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Identification of New Autoantigens by Protein Array Indicates a Role for IL4 Neutralization in Autoimmune Hepatitis

Authors: C. Zingaretti; M. Arigò; A. Cardaci; M. Moro; M. Crosti; A. Sinisi; E. Sugliano; +18 Authors

Identification of New Autoantigens by Protein Array Indicates a Role for IL4 Neutralization in Autoimmune Hepatitis

Abstract

Autoimmune hepatitis (AIH) is an unresolving inflammation of the liver of unknown cause. Diagnosis requires the exclusion of other conditions and the presence of characteristic features such as specific autoantibodies. Presently, these autoantibodies have relatively low sensitivity and specificity and are identified via immunostaining of cells or tissues; therefore, there is a diagnostic need for better and easy-to-assess markers. To identify new AIH-specific autoantigens, we developed a protein microarray comprising 1626 human recombinant proteins, selected in silico for being secreted or membrane associated. We screened sera from AIH patients on this microarray and compared the reactivity with that of sera from healthy donors and patients with chronic viral hepatitis C. We identified six human proteins that are specifically recognized by AIH sera. Serum reactivity to a combination of four of these autoantigens allows identification of AIH patients with high sensitivity (82%) and specificity (92%). Of the six autoantigens, the interleukin-4 (IL4) receptor fibronectin type III domain of the IL4 receptor (CD124), which is expressed on the surface of both lymphocytes and hepatocytes, showed the highest individual sensitivity and specificity for AIH. Remarkably, patients' sera inhibited STAT6 phosphorylation induced by IL4 binding to CD124, demonstrating that these autoantibodies are functional and suggesting that IL4 neutralization has a pathogenetic role in AIH.

Keywords

linear epitopes; receptor-alpha; liver-diseases; il-4 receptor; membrane; ischemia/reperfusion; expression; antibodies; diagnosis; serology, Autoimmune Hepatitis; Hepatitis B Virus; Hepatitis C Virus; Healthy Donor; Interleukin-4 receptor; Interleukin-4 receptor Fibronectin Type III domain; Mean Fluorescence Intensity; Viral Hepatitis, Protein Array Analysis, Interleukin-4 Receptor alpha Subunit, Antibodies, Neutralizing, Autoantigens, Recombinant Proteins, Protein Structure, Tertiary, Hepatitis, Autoimmune, Liver, AUTOIMMUNE HEPATITIS, Humans, Interleukin-4, Phosphorylation, STAT6 Transcription Factor, Biomarkers, Autoantibodies, Signal Transduction

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
42
Top 10%
Top 10%
Top 10%
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