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Department of Microbiology and Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190
| Abstract |
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| Introduction |
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The development of IC-mediated renal disease is a complex process that involves both cellular and humoral elements of the immune response. There is increasing evidence that engagement of FcR may be responsible for many features of IC-mediated inflammation in experimental mouse models (1, 2, 3, 4). The complement system also plays a central role in both the inflammatory events associated with IC-mediated disease and the normal clearance of IC from the circulation. In primates, C3b and C4b deposited on IC as a consequence of complement activation provide ligand sites for the complement receptor, type 1 (CR1) expressed on erythrocytes. The binding of C3b/C4b-coated bacteria to human erythrocytes in vitro by this mechanism was originally termed immune adherence (5). Studies in baboons revealed that erythrocyte CR1-adherent IC were carried to the RES, where the IC were deposited while the erythrocyte returned to the circulation (6, 7, 8). In nonprimates, IC are cleared from the circulation by a similar process in which the analogue to primate erythrocyte CR1, expressed in this case on platelets rather than erythrocytes, shuttles the IC to the RES (9, 10). Thus, in both primate and nonprimate models, the activation of the complement cascade by IC resulting in the generation of covalently bound C3b/C4b and subsequent adherence to complement receptors are critical events in the clearance of IC.
The immunochemical and physical characteristics of both the Ag and the Ab components of an IC can affect how well the IC activates the complement cascade. To better define how the Ab component of the IC affects complement activation, a panel of IC was constructed using murine anti-DNP mAbs and DNP-BSA. The interactions between these model IC probes, human erythrocytes, and human complement have been characterized extensively in vitro (11, 12, 13). These collective data indicate that the interactions between IC, complement, and erythrocyte CR1 are dependent on both the quantitative expression of CR1 and the immunochemical and physical characteristics of the Ab used to form the IC. Depending on the model system employed, both isotypic (11) and clonotypic (14) variables can affect complement activation. In some cases, the molecular orientation of the N-glycan linked to the CH2 domain of IgG can also influence complement activation via the classical pathway (15).
While these studies have provided insight into how the Ab component of an IC modulates its interaction with the complement system in vitro, the ultimate test of the physiologic relevance of these data has awaited an examination of how the immunochemical and physical properties of these model IC affect their fate in vivo. The present study was designed to compare the clearance and organ localization of three model IC probes made with representatives of the murine mAb panel. The results indicate that the complement system can play a role in the deposition of IC in the kidney.
| Materials and Methods |
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BSA was radiolabeled with 125I (Amersham
Life Science, Arlington Heights, IL) using chloramine T and substituted
with DNP, as previously described (11). The sp. act. of
the IC was
5 x 107 cpm per mg of
protein. The hapten substitution ratio for preparations used in this
study was 6376 DNP groups per BSA molecule.
Preparation of IC
The procedures for raising murine anti-DNP mAbs and constructing IC are described elsewhere (11). IC made with IgG1, IgG2a, and IgG3 mAbs used in this study are designated IgG1 IC, IgG2a IC, and IgG3 IC, respectively. The Ag/Ab ratio of each IC preparation was calculated as previously described (11).
IC clearance
Female BALB/c mice (Charles River Laboratories, Wilmington, MA) approximately 810 wk old were used for these experiments. Each mouse was injected i.m. with 100 µg of xylazine (Miles, Shawnee Mission, KS) and 10 min later with 1 mg of ketamine (Fort Dodge Laboratories, Fort Dodge, IA). Six minutes later, the animal was injected with 110 µg of soluble 125I-labeled IC via the lateral tail vein. The quantity of IC infused was based on preliminary experiments (not shown) that indicated this trace dosage was the threshold amount required to give quantifiable and reproducible kidney deposition. Blood samples were obtained from the retro-orbital plexus using a 44.7 µl heparinized micropipet at 0.5, 1, 1.5, 2, 4, 6, and 8 min postinjection. The radioactivity in each sample was measured in a scintillation counter, and clearance data expressed as the percentage of the total IC inoculum present in each blood sample.
Tissue deposition
Mice were killed by cervical dislocation at 8 min, and the spleen, kidneys, liver, and lungs were collected. The radioactivity in each organ was measured and expressed as the percentage of the total IC dosage injected. The kidney deposition data were corrected for blood flow using the following formula: corrected kidney cpm = measured kidney cpm - [(8.4 µl) x (cpm per µl of blood)].
