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Generation of Schlafen 8-Specific Antibodies. Schlafen 8特异性抗体的产生。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-02-21 DOI: 10.3390/antib15010016
Juan Carlos Silva-Espinoza, Mauricio I Rodriguez Rodriguez, Claire Eunise Perucho, Brian A Terrazas, Carlos Valenzuela, Stephany Palos Vargas, Andrea Carlin, Diana L Prospero, Giulio Francia, Manuel Llano

Background/Objectives: Schlafen (SLFN) 8 and SLFN9 are mouse members of the Schlafen protein family, believed to have arisen through a gene duplication event. The physiological roles of these proteins remain poorly defined, in part due to the absence of reliable, commercially available antibodies for their detection. Methods: To develop specific antibodies, we performed an amino acid sequence alignment of these proteins and identified a thirteen amino acids long peptide predicted by AlphaFold modeling and hydropathicity analysis to be surface-exposed in both SLFN proteins. The SLFN8 peptide was conjugated to KLH and used to immunize mice, employing Poly(I:C) as an adjuvant. Results: We verified the anti-SLFN8 antibody specificity in mouse tissues, engineered human cells, and recombinant proteins by different immunodetection techniques, including Western blotting, immunoprecipitation, immunohistochemistry, and ELISA. Furthermore, splenocytes from immunized mice were used to generate hybridomas that secreted IgG antibodies with SLFN8-peptide specificity, as assumed by ELISA. Conclusions: Our results demonstrate that the identified peptide is highly immunogenic and capable of eliciting antibodies that distinguish between these two exceedingly similar proteins in a broad group of immunodetection techniques.

背景/目的:Schlafen (SLFN) 8和SLFN9是Schlafen蛋白家族的小鼠成员,据信是通过基因复制事件产生的。这些蛋白质的生理作用仍然不明确,部分原因是缺乏可靠的、可商用的抗体来检测它们。方法:为了开发特异性抗体,我们对这两种SLFN蛋白进行了氨基酸序列比对,并通过AlphaFold模型和亲水性分析确定了一个13个氨基酸的长肽,该长肽在两种SLFN蛋白中都是表面暴露的。将SLFN8肽与KLH结合,以Poly(I:C)作为佐剂免疫小鼠。结果:通过不同的免疫检测技术,包括Western blotting、免疫沉淀、免疫组织化学和ELISA,我们验证了抗slfn8抗体在小鼠组织、工程人细胞和重组蛋白中的特异性。此外,利用免疫小鼠的脾细胞产生杂交瘤,该杂交瘤分泌具有slfn8肽特异性的IgG抗体,如ELISA所假设的那样。结论:我们的研究结果表明,鉴定的肽具有高度的免疫原性,能够在广泛的免疫检测技术中引发区分这两种极其相似的蛋白质的抗体。
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引用次数: 0
Transplacental Antibody Transfer: Mechanisms, Pregnancy-Related Disruptions, and Emerging Experimental Models. 经胎盘抗体转移:机制,妊娠相关的中断,和新兴的实验模型。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-02-06 DOI: 10.3390/antib15010014
Qiqi Li, Zhengyuan Huang, Zainab Saeed, Orene Greer, James A Harker, Nishel M Shah

The transplacental transfer of maternal immunoglobulin G from the mother to the foetus is central for providing immunity in early life, resulting in full-term newborns having IgG repertoires and levels similar to those of their mothers. The neonatal Fc receptor is recognised as the primary transporter of IgGs across the placental epithelium. Understanding the mechanisms of transplacental antibody transfer and factors that affect them is essential in optimising maternal vaccination strategies, ultimately protecting infants from various environmental pathogens. This review first outlines the biological mechanisms governing transplacental IgG transfer, followed by a discussion of how this process may be disrupted by physiological and pathological conditions during pregnancy, including preterm birth, hypergammaglobulinemia, maternal pathogenic IgG, maternal infections, hyperglycaemia, and exposure to biological therapies. We also summarise currently available models used to study transplacental IgG transfer, highlighting existing knowledge gaps and future directions for research in this field.

