Comparative Immunoreactivity of Anti-trifluoroacetyl (TFA) Antibody and Anti-lipoic Acid Antibody in Primary Biliary Cirrhosis: Searching for a Mimic
Identifieur interne : 002943 ( Istex/Corpus ); précédent : 002942; suivant : 002944Comparative Immunoreactivity of Anti-trifluoroacetyl (TFA) Antibody and Anti-lipoic Acid Antibody in Primary Biliary Cirrhosis: Searching for a Mimic
Auteurs : Motoko Sasaki ; Aftab Ansari ; Neil Pumford ; Judy Van De Water ; Patrick S. C Leung ; Ken M. Humphries ; Luke I. Szweda ; Yasuni Nakanuma ; Thomas E. Roche ; Ross L. Coppel ; Jean-Francois Bach ; M. Eric GershwinSource :
- Journal of Autoimmunity [ 0896-8411 ] ; 2000.
English descriptors
- KwdEn :
- Antibody, Antimitochondrial autoantibodies, Autoantibody, Autoantibody recognition, Autoantigens, Bile, Bile ducts, Bile ductules, Biliary, Cell injury, Cirrhosis, Clinical immunology, Conformational epitope, Control rats, Coppel, Cytoplasmic, Cytoplasmic staining, Cytoplasmic staining periportal, Cytosolic fractions, Dehydrogenase, Dehydrogenase complexes, Dihydrolipoamide acetyltransferase, Dihydrolipoamide acetyltransferase subunit, Duct, Enzyme activity, Enzyme function, Focal cytoplasmic staining, Free radic, Gershwin, Glycine cleavage protein, Goat antihuman polyvalent, Halothane, Halothane hepatitis, Halothane metabolism, Healthy donors, Hepatitis, Hepatocytes, Hepatology, Higher degree, Human liver, Human liver samples, Human sera, Immune responses, Immunohistochemical staining, Inner lipoyl domain, Lipoic, Lipoic acid, Lipoyl, Lipoyl domain, Lipoyl domains, Lipoylated, Liver section, Liver sections, Liver tissues, Lysine, Lysine residue, Major autoantigen, Milk powder, Mitochondrial, Mitochondrial autoantigens, Mitochondrial enzyme, Mitochondrial proteins, Mitochondrial staining, Molecular mimicry, Monoclonal antibodies, Negative control, Normal rabbit sera, Oxidative stress, Periportal, Periportal hepatocytes, Positive control, Positive staining, Primary biliary cirrhosis, Pyruvate, Pyruvate dehydrogenase, Reaction mixture, Recombinant, Recombinant mitochondrial proteins, Room temperature, Sodium azide, Staining pattern, Subunit, Surgical hepatitis, Weak reactivity, Wild type, primary biliary cirrhosis, halothane, trifluoroacetylated protein, lipoic acid, anti-mitochondrial autoantibody, liver.
- Teeft :
- Antibody, Antimitochondrial autoantibodies, Autoantibody, Autoantibody recognition, Autoantigens, Bile, Bile ducts, Bile ductules, Biliary, Cell injury, Cirrhosis, Clinical immunology, Conformational epitope, Control rats, Coppel, Cytoplasmic, Cytoplasmic staining, Cytoplasmic staining periportal, Cytosolic fractions, Dehydrogenase, Dehydrogenase complexes, Dihydrolipoamide acetyltransferase, Dihydrolipoamide acetyltransferase subunit, Duct, Enzyme activity, Enzyme function, Focal cytoplasmic staining, Free radic, Gershwin, Glycine cleavage protein, Goat antihuman polyvalent, Halothane, Halothane hepatitis, Halothane metabolism, Healthy donors, Hepatitis, Hepatocytes, Hepatology, Higher degree, Human liver, Human liver samples, Human sera, Immune responses, Immunohistochemical staining, Inner lipoyl domain, Lipoic, Lipoic acid, Lipoyl, Lipoyl domain, Lipoyl domains, Lipoylated, Liver section, Liver sections, Liver tissues, Lysine, Lysine residue, Major autoantigen, Milk powder, Mitochondrial, Mitochondrial autoantigens, Mitochondrial enzyme, Mitochondrial proteins, Mitochondrial staining, Molecular mimicry, Monoclonal antibodies, Negative control, Normal rabbit sera, Oxidative stress, Periportal, Periportal hepatocytes, Positive control, Positive staining, Primary biliary cirrhosis, Pyruvate, Pyruvate dehydrogenase, Reaction mixture, Recombinant, Recombinant mitochondrial proteins, Room temperature, Sodium azide, Staining pattern, Subunit, Surgical hepatitis, Weak reactivity, Wild type.
