PMID- 9814697 OWN - NLM STAT- MEDLINE DCOM- 19990318 LR - 20191102 IS - 0961-2033 (Print) IS - 0961-2033 (Linking) VI - 7 Suppl 2 DP - 1998 TI - A chemically defined, toleragen-based approach for targeting anti-beta2-glycoprotein I antibodies. PG - S166-9 AB - Antiphospholipid syndrome is characterized by a prothrombotic state and the presence of beta2-glycoprotein I (beta2-GPI)-dependent antiphospholipid antibodies. The feasibility of a B cell tolerance-based approach for specific reduction of anti-beta2-GPI antibodies was investigated. Anti-beta2-GPI antibodies isolated from a patient with antiphospholipid syndrome were used to screen peptide libraries expressed in phage, resulting in the identification of a phage that specifically bound anti-beta2-GPI antibodies. The phage-displayed peptide was identified and chemically optimized to generate a synthetic 14-mer peptide with an internal thioether linkage (LJP 685) that retained the binding profile of the original phage. LJP 685 was conjugated to a defined, non-immunogenic organic platform to generate a tetravalent presentation of LJP 685 for use as a toleragen. Tetravalent LJP 685 induced a dose-dependent reduction in antibody levels in mice previously immunized and boosted with LJP 685 coupled to the carrier keyhole limpet hemocyanin. These experiments support the technical feasibility of a tolerance-based approach for reducing anti-beta2-GPI antibodies in vivo. FAU - Iverson, G M AU - Iverson GM AD - La Jolla Pharmaceutical Company, San Diego, CA 92121, USA. FAU - Jones, D S AU - Jones DS FAU - Marquis, D AU - Marquis D FAU - Linnik, M D AU - Linnik MD FAU - Victoria, E J AU - Victoria EJ LA - eng PT - Journal Article PL - England TA - Lupus JT - Lupus JID - 9204265 RN - 0 (Antibodies, Anticardiolipin) RN - 0 (Autoantigens) RN - 0 (Epitopes) RN - 0 (Glycoproteins) RN - 0 (LJP 685) RN - 0 (Oligonucleotides) RN - 0 (Peptide Fragments) RN - 0 (Peptides, Cyclic) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Amino Acid Sequence MH - Animals MH - Antibodies, Anticardiolipin/biosynthesis/*immunology/isolation & purification MH - Antibody Specificity MH - Antiphospholipid Syndrome/immunology/*therapy MH - Autoantigens/*immunology MH - Autoimmune Diseases/immunology/*therapy MH - B-Lymphocytes/*immunology MH - Bacteriophages/genetics MH - Chromatography, Affinity MH - Clonal Anergy MH - *Desensitization, Immunologic MH - Epitopes/*immunology/isolation & purification MH - Feasibility Studies MH - Female MH - Genetic Vectors/genetics MH - Glycoproteins/chemistry/*immunology MH - Humans MH - Mice MH - Mice, Inbred C57BL MH - Middle Aged MH - Molecular Sequence Data MH - Oligonucleotides/chemistry/immunology/*therapeutic use MH - Peptide Fragments/genetics/*immunology MH - Peptides, Cyclic/genetics/*immunology MH - beta 2-Glycoprotein I EDAT- 1998/11/14 00:00 MHDA- 1998/11/14 00:01 CRDT- 1998/11/14 00:00 PHST- 1998/11/14 00:00 [pubmed] PHST- 1998/11/14 00:01 [medline] PHST- 1998/11/14 00:00 [entrez] AID - 10.1177/096120339800700236 [doi] PST - ppublish SO - Lupus. 1998;7 Suppl 2:S166-9. doi: 10.1177/096120339800700236.