经胎盘将母体免疫球蛋白G从母亲转移到胎儿是在生命早期提供免疫力的核心,导致足月新生儿具有与其母亲相似的IgG库和水平。新生儿Fc受体被认为是igg在胎盘上皮中的主要转运体。了解经胎盘抗体转移的机制及其影响因素对于优化母亲疫苗接种策略至关重要,最终保护婴儿免受各种环境病原体的侵害。这篇综述首先概述了经胎盘IgG转移的生物学机制,然后讨论了这一过程如何被怀孕期间的生理和病理条件所破坏,包括早产、高γ球蛋白血症、母体致病性IgG、母体感染、高血糖和暴露于生物治疗。我们还总结了目前用于研究经胎盘IgG转移的可用模型,强调了该领域现有的知识差距和未来的研究方向。
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引用次数: 0
Antibody Avidity Profiles as Diagnostic Biomarkers in Differentiating Acute and Chronic Anisakis simplex-Related Allergic Diseases. 抗体亲和力谱作为区分急慢性单根异尖线虫相关变态反应性疾病的诊断生物标志物。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-02-06 DOI: 10.3390/antib15010013
Juan González-Fernández, Laura Ullate, Marta Rodero, Alvaro Daschner, Carmen Cuéllar

Background/objectives: Allergic features of anisakiasis, caused by ingestion of third-stage larvae of Anisakis simplex via raw or undercooked fish, manifest clinically as acute gastroallergic anisakiasis (GAA) or chronic urticaria with Anisakis sensitization (CU+). Differentiating these clinical phenotypes remains challenging. This study aimed to evaluate the maturation and avidity of specific antibodies (IgE, IgG4, IgG, and IgA) as biomarkers for discriminating between acute and chronic forms of anisakiasis.

Methods: A prospective cohort of 65 patients from Madrid, Spain, was classified into three groups: GAA (n = 22), CU+ (n = 22), and chronic urticaria without sensitization (CU-, n = 21). Serum samples were analyzed for antigen-specific immunoglobulins using ELISA and Western blot. Avidity indices (AIs) were quantified through urea dissociation assays. Statistical comparisons and correlation analyses were performed to associate antibody avidity with clinical phenotype and demographic variables.

Results: GAA patients exhibited significantly lower IgE avidity indices compared to CU+ individuals (mean AI: 79.9% vs. 88.5%), indicating a less mature IgE response during acute infection. Conversely, IgG4 and IgG avidity were elevated in GAA relative to CU+, reflecting an active but transient immune response. IgA antibodies were detected in both groups, although avidity differences lacked discriminatory capacity. No sex- or age-related differences in antibody avidity were observed. Longitudinal follow-up of GAA patients demonstrated an increase in IgE avidity over time.

Conclusions: Quantitative assessment of antibody avidity, particularly for IgE and IgG4, enhances understanding of A. simplex immunopathogenesis and serves as a valuable biomarker for distinguishing acute from chronic clinical presentations. These findings support the use of avidity indices in the diagnosis, staging, and clinical management of anisakiasis.