For this calculation, the volume of blood in the kidneys was
calculated as 8.4 µl based on the average weight of the kidneys of
0.12 g and the assumption that the blood volume was 7% of kidney
weight (16). The value of the cpm per µl of blood was
calculated based on the radioactive content of the sample obtained at
the final 8-min time point. When tissues were used for histological
studies, the animals were injected with 110 µg of nonradiolabeled IC
and killed at 8 min, and the organs were placed in liquid nitrogen
(frozen sections), which were later stained with FITC-conjugated goat
anti-mouse
-chain (Sigma, St. Louis, MO) (17) or in
B5 fixative (paraffin sections) that were later stained with alkaline
phosphatase-conjugated sheep F(ab')2
anti-mouse IgG (Sigma) and counterstained with hematoxylin, as
described elsewhere (17).
IC size
Isokinetic sucrose gradients were constructed to measure the IC size, as described elsewhere (6). Briefly, linear gradients were formed with 1025% sucrose in 4.8-ml tubes blocked with 1% BSA at 4°C overnight. The gradients were centrifuged in a L7 Ultracentrifuge (Beckman, Palo Alto, CA) using a SW 50.1 rotor at 1000 rpm for 30 min at 20°C. Fractions were collected using a peristaltic pump, starting from bottom. Approximately 24 fractions were collected, and their 125I content was measured. The data are expressed as the percentage of the total IC sample applied to the gradient contained in each fraction. In the experiments reported in this work, approximately 9197% of the total IC applied to the gradient was recovered in the aggregate collected fractions.
Ab charge and affinity
The charge of each mAb was determined by isoelectric focusing, as previously described (18). The relative affinities of each Ab were compared using an inhibition ELISA, as described elsewhere (19).
IC clearance in cobra venom factor (CVF)-treated mice
Mice were injected i.p. with doses of 10 U of CVF (Naja naja kaouthia, Quidel, San Diego, CA). The animals received a total of three doses at 8-h intervals. Three hours after the final dose, serum was obtained from normal and CVF-treated mice to measure the degree of complement depletion (20, 21). Nunc Maxisorp Immunoplates (Fisher Scientific, Pittsburgh, PA) were coated with 50 µl of goat anti-mouse C3 Ab (Cappel Organon Teknika, Durham, NC) at a 1/750 dilution in PBS and then blocked with 1% BSA. Two-fold serial serum dilutions were added starting at 1/10,000, and the wells were incubated for 3 h at room temperature. The plate was washed and incubated with HRP-conjugated goat anti-mouse C3 Ab (Cappel), and finally, color development was measured at OD490 at each serum concentration. Comparison of C3 present in sera from normal vs CVF-treated mice indicated that CVF treatment caused an 8085% complement depletion in the experiments reported in this work (data not shown). This is most likely an underestimate of the actual degree of functional complement depletion achieved since the polyclonal anti-mouse C3 Ab employed as both the capture and reporter Abs may have bound residual inactive C3 cleavage fragments in the serum of CVF-treated mice.
Statistical analysis
Multiple groups were compared by ANOVA, and paired groups were compared by Students t test or the Spearman correlation test.
| Results |
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To compare the clearance of the three model IC, mice were infused
i.v. with radiolabeled IC and periodic blood samples were obtained. All
three model IC preparations were quickly cleared from the circulation,
reaching a stable level within 8 min (Fig. 1
). Assuming a maximum total blood volume
of 2 ml for a 25-g mouse (16), upon completion of the IC
infusion and in the absence of any clearance, approximately 2.2% of
the infused IC should theoretically be contained in each 44.7-µl
blood sample. Thus, the data indicate that by the time IC infusion had
been completed and the first blood sample had been obtained at 30
s, approximately 3451% of the infused IC had already been cleared.
Of the three model IC preparations, IgG1 IC were cleared the most
quickly and efficiently. IgG3 IC were cleared more slowly, but
eventually reached approximately the same level as observed for IgG1
IC. At 8 min, approximately 10% of the IgG1 IC and IgG3 IC inocula
remained in the circulation. In contrast, approximately twice as much
of the IgG2a IC inoculum remained in circulation at 8 min. Thus, IgG2a
IC were less efficiently cleared, compared with IgG1 IC or IgG3
IC.