Abstract
Abstract: Previous studies documenting the existence of cross-reactivity between the lipoated (but not unlipoated) forms of the inner lipoyl domain (E2L2) of PDC-E2 [the major autoantigen in Primary biliary cirrhosis (PBC)] and trifluoroacetylated (TFA) proteins, led us to hypothesize that PBC may be due to an initial insult with an environmental agent that cross-reacts with TFA. Therefore, we performed a comparative study of the reactivity of rabbit anti-TFA antibody and anti-lipoic acid (LA) antibody against the mitochondrial autoantigens of human PBC and various TFA and LA conjugated proteins. Whereas both anti-TFA and anti-LA reacted with PDC-E2, the wild-type lipoated form of E2L2, OGDC-E2, E3-BP and LA-KLH, neither reacted with BCOADC-E2 or the non-lipoated form of E2L2. Of interest was that while anti-TFA reacted with PDC-E2, TFA-RSA and LA-KLH, it failed to inhibit PDC-E2 enzyme function. In contrast, anti-LA demonstrated cytoplasmic and mitochondrial staining, and inhibited PDC enzyme activity. Hence, although considerable cross reactivity exists between anti-TFA and anti-LA, the molecular nature of the interaction is clearly different. One of 14 PBC sera reacted weakly with TFA-albumin, whereas four of 14 PBC sera reacted with LA-KLH. Immunohistochemically, both anti-TFA and anti-LA antibodies reacted focally with periportal hepatocytes and bile ducts in both PBC and controls. However, anti-LA produced much stronger focalized staining of the bile ducts of diseased liver. This study suggests that while anti-TFA antibody recognizes lipoic acid-linked enzymes and proteins, the epitope recognized differs from that of anti-LA antibody and PBC autoantibodies. It is unlikely that a response to TFA is the triggering event in PBC. Anti-LA antibodies share a higher degree of similarity to PBC sera providing suggestive evidence that anti-LA antibodies or anti-LA like antibodies (mimotopes) may help define the initiator of the autoimmune response.
Url:
DOI: 10.1006/jaut.2000.0390
Links to Exploration step
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<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Comparative Immunoreactivity of Anti-trifluoroacetyl (TFA) Antibody and Anti-lipoic Acid Antibody in Primary Biliary Cirrhosis: Searching for a Mimic</title>
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<term>Antimitochondrial autoantibodies</term>
<term>Autoantibody</term>
<term>Autoantibody recognition</term>
<term>Autoantigens</term>
<term>Bile</term>
<term>Bile ducts</term>
<term>Bile ductules</term>
<term>Biliary</term>
<term>Cell injury</term>
<term>Cirrhosis</term>
<term>Clinical immunology</term>
<term>Conformational epitope</term>
<term>Control rats</term>
<term>Coppel</term>
<term>Cytoplasmic</term>
<term>Cytoplasmic staining</term>
<term>Cytoplasmic staining periportal</term>
<term>Cytosolic fractions</term>
<term>Dehydrogenase</term>
<term>Dehydrogenase complexes</term>
<term>Dihydrolipoamide acetyltransferase</term>
<term>Dihydrolipoamide acetyltransferase subunit</term>
<term>Duct</term>
<term>Enzyme activity</term>
<term>Enzyme function</term>
<term>Focal cytoplasmic staining</term>
<term>Free radic</term>
<term>Gershwin</term>
<term>Glycine cleavage protein</term>
<term>Goat antihuman polyvalent</term>
<term>Halothane</term>
<term>Halothane hepatitis</term>
<term>Halothane metabolism</term>
<term>Healthy donors</term>
<term>Hepatitis</term>
<term>Hepatocytes</term>
<term>Hepatology</term>
<term>Higher degree</term>
<term>Human liver</term>
<term>Human liver samples</term>
<term>Human sera</term>
<term>Immune responses</term>
<term>Immunohistochemical staining</term>
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<term>Lipoyl domain</term>
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<term>Liver sections</term>
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<term>Mitochondrial autoantigens</term>
<term>Mitochondrial enzyme</term>
<term>Mitochondrial proteins</term>
<term>Mitochondrial staining</term>
<term>Molecular mimicry</term>