背景/目的:异尖线虫病的过敏特征是通过生的或未煮熟的鱼摄入单根异尖线虫第三期幼虫引起的,临床表现为急性胃过敏性异尖线虫病(GAA)或伴异尖线虫致敏的慢性荨麻疹(CU+)。区分这些临床表型仍然具有挑战性。本研究旨在评估特异性抗体(IgE、IgG4、IgG和IgA)作为区分急性和慢性异丝虫病的生物标志物的成熟度和快速性。方法:来自西班牙马德里的65例前瞻性队列患者分为三组:GAA组(n = 22), CU+组(n = 22)和无致敏的慢性荨麻疹组(n = 21)。采用ELISA和Western blot对血清样本进行抗原特异性免疫球蛋白分析。通过尿素解离法测定亲和度指数。进行了统计比较和相关分析,将抗体亲和力与临床表型和人口统计学变量联系起来。结果:GAA患者的IgE活性指数明显低于CU+患者(平均AI: 79.9%对88.5%),表明急性感染时IgE反应不成熟。相反,相对于CU+, GAA中IgG4和IgG的活性升高,反映了一种积极但短暂的免疫反应。两组均检测到IgA抗体,但差异不大。在抗体贪婪度方面没有观察到与性别或年龄相关的差异。GAA患者的纵向随访显示,随着时间的推移,IgE贪婪度增加。结论:定量评估抗体亲和度,特别是IgE和IgG4抗体亲和度,增强了对单纯单胞杆菌免疫发病机制的理解,并作为区分急性和慢性临床表现的有价值的生物标志物。这些发现支持在异丝虫病的诊断、分期和临床管理中使用贪婪指数。
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引用次数: 0
Comparative In Vitro Evaluation of Anti-HIV Immunotoxin, Antibody-Drug Conjugate, and Radioimmunoconjugate Targeted by the Same Antibody. 同一抗体靶向的抗hiv免疫毒素、抗体-药物偶联物和放射免疫偶联物的体外比较评价。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-28 DOI: 10.3390/antib15010012
Anne-Sophie Kuhlmann, Tami Peters, Donald K Hamlin, Yawen Li, Xinyi Wang, Megan Stackhouse, Frances M Cole, Jasmin Martinez-Reyes, Brenda M Sandmaier, Hans-Peter Kiem, D Scott Wilbur, Robert D Harrington, Seth H Pincus

Background: We are developing cytotoxic immunoconjugates (CICs) to eliminate HIV-infected cells. We investigated the efficacy and kinetics of killing by different forms of CICs targeted by the same monoclonal antibody (mAb), an immunotoxin (IT), antibody-drug conjugate (ADC), and radioimmunoconjugate (RIC).

Methods: We compared in vitro effects of CICs made by conjugating anti-gp41 mAb 7B2 to deglycosylated ricin A chain (7B2-dgA), the anthracycline derivative PNU-159682 (7B2-PNU), or the α-emitting isotope actinium-225 (7B2-225Ac). Kinetic analyses of cell growth were performed measuring electrical impedance every 15 min over a 7-day period using cells stably expressing the HIV envelope and Env-negative parent cells.

Results: 7B2-dgA and 7B2-225Ac were more potent and acted more rapidly to kill cells than 7B2-PNU. Both the 7B2-PNU and 7B2-225Ac induced bystander-cell killing, whereas the IT did not and consequently allowed the outgrowth of Env-negative cells. Low dose or brief exposure to 7B2-PNU resulted in an increased rate of cell growth.

Conclusions: An IT, ADC, and RIC showed substantial differences in the degree of specific toxicity, kinetics, and mechanisms of killing. The results of this side-by-side comparison have implications for the development of CICs to treat HIV, as well as other conditions.

背景:我们正在开发细胞毒性免疫偶联物(CICs)来消除hiv感染的细胞。我们研究了由相同的单克隆抗体(mAb)、免疫毒素(IT)、抗体-药物偶联物(ADC)和放射免疫偶联物(RIC)靶向的不同形式的CICs的杀伤效果和动力学。方法:比较抗gp41 mAb 7B2与去糖化蓖麻毒素A链(7B2- dga)、蒽环类衍生物PNU-159682 (7B2- pnu)、α-发射同位素锕-225 (7B2- 225ac)偶联制备的CICs体外效果。使用稳定表达HIV包膜的细胞和env阴性亲本细胞,在7天的时间内,每15分钟测量一次细胞生长的电阻抗,进行动力学分析。结果:与7B2-PNU相比,7B2-dgA和7B2-225Ac对细胞的杀伤作用更强、更迅速。7B2-PNU和7B2-225Ac均诱导了旁观者细胞的杀伤,而IT则没有,因此允许env阴性细胞的生长。低剂量或短时间暴露于7B2-PNU导致细胞生长速率增加。结论:An IT、ADC和RIC在特异性毒性程度、动力学和杀伤机制方面存在实质性差异。这种并排比较的结果对开发用于治疗艾滋病毒和其他疾病的CICs具有启示意义。
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引用次数: 0
Antibody Screening and Binding Prediction Analysis Targeting Stx2. 靶向Stx2的抗体筛选及结合预测分析
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-27 DOI: 10.3390/antib15010011
Jilei Wu, Chenghua Liu, Fenghao Peng, Zeyuan Yu, Chunxia Qiao, Guang Yang, Heng Luo, Keyi Sun, Ziyao Ning, Jing Wang, Yan Wen, Jijun Yu