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At 8 min, mice were killed and IC deposition in the liver, lungs,
spleen, and kidneys was measured (Fig. 2
). The majority of circulating IC were
deposited in the liver (Fig. 2
A) with relatively little
splenic clearance (Fig. 2
B). A considerable portion of the
IC also deposited in the lungs (Fig. 2
C). Compared with the
other two IC preparations, IgG3 IC were more efficiently cleared by the
liver and commensurately less well trapped in the lungs. The most
noteworthy finding was that the IgG2a IC were preferentially deposited
in the kidneys (Fig. 2
D). To determine whether the observed
trapping of IC in the kidney reflected actual tissue deposition, the
aorta was ligated a few millimeters above and below the renal arteries,
exposing a section approximately 1 cm in length. Approximately 12 ml
of PBS was then injected into the aorta. The kidneys became visually
pale after this procedure, indicating that the perfusion had washed out
the major portion of residual blood from the renal vasculature.
Perfusion of kidneys from mice injected with radiolabeled IgG2a IC by
this procedure dislodged <20% of the IC trapped by the kidney (data
not shown). Thus, renal trapping of IgG2a IC seemed to be relatively
stable even though only 8 min had elapsed after IC infusion and the
radioactivity detected represents actual tissue deposition rather than
transitory adherence within the renal vasculature.
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To further localize the site of IgG2a IC deposition in the
kidneys, tissue samples from mice infused with unlabeled IC were
stained to detect the presence of Ig. For comparison, kidney samples
from mice injected with IgG1 IC were also examined. The data indicated
that the IgG2a IC were localized in glomeruli (Fig. 3
B). In contrast, significant
glomerular localization of IgG1 IC was not detected (Fig. 3
A). In glomeruli, vascular and luminal Ig deposits were
frequently observed in kidneys from mice injected with IgG2a IC, but
only rarely in mice injected with IgG1 IC. Similar results were
obtained in experiments in which IC deposited were visualized by
immunofluorescence (data not shown). These data indicate that IgG2a IC
are preferentially deposited in glomeruli.
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Properties such as IC size (22), Ab affinity (23), charge (24, 25, 26), and Ag/Ab ratio (27, 28) may affect the clearance and tissue localization of IC. To determine how these variables contributed to IC clearance and particularly to the renal deposition of IgG2a IC, the three Abs used in the experiments shown in this study, or IC constructed with these Abs, were characterized by these criteria.
Sucrose gradient analysis revealed that the model IC used in this study
consisted of large heterogeneous molecular populations (Fig. 4
). These data are consonant with
previous characterizations of similarly constructed model IC made with
rabbit polyclonal (6, 7, 29) or murine anti-DNP mAbs
(8). The relative size of the model IC preparations was
IgG3 IC > IgG1 IC > IgG2a IC. Since larger IC are generally
more efficiently cleared from the circulation than smaller IC, these
data are consistent with the observation that IgG2a IC are cleared less
efficiently than the other IC probes used in this study (Fig. 1
).
However, in view of evidence that larger IC tend to be more pathogenic
(30), these data do not explain the enhanced glomerular
deposition of IgG2a IC.
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There is evidence that cationicity favors the deposition of
molecules in glomeruli by charge interaction (24, 25, 26). To
determine whether the enhanced renal deposition of IgG2a IC could be
attributed to charge, the three Abs were compared by isoelectric
focusing (Fig. 5
). The spectrotype of
each of the Abs consisted of multiple bands. Evidence presented
elsewhere (15) indicates that these spectrotypic variants
represent distinct glycoforms. The data shown in Fig. 5
revealed that
the isoelectric mobility of the IgG2a Abs was intermediate between that
of IgG1 and IgG3 Abs. Thus, the preferential renal deposition of IgG2a
IC could not be attributed solely to charge.
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The relative affinity of the Abs used to form the model IC probes
was compared (Fig. 6
). The data indicate
that all three Abs had comparable affinities, thus excluding this
variable as a primary cause of enhanced renal uptake of IgG2a
IC.
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The relationship between Ag/Ab ratio and glomerular IC deposition
was also examined. As shown in Fig. 7
,
there was considerable variation in Ag/Ab ratio of different IC
preparations, but there was no apparent relationship between Ag/Ab
ratio and IC deposition in kidneys.
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The preceding analysis of these three IC probes revealed no obvious biophysical property that might provide a compelling explanation for the propensity of IgG2a IC to deposit in the kidney. In light of previously reported data indicating that similar model IC differ in terms of their capacity to activate complement (14), the next experiments utilized complement-depleted mice to probe the role that the complement system might play in the clearance and tissue localization of IC.