<term>Monoclonal antibodies</term>
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<term>Pyruvate</term>
<term>Pyruvate dehydrogenase</term>
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<term>Hepatitis</term>
<term>Hepatocytes</term>
<term>Hepatology</term>
<term>Higher degree</term>
<term>Human liver</term>
<term>Human liver samples</term>
<term>Human sera</term>
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<term>Lipoic acid</term>
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<term>Mitochondrial proteins</term>
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<term>Positive staining</term>
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<front><div type="abstract" xml:lang="en">Abstract: Previous studies documenting the existence of cross-reactivity between the lipoated (but not unlipoated) forms of the inner lipoyl domain (E2L2) of PDC-E2 [the major autoantigen in Primary biliary cirrhosis (PBC)] and trifluoroacetylated (TFA) proteins, led us to hypothesize that PBC may be due to an initial insult with an environmental agent that cross-reacts with TFA. Therefore, we performed a comparative study of the reactivity of rabbit anti-TFA antibody and anti-lipoic acid (LA) antibody against the mitochondrial autoantigens of human PBC and various TFA and LA conjugated proteins. Whereas both anti-TFA and anti-LA reacted with PDC-E2, the wild-type lipoated form of E2L2, OGDC-E2, E3-BP and LA-KLH, neither reacted with BCOADC-E2 or the non-lipoated form of E2L2. Of interest was that while anti-TFA reacted with PDC-E2, TFA-RSA and LA-KLH, it failed to inhibit PDC-E2 enzyme function. In contrast, anti-LA demonstrated cytoplasmic and mitochondrial staining, and inhibited PDC enzyme activity. Hence, although considerable cross reactivity exists between anti-TFA and anti-LA, the molecular nature of the interaction is clearly different. One of 14 PBC sera reacted weakly with TFA-albumin, whereas four of 14 PBC sera reacted with LA-KLH. Immunohistochemically, both anti-TFA and anti-LA antibodies reacted focally with periportal hepatocytes and bile ducts in both PBC and controls. However, anti-LA produced much stronger focalized staining of the bile ducts of diseased liver. This study suggests that while anti-TFA antibody recognizes lipoic acid-linked enzymes and proteins, the epitope recognized differs from that of anti-LA antibody and PBC autoantibodies. It is unlikely that a response to TFA is the triggering event in PBC. Anti-LA antibodies share a higher degree of similarity to PBC sera providing suggestive evidence that anti-LA antibodies or anti-LA like antibodies (mimotopes) may help define the initiator of the autoimmune response.</div>
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<abstract>Abstract: Previous studies documenting the existence of cross-reactivity between the lipoated (but not unlipoated) forms of the inner lipoyl domain (E2L2) of PDC-E2 [the major autoantigen in Primary biliary cirrhosis (PBC)] and trifluoroacetylated (TFA) proteins, led us to hypothesize that PBC may be due to an initial insult with an environmental agent that cross-reacts with TFA. Therefore, we performed a comparative study of the reactivity of rabbit anti-TFA antibody and anti-lipoic acid (LA) antibody against the mitochondrial autoantigens of human PBC and various TFA and LA conjugated proteins. Whereas both anti-TFA and anti-LA reacted with PDC-E2, the wild-type lipoated form of E2L2, OGDC-E2, E3-BP and LA-KLH, neither reacted with BCOADC-E2 or the non-lipoated form of E2L2. Of interest was that while anti-TFA reacted with PDC-E2, TFA-RSA and LA-KLH, it failed to inhibit PDC-E2 enzyme function. In contrast, anti-LA demonstrated cytoplasmic and mitochondrial staining, and inhibited PDC enzyme activity. Hence, although considerable cross reactivity exists between anti-TFA and anti-LA, the molecular nature of the interaction is clearly different. One of 14 PBC sera reacted weakly with TFA-albumin, whereas four of 14 PBC sera reacted with