidence for thrombotic events were obtained. HL-5B is of the IgG2 subtype with lambda light chains, while RR-7F is IgG2 with kappa light chains. Both monoclonals show reactivity against cardiolipin and phosphatidylserine but lack reactivity against beta2-GPI or lupus anti-coagulant activity. To yield the same OD in the cardiolipin and phosphatidylserine ELISAs RR-7F must be used in an approximately 10-fold higher concentration than HL-5B, indicating a lower affinity towards these antigens. Interestingly, both mAPA can bind to cardiolipin in the absence of beta2-GPI. They do not cross-react with dsDNA but show reactivity against oxidized low-density lipoproteins. Analysis of the heavy chain mRNA of HL-5B and RR-7F showed that both are members of the VH3 family. While HL-5B shows extensive somatic mutations in the CDR1 and 2 regions, indicating that it was derived by a T cell-dependent antigen driven process, RR-7F is apparently germline encoded. The two monoclonal APA can be used as tools in further structural and functional analyses. CI - Copyright 1999 Academic Press. FAU - von Landenberg, C AU - von Landenberg C AD - Institute for Clinical Chemistry and Laboratory Medicine, University Hospital of Regensburg, Germany. FAU - Lackner, K J AU - Lackner KJ FAU - von Landenberg, P AU - von Landenberg P FAU - Lang, B AU - Lang B FAU - Schmitz, G AU - Schmitz G LA - eng PT - Case Reports PT - Journal Article PL - England TA - J Autoimmun JT - Journal of autoimmunity JID - 8812164 RN - 0 (Antibodies, Monoclonal) RN - 0 (Autoantibodies) RN - 0 (Cardiolipins) RN - 0 (Glycoproteins) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (Immunoglobulin Variable Region) RN - 0 (Lupus Coagulation Inhibitor) RN - 0 (Phosphatidylserines) RN - 0 (Phospholipids) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Amino Acid Sequence MH - Antibodies, Monoclonal/*immunology MH - Antibody Specificity MH - Antiphospholipid Syndrome/*immunology MH - Autoantibodies/*immunology MH - Base Sequence MH - Cardiolipins/immunology MH - Female MH - Glycoproteins/immunology MH - Humans MH - Immunoglobulin G/genetics/*immunology MH - Immunoglobulin Heavy Chains/genetics MH - Immunoglobulin Variable Region/genetics MH - Lupus Coagulation Inhibitor/analysis MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Phosphatidylserines/immunology MH - Phospholipids/immunology MH - beta 2-Glycoprotein I EDAT- 1999/09/10 09:00 MHDA- 2000/10/21 11:01 CRDT- 1999/09/10 09:00 PHST- 1999/09/10 09:00 [pubmed] PHST- 2000/10/21 11:01 [medline] PHST- 1999/09/10 09:00 [entrez] AID - S0896-8411(99)90316-5 [pii] AID - 10.1006/jaut.1999.0316 [doi] PST - ppublish SO - J Autoimmun. 1999 Sep;13(2):215-23. doi: 10.1006/jaut.1999.0316.