IC clearance in normal and complement-depleted mice is compared in Fig. 8
. Over the first 2 min after IC
infusion, there was no difference in the clearance patterns of IgG1 IC
and IgG3 IC in normal vs complement-depleted mice. However, in the
period between 2 and 8 min postinfusion, the level of circulating IgG1
IC and IgG3 IC remained stable or even increased slightly in normal
mice, but continued to decline in complement-depleted mice. A
similar clearance pattern was observed with IgG2a IC. Significantly
lower levels of IgG2a IC were detected in complement-depleted compared
with normal mice at the 2-, 4-, 6-, and 8-min time points.
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| Discussion |
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The physical characteristics of the Ag and Ab components of IC can influence IC clearance. As has been previously reported for similar IC made with both polyclonal (6, 7) or mAbs (8), all three IC types used in this study consist of heterogeneous populations of large molecules. However, the average size of the IgG2a IC preparations was somewhat smaller than that of the other IC probes. The smaller size of the IgG2a IC may, in part, explain why these IC are cleared from the circulation less efficiently than the IgG1 IC or the IgG3 IC. In fact, there is evidence that larger size favors adherence to primate erythrocyte CR1 (29), which in turn may facilitate IC clearance by the cells expressing complement receptors.
The negatively charged glomerular basement membrane presents a surface attractive for cationic molecules (24, 25, 26). However, in the present study, IgG3 IC were more cationic than IgG2a IC. Thus, charge does not appear to be the primary determinant of renal IC deposition in this model system. Likewise, variables such as Ab affinity and the Ag to Ab ratio of IC can affect biological properties of IC, including complement activation (31). However, neither of these variables appears to play a significant role in tissue localization in the present study.
It is noteworthy that the IC probe with the greatest propensity to lodge in glomeruli is of the IgG2a isotype. The data reported in this work do not differentiate isotypic from clonotypic factors that may mediate this behavior. However, the results of a study using expanded panels of IC constructed with 14 independently derived IgG1, IgG2a, and IgG3 mAbs indicate that while not all IgG2a IC preferentially deposit in the kidney, no isotype except IgG2a formed IC with a predilection for renal deposition, and that enhanced renal deposition was independent of variables such as Ab charge or affinity, Ag/Ab ratio, or IC size (Gonzalez and Waxman, manuscript in preparation). There is evidence suggesting that IgG2a and IgG2b Abs play a role in the pathogenesis of the murine model of SLE. In both NZB and NZB/W mice, the onset of clinical disease occurs in close temporal relationship to the isotype switch from IgM to IgG2a and IgG2b anti-DNA Abs (32, 33). There is also an overrepresentation of IgG2a and IgG2b Abs in kidney eluates from MRL/lpr mice, and IgG2a is the predominant Ab in kidney eluates from NZB and NZB/W mice (34). The anti-Sm autoantibody response in MRL/lpr mice is largely restricted to the IgG2a isotype (35). Moreover, 80% of the anti-chromatin Abs in the sera of MRL/lpr mice are of the IgG2a or IgG2b isotypes (36). The majority of MRL/lpr serum rheumatoid factors are reactive with the IgG2a isotype (37).
There is also evidence that strains of mice that do not spontaneously
develop SLE develop progressive glomerulonephritis when treated at
birth with IFN-
(38), a cytokine that promotes the
isotype switch to IgG2a (39, 40). B cells from
MRL/lpr mice with active disease responded to IFN-
by
producing higher levels of IgG2a Abs than B cells from mice that had
not yet developed clinical disease (41). Moreover, recent
data indicate that IFN-
receptor deletion prevents autoantibody
production and glomerulonephritis in NZB/W mice (42).
Although IFN-
may cause physiological changes that are independent
of its role in driving the isotype switch to IgG2a, the collective data
strongly suggest an association between IgG2a/IgG2b Abs and renal
disease.
The reason that IgG2a and IgG2b Abs are evidently involved in the pathogenesis of murine SLE is unknown. However, it is of interest that IC made with IgG2a or IgG2b mAbs are uniquely susceptible to factor I-mediated release from erythrocytes (12). Thus, the development of renal disease in the murine model may be favored by the unusually rapid factor I-mediated cleavage of C3b bound to IgG2a- or IgG2b-containing IC, causing inefficient adherence to the platelet analogue of primate erythrocyte CR1 and ultimately resulting in renal deposition.
