Gerhards, R.* ; Pfeffer, L.K.* ; Lorenz, J.* ; Starost, L.* ; Nowack, L.* ; Thaler, F.S.* ; Schlüter, M.* ; Rübsamen, H.* ; Macrini, C.* ; Winklmeier, S.* ; Mader, S.* ; Bronge, M.* ; Grönlund, H.* ; Feederle, R. ; Hsia, H.E.* ; Lichtenthaler, S.F.* ; Merl-Pham, J. ; Hauck, S.M. ; Kuhlmann, T.* ; Bauer, I.J.* ; Beltran, E.* ; Gerdes, L.A.* ; Mezydlo, A.* ; Bar-Or, A.* ; Banwell, B.* ; Khademi, M.* ; Olsson, T.* ; Hohlfeld, R.* ; Lassmann, H.* ; Kümpfel, T.* ; Kawakami, N.* ; Meinl, E.*
Oligodendrocyte myelin glycoprotein as a novel target for pathogenic autoimmunity in the CNS.
Acta Neuropathol. Commun. 8:207 (2020)
Autoimmune disorders of the central nervous system (CNS) comprise a broad spectrum of clinical entities. The stratification of patients based on the recognized autoantigen is of great importance for therapy optimization and for concepts of pathogenicity, but for most of these patients, the actual target of their autoimmune response is unknown. Here we investigated oligodendrocyte myelin glycoprotein (OMGP) as autoimmune target, because OMGP is expressed specifically in the CNS and there on oligodendrocytes and neurons. Using a stringent cell-based assay, we detected autoantibodies to OMGP in serum of 8/352 patients with multiple sclerosis, 1/28 children with acute disseminated encephalomyelitis and unexpectedly, also in one patient with psychosis, but in none of 114 healthy controls. Since OMGP is GPI-anchored, we validated its recognition also in GPI-anchored form. The autoantibodies to OMGP were largely IgG1 with a contribution of IgG4, indicating cognate T cell help. We found high levels of soluble OMGP in human spinal fluid, presumably due to shedding of the GPI-linked OMGP. Analyzing the pathogenic relevance of autoimmunity to OMGP in an animal model, we found that OMGP-specific T cells induce a novel type of experimental autoimmune encephalomyelitis dominated by meningitis above the cortical convexities. This unusual localization may be directed by intrathecal uptake and presentation of OMGP by meningeal phagocytes. Together, OMGP-directed autoimmunity provides a new element of heterogeneity, helping to improve the stratification of patients for diagnostic and therapeutic purposes.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Autoantigen ; Autoimmunity ; Multiple Sclerosis ; Neuroinflammation; Cd8(+) T-cells; Multiple-sclerosis; Cerebrospinal-fluid; B-cells; Antibodies; Antigens; Receptor; Encephalomyelitis; Autoantibodies; Identification
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2020
Prepublished im Jahr
HGF-Berichtsjahr
2020
ISSN (print) / ISBN
e-ISSN
2051-5960
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 8,
Heft: 1,
Seiten: ,
Artikelnummer: 207
Supplement: ,
Reihe
Verlag
BioMed Central
Verlagsort
Campus, 4 Crinan St, London N1 9xw, England
Tag d. mündl. Prüfung
0000-00-00
Betreuer
Gutachter
Prüfer
Topic
Hochschule
Hochschulort
Fakultät
Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
POF Topic(s)
30201 - Metabolic Health
30203 - Molecular Targets and Therapies
Forschungsfeld(er)
Helmholtz Diabetes Center
Enabling and Novel Technologies
PSP-Element(e)
G-502210-001
G-505700-001
Förderungen
Verein zur Therapieforschung fur MS-Kranke
Werner Reichenberger Stiftung
Projekt DEAL
DFG
Germany's Excellence Strategy
Copyright
Erfassungsdatum
2020-12-20