PMID- 37331172 OWN - NLM STAT- MEDLINE DCOM- 20230822 LR - 20240202 IS - 1095-9157 (Electronic) IS - 0896-8411 (Print) IS - 0896-8411 (Linking) VI - 139 DP - 2023 Sep TI - Antimyeloperoxidase antibodies modulate inflammatory responses and activate profibrotic pathways in human monocytes. PG - 103060 LID - S0896-8411(23)00069-0 [pii] LID - 10.1016/j.jaut.2023.103060 [doi] LID - 103060 AB - Antimyeloperoxidase (anti-MPO) and antiproteinase 3 (anti-PR3) antibodies are found in anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV). We investigated the effect of both anti-MPO and anti-PR3 IgG on human monocytes. Peripheral blood monocytes were cultured under a range of conditions that included TLR agonists, anti-MPO IgG and anti-PR3 IgG with appropriate controls. Experiments included whole transcriptome profiling and an assessment of the role of Fc receptors. When monocytes were stimulated with LPS or R848, anti-MPO but not anti-PR3 IgG, caused a reduction in IL-10 secretion and had a profound effect on cell-surface marker expression. Anti-MPO but not anti-PR3 IgG enhanced monocyte survival in the absence of TLR stimulation. These effects depended on the Fc receptor CD32a. With TLR stimulation, the effect of anti-MPO but not anti-PR3 IgG on the transcriptional response at 6 h was variable, but we identified a core set of transcripts likely to be important. Without TLR stimulation, there was a robust effect of anti-MPO but not anti-PR3 IgG on the transcriptional response at 24 h, and there was a highly significant enrichment of genes encoding extracellular matrix and extracellular matrix-associated proteins. Analysis with nCounter confirmed many of the differentially expressed transcripts and supported a role for CD32a. These data show that anti-MPO, but not anti-PR3 IgG, from patients with AAV has wide-ranging effects on monocytes which depend on CD32a. The activation of a profibrotic transcriptional response by anti-MPO but not anti-PR3 IgG may give insights into the differences in disease phenotype. CI - Copyright (c) 2023 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Florez-Barros, Fernanda AU - Florez-Barros F AD - School of Immunology and Microbial Sciences, King's College London, UK. FAU - Bearder, Siobhan AU - Bearder S AD - School of Immunology and Microbial Sciences, King's College London, UK. FAU - Pavlidis, Polychronis AU - Pavlidis P AD - School of Immunology and Microbial Sciences, King's College London, UK. FAU - Robson, Michael G AU - Robson MG AD - School of Immunology and Microbial Sciences, King's College London, UK. Electronic address: Michael.robson@kcl.ac.uk. LA - eng GR - MR/R004870/1/MRC_/Medical Research Council/United Kingdom GR - PG/17/51/32950/BHF_/British Heart Foundation/United Kingdom GR - DH_/Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230616 PL - England TA - J Autoimmun JT - Journal of autoimmunity JID - 8812164 RN - EC 3.4.21.76 (Myeloblastin) RN - 0 (Receptors, Fc) RN - 0 (Immunoglobulin G) RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - EC 1.11.1.7 (Peroxidase) SB - IM MH - Humans MH - *Monocytes MH - Myeloblastin MH - *Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis MH - Receptors, Fc/genetics MH - Immunoglobulin G MH - Antibodies, Antineutrophil Cytoplasmic MH - Peroxidase PMC - PMC10828547 OTO - NOTNLM OT - ANCA OT - Autoantibody OT - Autoimmunity OT - Inflammation OT - Monocyte OT - Vasculitis COIS- Declaration of competing interest The authors have declared that no conflict of interest exists. EDAT- 2023/06/19 00:42 MHDA- 2023/08/22 06:42 PMCR- 2023/09/01 CRDT- 2023/06/18 18:05 PHST- 2023/03/20 00:00 [received] PHST- 2023/05/05 00:00 [revised] PHST- 2023/05/08 00:00 [accepted] PHST- 2023/08/22 06:42 [medline] PHST- 2023/06/19 00:42 [pubmed] PHST- 2023/06/18 18:05 [entrez] PHST- 2023/09/01 00:00 [pmc-release] AID - S0896-8411(23)00069-0 [pii] AID - 103060 [pii] AID - 10.1016/j.jaut.2023.103060 [doi] PST - ppublish SO - J Autoimmun. 2023 Sep;139:103060. doi: 10.1016/j.jaut.2023.103060. Epub 2023 Jun 16.