LA-KLH. Immunohistochemically, both anti-TFA and anti-LA antibodies reacted focally with periportal hepatocytes and bile ducts in both PBC and controls. However, anti-LA produced much stronger focalized staining of the bile ducts of diseased liver. This study suggests that while anti-TFA antibody recognizes lipoic acid-linked enzymes and proteins, the epitope recognized differs from that of anti-LA antibody and PBC autoantibodies. It is unlikely that a response to TFA is the triggering event in PBC. Anti-LA antibodies share a higher degree of similarity to PBC sera providing suggestive evidence that anti-LA antibodies or anti-LA like antibodies (mimotopes) may help define the initiator of the autoimmune response.</abstract>
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<abstract xml:lang="en"><p>Previous studies documenting the existence of cross-reactivity between the lipoated (but not unlipoated) forms of the inner lipoyl domain (E2L2) of PDC-E2 [the major autoantigen in Primary biliary cirrhosis (PBC)] and trifluoroacetylated (TFA) proteins, led us to hypothesize that PBC may be due to an initial insult with an environmental agent that cross-reacts with TFA. Therefore, we performed a comparative study of the reactivity of rabbit anti-TFA antibody and anti-lipoic acid (LA) antibody against the mitochondrial autoantigens of human PBC and various TFA and LA conjugated proteins. Whereas both anti-TFA and anti-LA reacted with PDC-E2, the wild-type lipoated form of E2L2, OGDC-E2, E3-BP and LA-KLH, neither reacted with BCOADC-E2 or the non-lipoated form of E2L2. Of interest was that while anti-TFA reacted with PDC-E2, TFA-RSA and LA-KLH, it failed to inhibit PDC-E2 enzyme function. In contrast, anti-LA demonstrated cytoplasmic and mitochondrial staining, and inhibited PDC enzyme activity. Hence, although considerable cross reactivity exists between anti-TFA and anti-LA, the molecular nature of the interaction is clearly different. One of 14 PBC sera reacted weakly with TFA-albumin, whereas four of 14 PBC sera reacted with LA-KLH. Immunohistochemically, both anti-TFA and anti-LA antibodies reacted focally with periportal hepatocytes and bile ducts in both PBC and controls. However, anti-LA produced much stronger focalized staining of the bile ducts of diseased liver. This study suggests that while anti-TFA antibody recognizes lipoic acid-linked enzymes and proteins, the epitope recognized differs from that of anti-LA antibody and PBC autoantibodies. It is unlikely that a response to TFA is the triggering event in PBC. Anti-LA antibodies share a higher degree of similarity to PBC sera providing suggestive evidence that anti-LA antibodies or anti-LA like antibodies (mimotopes) may help define the initiator of the autoimmune response.</p>
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<ce:affiliation id="A3"><ce:label>c</ce:label>
<ce:textfn>Department of Pharmacology, University of Arkansas, Fayetteville, Arkansas, 72701, USA</ce:textfn>
</ce:affiliation>
<ce:affiliation id="A4"><ce:label>d</ce:label>
<ce:textfn>Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, 44106, USA</ce:textfn>
</ce:affiliation>
<ce:affiliation id="A5"><ce:label>e</ce:label>
<ce:textfn>Department of Pathology, Kanazawa University, Kanazawa, 920, Japan</ce:textfn>
</ce:affiliation>
<ce:affiliation id="A6"><ce:label>f</ce:label>
<ce:textfn>Department of Biochemistry, Kansas State University, Manhattan, KS, 66506, USA</ce:textfn>
</ce:affiliation>
<ce:affiliation id="A7"><ce:label>g</ce:label>
<ce:textfn>Department of Microbiology, Monash University, Clayton, Victoria, 3168, Australia</ce:textfn>
</ce:affiliation>
<ce:affiliation id="A8"><ce:label>h</ce:label>
<ce:textfn>Hopital Necker, 161 rue de Sevres, Paris, France</ce:textfn>
</ce:affiliation>
</ce:author-group>
<ce:date-received day="10" month="3" year="2000"></ce:date-received>
<ce:date-accepted day="29" month="5" year="2000"></ce:date-accepted>
