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J. Lipid Res.
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Originally published In Press as doi:10.1194/jlr.M200370-JLR200 on December 1, 2002

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Journal of Lipid Research, Vol. 44, 487-493, March 2003
Copyright © 2003 by Lipid Research, Inc.

Autoimmune response to advanced glycosylation end-products of human LDL

Gabriel Virella1,*, Suzanne R. Thorpe{dagger}, Nathan L. Alderson{dagger}, Elias M. Stephan§, Daniel Atchley*,§, Francesco Wagner*,§ and Maria F. Lopes-Virella§ and the DCCT/EDIC Research Group2

* Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC 92425
{dagger} Department of Chemistry and Biochemistry, University of South Carolina, Columbia, SC 29208
§ Department of Medicine, Division of Endocrinology-Metabolism-Nutrition, Medical University of South Carolina, and Ralph H. Johnson VAMC, Charleston, SC 92425

1 To whom correspondence should be addressed. e-mail: virellag{at}musc.edu

Advanced glycosylation end-products (AGEs) are believed to play a significant role in the development of vascular complications in diabetic patients. One such product, AGE-LDL, has been shown to be immunogenic. In this report, we describe the isolation and characterization of human AGE-LDL antibodies from the sera of seven patients with Type 1 diabetes by affinity chomatography using an immobilized AGE-LDL preparation that contained primarily the AGE N{varepsilon}(carboxymethyl)lysine (CML, 14.6 mmol/mol lysine), and smaller amounts of N{varepsilon}(carboxyethyl)lysine (CEL, 2.7 mmol/mol lysine). The isolated antibodies were predominantly IgG of subclasses 1 and 3, and considered proinflammatory because of their ability to promote Fc{gamma}R-mediated phagocytosis and to activate complement. We determined dissociation constants (Kd) for the purified antibodies. The average Kd values (4.76 ± 2.52 x 10-9 mol/l) indicated that AGE-LDL antibodies are of higher avidity than oxidized LDL antibodies measured previously (Kd = 1.53 ± 07 x 10-8 ml/l), but of lower avidity than rabbit polyclonal LDL antibodies (Kd = 9.34 x 10-11). Analysis of the apolipoprotein B-rich lipoproteins isolated with polyethylene glycol-precipitated antigen-antibody complexes from the same patients showed the presence of both CML and CEL, thus confirming that these two modifications are recognized by human autoantibodies.

A comparative study of the reactivity of purified AGE-LDL antibodies with CML-LDL and CML-serum albumin showed no cross-reactivity.

Abbreviations: AGE, advanced glycosylation end-product; ALE, advanced lipoxidation end-product; CEL, (carboxyethyl)lysine; CML, (carboxymethyl)lysine; EDIC, Epidemiology of Diabetes Complication; EIA, enzymoimmunoassay; IC, immune complexes; oxLDL, oxidized LDL

Supplementary key words modified lipoproteins • diabetes • immunogenicity of advanced glycosylation end-products-LDL • advanced glycosylation end-products-LDL antibodies


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