RIIIb autoantibodies on polymorphonuclear neutrophil apoptosis and function

* Laboratory of Immunology
Department of Rheumatology, Institut de Synergie des Sciences et de la Santé, Brest University Medical School, Brest, France
Correspondence: P. Youinou, M.D., D.Sc., Laboratory of Immunology, Brest University Medical School Hospital, 5 av Foch, F 29 609 Brest Cedex, France. E-mail: youinou{at}univ-brest.fr
Anti-Fc
receptor IIIb (Fc
RIIIb) human autoantibodies (Ab) have
been classified previously into three groups, based on the results of
an indirect immunofluorescence (IIF) test and an enzyme-linked
immunosorbent assay (ELISA): IIF+/ELISA+ (group A), IIF+/ELISA- (group
B), and IIF-/ELISA+ (group C) sera. In this study, differential
effects between IIF+ autoAb, recognizing cell-bound Fc
R, and those
ELISA+, recognizing only cell-free Fc
R, were studied on
polymorphonuclear neutrophils (PMN). Neither group A nor B autoAb was
cytotoxic, although both prolonged the survival of PMN by delaying
spontaneous apoptosis. By the same extent, the PMN-binding antisera
stimulated the appearance of a CD11bdim population,
following a 12-h incubation. This event was associated with a lowered
expression of ß2 integrin molecules, resulting in altered PMN
function. Treatment with groups A and B autoAb reduced adhesiveness and
respiratory burst. This impairment of the responses was more pronounced
when the cells originated from donors NA1+NA1+ rather than donors
NA2+NA2+. From our observations, the influences of anti-Fc
RIIIb
autoAb on PMN survival, as well as function and subsequent
dysregulation of the inflammatory response, have proven somewhat
dependent on their target antigens, as determined by IIF coupled with
ELISA and Fc
RIIIb polymorphism.
Key Words: IIF test autoimmunity ELISA endothelial cells
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