<ce:abstract><ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec><ce:simple-para id="simple-para0005">Previous studies documenting the existence of cross-reactivity between the lipoated (but not unlipoated) forms of the inner lipoyl domain (E2L2) of PDC-E2 [the major autoantigen in Primary biliary cirrhosis (PBC)] and trifluoroacetylated (TFA) proteins, led us to hypothesize that PBC may be due to an initial insult with an environmental agent that cross-reacts with TFA. Therefore, we performed a comparative study of the reactivity of rabbit anti-TFA antibody and anti-lipoic acid (LA) antibody against the mitochondrial autoantigens of human PBC and various TFA and LA conjugated proteins. Whereas both anti-TFA and anti-LA reacted with PDC-E2, the wild-type lipoated form of E2L2, OGDC-E2, E3-BP and LA-KLH, neither reacted with BCOADC-E2 or the non-lipoated form of E2L2. Of interest was that while anti-TFA reacted with PDC-E2, TFA-RSA and LA-KLH, it failed to inhibit PDC-E2 enzyme function. In contrast, anti-LA demonstrated cytoplasmic and mitochondrial staining, and inhibited PDC enzyme activity. Hence, although considerable cross reactivity exists between anti-TFA and anti-LA, the molecular nature of the interaction is clearly different. One of 14 PBC sera reacted weakly with TFA-albumin, whereas four of 14 PBC sera reacted with LA-KLH. Immunohistochemically, both anti-TFA and anti-LA antibodies reacted focally with periportal hepatocytes and bile ducts in both PBC and controls. However, anti-LA produced much stronger focalized staining of the bile ducts of diseased liver. This study suggests that while anti-TFA antibody recognizes lipoic acid-linked enzymes and proteins, the epitope recognized differs from that of anti-LA antibody and PBC autoantibodies. It is unlikely that a response to TFA is the triggering event in PBC. Anti-LA antibodies share a higher degree of similarity to PBC sera providing suggestive evidence that anti-LA antibodies or anti-LA like antibodies (mimotopes) may help define the initiator of the autoimmune response.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords><ce:section-title>Keywords</ce:section-title>
<ce:keyword><ce:text>primary biliary cirrhosis, halothane, trifluoroacetylated protein, lipoic acid, anti-mitochondrial autoantibody, liver</ce:text>
</ce:keyword>
</ce:keywords>
</head>
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<mods version="3.6"><titleInfo lang="en"><title>Comparative Immunoreactivity of Anti-trifluoroacetyl (TFA) Antibody and Anti-lipoic Acid Antibody in Primary Biliary Cirrhosis: Searching for a Mimic</title>
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<titleInfo type="alternative" lang="en" contentType="CDATA"><title>Comparative Immunoreactivity of Anti-trifluoroacetyl (TFA) Antibody and Anti-lipoic Acid Antibody in Primary Biliary Cirrhosis: Searching for a Mimic</title>
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<name type="personal"><namePart type="given">Motoko</namePart>
<namePart type="family">Sasaki</namePart>
<affiliation>Division of Rheumatology/Allergy and Clinical Immunology, University of California at Davis, Davis, CA, 95616, USA</affiliation>
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</role>
</name>
<name type="personal"><namePart type="given">Aftab</namePart>
<namePart type="family">Ansari</namePart>
<affiliation>Department of Pathology, Emory University School of Medicine, Atlanta, GA, 30322, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Neil</namePart>
<namePart type="family">Pumford</namePart>
<affiliation>Department of Pharmacology, University of Arkansas, Fayetteville, Arkansas, 72701, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Judy</namePart>
<namePart type="family">van de Water</namePart>
<affiliation>Division of Rheumatology/Allergy and Clinical Immunology, University of California at Davis, Davis, CA, 95616, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Patrick S.C</namePart>
<namePart type="family">Leung</namePart>
<affiliation>Division of Rheumatology/Allergy and Clinical Immunology, University of California at Davis, Davis, CA, 95616, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Ken M</namePart>
