Autoimmunity to desmocollin 3 in pemphigus vulgaris

Xuming Mao, Arielle R. Nagler, Sara A. Farber, Eun Jung Choi, Lauren H. Jackson, Kristin M. Leiferman, Norito Ishii, Takashi Hashimoto, Masayuki Amagai, John J. Zone, Aimee S. Payne

研究成果: Article

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Pemphigus vulgaris is a blistering disease associated with autoantibodies to the desmosomal adhesion protein, desmoglein 3. Genetic deficiency of desmoglein 3 in mice mimics autoimmunity to desmoglein 3 in pemphigus vulgaris, with mucosal-dominant blistering in the suprabasal layer of the epidermis. Mice with an epidermal-specific deletion of desmocollin 3, the other major desmosomal cadherin isoform expressed in the basal epidermis, develop suprabasal blisters in skin that are histologically identical to those observed in pemphigus vulgaris, suggesting that desmocollin 3 might be a target of autoantibodies in some pemphigus vulgaris patients. We now demonstrate that desmocollin 3 is an autoantigen in pemphigus vulgaris, illustrated in a patient with mucosal-dominant blistering. Six of 38 pemphigus vulgaris and one of 85 normal serum samples immunoprecipitate desmocollin 3 (P = 0.003). Incubation of patient IgG with human keratinocytes causes loss of intercellular adhesion, and adsorption with recombinant desmocollin 3 specifically prevents this pathogenic effect. Additionally, anti-desmocollin 3 sera cause loss of keratinocyte cell surface desmocollin 3, but not desmoglein 3 by immunofluorescence, indicating distinct cellular pathogenic effects in anti-desmocollin and antidesmoglein pemphigus, despite their identical clinical presentations. These data demonstrate that desmocollin 3 is a pathogenic autoantigen in pemphigus vulgaris and suggest that pemphigus vulgaris is a histological reaction pattern that may result from autoimmunity to desmoglein 3, desmocollin 3, or both desmosomal cadherins.

元の言語English
ページ(範囲)2724-2730
ページ数7
ジャーナルAmerican Journal of Pathology
177
発行部数6
DOI
出版物ステータスPublished - 2010 12

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

フィンガープリント Autoimmunity to desmocollin 3 in pemphigus vulgaris' の研究トピックを掘り下げます。これらはともに一意のフィンガープリントを構成します。

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    Mao, X., Nagler, A. R., Farber, S. A., Choi, E. J., Jackson, L. H., Leiferman, K. M., Ishii, N., Hashimoto, T., Amagai, M., Zone, J. J., & Payne, A. S. (2010). Autoimmunity to desmocollin 3 in pemphigus vulgaris. American Journal of Pathology, 177(6), 2724-2730. https://doi.org/10.2353/ajpath.2010.100483