Consonant with this model, clearance data presented in this work indicate that IgG2a IC are less efficiently cleared from the circulation than the other IC probes. In primates, IgA IC that were weak complement activators bound relatively poorly to erythrocyte CR1 and were preferentially deposited in glomeruli (8). Presumably, circulating IC displaying multiple ligand sites for complement receptors exist in a dynamic balance between adherence to the complement receptor and their subsequent release as a consequence of factor I-mediated cleavage of C3b/C4b to fragments that no longer bind to the complement receptor. When these events occur on an IC surface, such as that expressed by IgG2a Abs, that renders the C3b/C4b molecules more susceptible to factor I-mediated cleavage or on an IC that serves as a poor complement activator, the dynamic balance would tend to favor the off reaction with respect to immune adherence. In this case, a greater percentage of IC would be free in the circulation rather than attached to a circulating cellular complement receptor at any given time point. Other factors such as diminished erythrocyte CR1 expression (43, 44) and hypocomplementemia (45) that are associated with exacerbation of IC-mediated diseases such as SLE would also tend to tilt the balance away from IC bound to complement receptors toward the alternate state of IC free in the circulation. When these free circulating IC transit glomeruli, they may be more readily trapped therein compared with IC bound to circulating cellular complement receptors during transit. Thus, the combination of factors, including an IC surface that is a poor complement activator or on which bound C3b/C4b are highly susceptible to factor I, reduced erythrocyte CR1 expression, and hypocomplementemia, may all act in concert to interfere with the normal complement-dependent clearance mechanism and to thereby favor IC deposition in the kidney.
Under conditions of complement depletion, clearance from the circulation of all three types of IC was accelerated. This is consistent with data obtained in primates indicating that complement depletion accelerates IC clearance (7). Interestingly, hepatic uptake of IgG1 IC and IgG3 IC was significantly increased in complement-depleted vs normal mice. This may reflect differences in the rate of complement-dependent solubilization (46) in the normocomplementemic vs complement-depleted state. Under conditions of complement depletion, complement-mediated solubilization would be reduced and the relative size of IC would consequently remain larger than in the normocomplementemic state in which complement-mediated solubilization reduces IC size. The larger average relative size of circulating IC in the complement-depleted state would render the IC more susceptible to RES clearance, resulting in the increased hepatic deposition of IgG1 IC and IgG3 IC observed in the present study.
In contrast to IgG1 IC and IgG3 IC, complement depletion had no effect on the clearance of IgG2a IC by the liver. Evidence presented elsewhere indicates that the particular murine IgG2a mAb used to form IgG2a IC in the present study displays its sole carbohydrate moiety, a CH2-linked N-glycan, in a manner that makes it relatively accessible to lectins and to glycosidases (15). It is possible that the relatively accessible orientation of the N-glycan may also render it more accessible to hepatic receptors for carbohydrates (47) and that these receptors play a more central role in the clearance of this IC compared with the other IC preparations used in this study. Alternatively, IgG2a IC may be a relatively poor target for complement-mediated solubilization. In this case, IgG2a IC size would be similar in the normocomplementemic vs the complement-depleted state, and hepatic clearance would be equivalent.
While preferential kidney deposition of IgG2a IC was observed in normal mice, complement depletion abrogated this enhanced IC deposition. Thus, the enhanced deposition of IgG2a IC in normocomplementemic mice is complement dependent. Evidently, the complement system can act to both clear IC safely and induce IC trapping in tissues vulnerable to IC-mediated injury. Further studies of how these model IC probes interact with the complement system may provide additional insight on the pathogenesis of IC-mediated diseases.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Frank Waxman, University of Oklahoma Health Sciences Center, Department of Microbiology and Immunology, Biomedical Sciences Building, Room 1053, P.O. Box 26901, Oklahoma City, OK 73190. ![]()
3 Abbreviations used in this paper: IC, immune complex; CR1, type 1 complement receptor; CVF, cobra venom factor; RES, reticuloendothelial system; SLE, systemic lupus erythematosus. ![]()
Received for publication June 7, 1999. Accepted for publication October 26, 1999.
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stimulates IgG2a secretion by murine B cells stimulated with bacterial lipopolysaccharide. J. Immunol. 140:2121.[Abstract]
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receptor deletion prevents autoantibody production and glomerulonephritis in lupus-prone (NZB x NZW)F1 mice. J. Immunol. 160:3713.This article has been cited by other articles:
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H. Bagavant, C. Thompson, K. Ohno, Y. Setiady, and K. S. K. Tung Differential effect of neonatal thymectomy on systemic and organ-specific autoimmune disease Int. Immunol., December 1, 2002; 14(12): 1397 - 1406. [Abstract] [Full Text] [PDF] |
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