<namePart type="family">Humphries</namePart>
<affiliation>Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, 44106, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Luke I</namePart>
<namePart type="family">Szweda</namePart>
<affiliation>Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, OH, 44106, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Yasuni</namePart>
<namePart type="family">Nakanuma</namePart>
<affiliation>Department of Pathology, Kanazawa University, Kanazawa, 920, Japan</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Thomas E</namePart>
<namePart type="family">Roche</namePart>
<affiliation>Department of Biochemistry, Kansas State University, Manhattan, KS, 66506, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Ross L</namePart>
<namePart type="family">Coppel</namePart>
<affiliation>Department of Microbiology, Monash University, Clayton, Victoria, 3168, Australia</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Jean-Francois</namePart>
<namePart type="family">Bach</namePart>
<affiliation>Hopital Necker, 161 rue de Sevres, Paris, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">M.Eric</namePart>
<namePart type="family">Gershwin</namePart>
<affiliation>Division of Rheumatology/Allergy and Clinical Immunology, University of California at Davis, Davis, CA, 95616, USA</affiliation>
<description>Correspondence to: M. Eric Gershwin, M.D., Division of Rheumatology, Allergy, and Clinical Immunology, University of California, School of Medicine, TB 192, One Shields Avenue, Davis, CA 95616, USA. Fax: 530-752-4669. E-mail:megershwin@ucdavis.edu</description>
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<abstract lang="en">Abstract: Previous studies documenting the existence of cross-reactivity between the lipoated (but not unlipoated) forms of the inner lipoyl domain (E2L2) of PDC-E2 [the major autoantigen in Primary biliary cirrhosis (PBC)] and trifluoroacetylated (TFA) proteins, led us to hypothesize that PBC may be due to an initial insult with an environmental agent that cross-reacts with TFA. Therefore, we performed a comparative study of the reactivity of rabbit anti-TFA antibody and anti-lipoic acid (LA) antibody against the mitochondrial autoantigens of human PBC and various TFA and LA conjugated proteins. Whereas both anti-TFA and anti-LA reacted with PDC-E2, the wild-type lipoated form of E2L2, OGDC-E2, E3-BP and LA-KLH, neither reacted with BCOADC-E2 or the non-lipoated form of E2L2. Of interest was that while anti-TFA reacted with PDC-E2, TFA-RSA and LA-KLH, it failed to inhibit PDC-E2 enzyme function. In contrast, anti-LA demonstrated cytoplasmic and mitochondrial staining, and inhibited PDC enzyme activity. Hence, although considerable cross reactivity exists between anti-TFA and anti-LA, the molecular nature of the interaction is clearly different. One of 14 PBC sera reacted weakly with TFA-albumin, whereas four of 14 PBC sera reacted with LA-KLH. Immunohistochemically, both anti-TFA and anti-LA antibodies reacted focally with periportal hepatocytes and bile ducts in both PBC and controls. However, anti-LA produced much stronger focalized staining of the bile ducts of diseased liver. This study suggests that while anti-TFA antibody recognizes lipoic acid-linked enzymes and proteins, the epitope recognized differs from that of anti-LA antibody and PBC autoantibodies. It is unlikely that a response to TFA is the triggering event in PBC. Anti-LA antibodies share a higher degree of similarity to PBC sera providing suggestive evidence that anti-LA antibodies or anti-LA like antibodies (mimotopes) may help define the initiator of the autoimmune response.</abstract>
<note type="content">Section title: Regular Article</note>
<subject lang="en"><genre>Keywords</genre>
<topic>primary biliary cirrhosis, halothane, trifluoroacetylated protein, lipoic acid, anti-mitochondrial autoantibody, liver</topic>
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