PMID- 19032234 OWN - NLM STAT- MEDLINE DCOM- 20091130 LR - 20081126 IS - 1398-9995 (Electronic) IS - 0105-4538 (Linking) VI - 63 IP - 12 DP - 2008 Dec TI - Auto- and cross-reactivity to thioredoxin allergens in allergic bronchopulmonary aspergillosis. PG - 1617-23 LID - 10.1111/j.1398-9995.2008.01777.x [doi] AB - BACKGROUND: Thioredoxins are cross-reactive allergens involved in the pathogenesis of atopic eczema and asthma. Cross-reactivity to human thioredoxin can contribute to the exacerbation of severe atopic diseases. METHODS: Human thioredoxin, Asp f28 and Asp f29, two thioredoxins of Aspergillus fumigatus, and thioredoxin of Malassezia sympodialis were cloned and produced as recombinant proteins. Allergenicity and cross-reactivity to thioredoxins in allergic bronchopulmonary aspergillosis patients were assessed by enzyme-linked immunosorbent assay (ELISA), inhibition ELISA, immunoblot analysis, proliferation assays and skin tests. Molecular homology modelling was used to identify conserved, surface-exposed amino acids potentially involved in immunoglobulin E (IgE)-binding. RESULTS: All thioredoxins, including the human enzyme, bind IgE from patients with allergic bronchopulmonary aspergillosis and induce allergen-specific proliferation in peripheral blood mononuclear cells and positive skin reactions in thioredoxin-sensitized patients. Inhibition experiments showed that the thioredoxins are cross-reactive indicating humoral immune responses based on molecular mimicry. To identify structural surface elements involved in cross-reactivity, the three-dimensional structures were modelled based on solved thioredoxin structures. Analysis of the molecular surfaces combined with sequence alignments allowed identification of conserved solvent exposed amino acids distantly located in the linear sequences which cluster to patches of continuous surface areas. The size of the surface areas conserved between human and fungal thioredoxins correlates well with the inhibitory potential of the molecules in inhibition ELISA indicating that the shared amino acids are involved in IgE-binding. CONCLUSIONS: Conserved, solvent exposed residues shared between different thioredoxins cluster to continuous surface regions potentially forming cross-reactive conformational B-cell epitopes responsible for IgE-mediated cross-reactivity and autoreactivity. FAU - Glaser, A G AU - Glaser AG AD - Swiss Institute of Allergy and Asthma Research (SIAF), Davos, Switzerland. FAU - Menz, G AU - Menz G FAU - Kirsch, A I AU - Kirsch AI FAU - Zeller, S AU - Zeller S FAU - Crameri, R AU - Crameri R FAU - Rhyner, C AU - Rhyner C LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Allergens) RN - 0 (TXN protein, human) RN - 37341-29-0 (Immunoglobulin E) RN - 52500-60-4 (Thioredoxins) SB - IM MH - Allergens/*immunology/metabolism MH - Amino Acid Sequence MH - Aspergillosis, Allergic Bronchopulmonary/*immunology/metabolism MH - Aspergillus fumigatus/immunology MH - Autoimmune Diseases/*immunology/metabolism/*microbiology MH - Cells, Cultured MH - Cross Reactions/immunology MH - Humans MH - Immunoglobulin E/biosynthesis/blood MH - Malassezia/immunology MH - Molecular Sequence Data MH - Skin Tests MH - Thioredoxins/*immunology/*metabolism EDAT- 2008/11/27 09:00 MHDA- 2009/12/16 06:00 CRDT- 2008/11/27 09:00 PHST- 2008/11/27 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] PHST- 2008/11/27 09:00 [entrez] AID - ALL1777 [pii] AID - 10.1111/j.1398-9995.2008.01777.x [doi] PST - ppublish SO - Allergy. 2008 Dec;63(12):1617-23. doi: 10.1111/j.1398-9995.2008.01777.x.