Background: Shiga toxin (Stx), produced by enterohemorrhagic Escherichia coli (EHEC), is a highly potent exotoxin responsible for severe complications such as hemolytic uremic syndrome (HUS). Among its isoforms, Stx2 exhibits stronger cytotoxicity and poses greater clinical risk, yet no effective therapy currently exists. Methods: In this study, two human monoclonal antibodies, YG12-1 and YG12-2, were identified from a phage display library and systematically characterized using an integrated modeling-validation workflow. Results: Structural modeling with ImmuneBuilder and Rosetta revealed that YG12-2 possessed a longer CDRH3 topology, more short-range hydrogen bonds, and stronger electrostatic complementarity, corresponding to lower binding energy and higher apparent affinity in ELISA and SPR. Although YG12-2 had a better affinity, YG12-1 shows better protective activity in a murine model of acute peritoneal infection. This paradox highlights a non-linear relationship between structural affinity and biological efficacy, emphasizing the importance of functional epitope accessibility and pharmacokinetic behavior in determining neutralization outcomes. Conlusions: Overall, these results indicated that targeting Stx2 with YG12-1 and YG12-2 could serve as a promising protective strategy against E. coli O157:H7 infection.

背景:肠出血性大肠杆菌(EHEC)产生的志贺毒素(Stx)是一种强效外毒素,可导致溶血性尿毒症综合征(HUS)等严重并发症。在其亚型中,Stx2表现出更强的细胞毒性,具有更大的临床风险,目前尚无有效的治疗方法。方法:本研究从噬菌体展示文库中鉴定出两种人单克隆抗体YG12-1和YG12-2,并采用集成建模-验证工作流对其进行系统表征。结果:利用ImmuneBuilder和Rosetta进行结构建模,结果显示YG12-2具有较长的CDRH3拓扑结构、较多的短程氢键、较强的静电互补性,在ELISA和SPR中具有较低的结合能和较高的表观亲和力。虽然YG12-2具有更好的亲和力,但YG12-1在小鼠急性腹膜感染模型中表现出更好的保护作用。这一悖论强调了结构亲和力和生物功效之间的非线性关系,强调了功能表位可及性和药代动力学行为在决定中和结果中的重要性。结论:综上所述,这些结果表明YG12-1和YG12-2靶向Stx2可能是一种有希望的抗大肠杆菌O157:H7感染的保护策略。
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引用次数: 0
Antibodies as Tools for Characterization, Isolation and Production Enhancement of Anti-Cancer Drugs and Steroidal Hormones from Ginsenoside and Solasodine Glycoside: A Review. 抗体作为鉴定、分离和增强人参皂苷和茄茄甙抗癌药物和甾体激素生产的工具:综述。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-19 DOI: 10.3390/antib15010010
Yukihiro Shoyama

