Neutralization and clearance of GM-CSF by autoantibodies in pulmonary alveolar proteinosis

Verfasser / Beitragende:
[Luca Piccoli, Ilaria Campo, Chiara S. Fregni, Blanca M. Fernandez Rodriguez, Andrea Minola, Federica; id_orcid 0000-0003-3750-2752 Sallusto, Maurizio Luisetti, Davide Corti, Antonio Lanzavecchia]
Ort, Verlag, Jahr:
2015
Enthalten in:
Nature Communications, 6, p. 7375
Format:
Artikel (online)
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024 7 0 |a 10.3929/ethz-b-000102531  |2 doi 
024 7 0 |a 10.1038/ncomms8375  |2 doi 
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245 0 0 |a Neutralization and clearance of GM-CSF by autoantibodies in pulmonary alveolar proteinosis  |h [Elektronische Daten]  |c [Luca Piccoli, Ilaria Campo, Chiara S. Fregni, Blanca M. Fernandez Rodriguez, Andrea Minola, Federica; id_orcid 0000-0003-3750-2752 Sallusto, Maurizio Luisetti, Davide Corti, Antonio Lanzavecchia] 
246 0 |a Nat Commun 
506 |a Open access  |2 ethresearch 
520 3 |a Pulmonary alveolar proteinosis (PAP) is a severe autoimmune disease caused by autoantibodies that neutralize GM-CSF resulting in impaired function of alveolar macrophages. In this study, we characterize 21 GM-CSF autoantibodies from PAP patients and find that somatic mutations critically determine their specificity for the self-antigen. Individual antibodies only partially neutralize GM-CSF activity using an in vitro bioassay, depending on the experimental conditions, while, when injected in mice together with human GM-CSF, they lead to the accumulation of a large pool of circulating GM-CSF that remains partially bioavailable. In contrast, a combination of three non-cross-competing antibodies completely neutralizes GM-CSF activity in vitro by sequestering the cytokine in high-molecular-weight complexes, and in vivo promotes the rapid degradation of GM-CSF-containing immune complexes in an Fc-dependent manner. Taken together, these findings provide a plausible explanation for the severe phenotype of PAP patients and for the safety of treatments based on single anti-GM-CSF monoclonal antibodies. 
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700 1 |a Piccoli  |D Luca  |e joint author 
700 1 |a Campo  |D Ilaria  |e joint author 
700 1 |a Fregni  |D Chiara S.  |e joint author 
700 1 |a Fernandez Rodriguez  |D Blanca M.  |e joint author 
700 1 |a Minola  |D Andrea  |e joint author 
700 1 |a Sallusto  |D Federica; id_orcid 0000-0003-3750-2752  |e joint author 
700 1 |a Luisetti  |D Maurizio  |e joint author 
700 1 |a Corti  |D Davide  |e joint author 
700 1 |a Lanzavecchia  |D Antonio  |e joint author 
773 0 |t Nature Communications  |d London : Nature Publishing Group  |g 6, p. 7375  |x 2041-1723 
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950 |B ETHRESEARCH  |P 700  |E 1-  |a Piccoli  |D Luca  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Campo  |D Ilaria  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Fregni  |D Chiara S.  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Fernandez Rodriguez  |D Blanca M.  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Minola  |D Andrea  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Sallusto  |D Federica; id_orcid 0000-0003-3750-2752  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Luisetti  |D Maurizio  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Corti  |D Davide  |e joint author 
950 |B ETHRESEARCH  |P 700  |E 1-  |a Lanzavecchia  |D Antonio  |e joint author 
950 |B ETHRESEARCH  |P 773  |E 0-  |t Nature Communications  |d London : Nature Publishing Group  |g 6, p. 7375  |x 2041-1723 
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