There are a vast number of monoclonal antibodies (MAbs) against biological components; however, the number for natural products is less than 50. MAbs against ginsenosides, i.e., dammarane triterpene glycosides contained in ginseng, were prepared to develop an Eastern blotting method that can estimate the number of bound sugars and pharmacological activity. Meanwhile, as a method for producing ginsenoside Rg3, which is used as an anti-cancer drug, an affinity column for ginsenoside Rb1 was prepared to isolate the raw material ginsenoside Rb1 in a single step, and a method for obtaining ginsenoside Rg3 through fermentation was proposed. A unique MAb capable of detecting all solasodine glycosides contained in Solanum plants was created to prepare an affinity column capable of isolating solasodine glycosides from S. khasianum fruit in a single step. The single-chain variable fragment gene was induced from the MAb against solasodine glycoside and introduced into the hairy root system of S. khasianum, thereby increasing the solasodine glycoside content more than twofold. As a result, we recognized that this method can be used to breed plants with higher concentrations of plant secondary metabolites like solasodine glycosides. The above results collectively demonstrate that solasodine glycoside can be isolated from S. khasianum in high yields and that this compound enables the production of steroids in high yields through a one-step chemical reaction.

有大量针对生物成分的单克隆抗体(mab);然而,天然产品的数量不到50。制备了针对人参皂苷(即人参中所含的达玛烷三萜苷)的单克隆抗体,建立了一种可以估计结合糖数量和药理活性的东部印迹法。同时,作为一种用于抗癌药物人参皂苷Rg3的生产方法,制备了人参皂苷Rb1亲和柱,实现了原料人参皂苷Rb1的一步分离,并提出了发酵制得人参皂苷Rg3的方法。建立了一种能够检测茄属植物中所有茄属碱苷的单抗,制备了一种能够一步分离茄属植物果实中茄属碱苷的亲和柱。从抗茄碱苷单抗中诱导单链可变片段基因,并将其导入卡山参毛状根系,使茄碱苷含量增加2倍以上。因此,我们认识到这种方法可以用于培育具有较高浓度的植物次生代谢物(如solasodine glycosides)的植物。综上所述,该化合物可通过一步化学反应高收率地从芥蓝中分离得到甾体化合物。
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引用次数: 0
Robustness Evaluation of a Legacy N-Glycan Profiling Method for a Therapeutic Antibody Under ICH Q14 Lifecycle Principles. ICH Q14生命周期原则下治疗性抗体遗留n -聚糖谱分析方法的稳健性评估
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-15 DOI: 10.3390/antib15010009
Ming-Ching Hsieh, Chao Richard Li, Margaret A Velardo, Jingming Zhang, Babita S Parekh

Background: This study assesses the robustness of a legacy N-glycan profiling method for the therapeutic antibody MAB1 with different Peptide-N-glycosidase F (PNGase F) enzyme sources, solid phase extraction (SPE) cartridges, and reagent stability, aligning with ICH Q14 lifecycle management principles. Glycosylation profiling is critical for therapeutic antibodies as it influences both function and pharmacokinetics.

Method: The legacy N-glycan profiling method, 2-aminobenzoic acid (2-AA) labeling combined with normal-phase HPLC, was re-evaluated to confirm consistent analytical performance in the context of evolving regulatory expectations. The evaluation focused on three key factors: PNGase F enzyme sources, solid-phase extraction (SPE) cartridges, and reagent stability.

Results: Commercial PNGase F enzymes showed various performances, with some sources yielding significant differences. Several SPE cartridges were also tested, with certain formats displaying poor recovery and high variability, particularly for sialylated glycans. In addition, reagent stability studies revealed rapid degradation of the labeling reagent within a few days.

Conclusions: These results underscore the importance of risk control, continual improvement, and lifecycle management to ensure reliable glycosylation analysis and the sustained robustness of legacy methods.

背景:本研究根据ICH Q14生命周期管理原则,评估了不同肽- n -糖苷酶F (PNGase F)酶源、固相萃取(SPE)试剂盒和试剂稳定性的传统n -聚糖分析方法对治疗性抗体MAB1的稳健性。糖基化分析对治疗性抗体至关重要,因为它会影响抗体的功能和药代动力学。方法:重新评估传统的n -聚糖分析方法,2-氨基苯甲酸(2-AA)标记与正相高效液相色谱相结合,以确定在不断变化的监管期望背景下的一致分析性能。评价主要集中在三个关键因素:PNGase F酶源、固相萃取(SPE)试剂盒和试剂稳定性。结果:市售PNGase F酶表现出不同的性能,部分来源差异显著。几种SPE滤芯也进行了测试,某些格式显示回收率低,变异性高,特别是唾液化聚糖。此外,试剂稳定性研究表明,标记试剂在几天内会迅速降解。结论:这些结果强调了风险控制、持续改进和生命周期管理的重要性,以确保可靠的糖基化分析和遗留方法的持续稳健性。
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引用次数: 0
Paraneoplastic Neurological Syndromes: Advances and Future Perspectives in Immunopathogenesis and Management. 副肿瘤神经综合征:免疫发病机制和治疗的进展和未来展望。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-14 DOI: 10.3390/antib15010008
Stoimen Dimitrov, Mihael Tsalta-Mladenov, Plamena Kabakchieva, Tsvetoslav Georgiev, Silva Andonova

Paraneoplastic neurological syndromes (PNSs) are immune-mediated disorders caused by an antitumor response that cross-reacts with the nervous system, leading to severe and often irreversible neurological disability. Once considered exceedingly rare, PNSs are now increasingly recognized owing to the identification of novel neural autoantibodies, wider use of commercial testing, and the emergence of immune checkpoint inhibitor (ICI)-related neurotoxicity that phenotypically overlaps with classic PNS. In this narrative review, we performed a structured search of PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar, without date restrictions, to summarize contemporary advances in the epidemiology, pathogenesis, diagnosis, and management of PNS. Population-based data show rising incidence, largely reflecting improved ascertainment and expanding indications for ICIs. Pathogenetically, we distinguish T-cell-mediated syndromes associated with intracellular antigens from antibody-mediated disorders targeting neuronal surface proteins, integrating emerging concepts of molecular mimicry, tumor genetics, and HLA-linked susceptibility. The 2021 PNS-Care criteria are also reviewed, which replace earlier "classical/non-classical" definitions with risk-stratified phenotypes and antibodies, and demonstrate superior diagnostic performance while underscoring that "probable" and "definite" PNS should be managed with equal urgency. Newly described antibodies and methodological innovations such as PhIP-Seq, neurofilament light chain, and liquid biopsy are highlighted, which refine tumor search strategies and longitudinal monitoring. Management principles emphasize early tumor control, prompt immunotherapy, and a growing repertoire of targeted agents, alongside specific considerations for ICI-associated neurological syndromes. Remaining challenges include diagnostic delays, limited high-level evidence, and the paucity of validated biomarkers of disease activity. Future work should prioritize prospective, biomarker-driven trials and multidisciplinary pathways to shorten time to diagnosis and improve long-term outcomes in patients with PNS.

副肿瘤神经综合征(PNSs)是一种免疫介导的疾病,由抗肿瘤反应与神经系统交叉反应引起,导致严重且往往不可逆转的神经功能障碍。曾经被认为极其罕见的PNS,现在越来越多地认识到,由于新的神经自身抗体的鉴定,商业测试的广泛使用,以及免疫检查点抑制剂(ICI)相关神经毒性的出现,其表型与经典PNS重叠。在这篇叙述性综述中,我们对PubMed/MEDLINE、Scopus、Web of Science和谷歌Scholar进行了结构化检索,不受日期限制,总结了PNS的流行病学、发病机制、诊断和管理方面的最新进展。基于人群的数据显示,发病率正在上升,这在很大程度上反映了对ici的确定得到改善和适应症的扩大。在病理学上,我们区分了与细胞内抗原相关的t细胞介导综合征和针对神经元表面蛋白的抗体介导的疾病,整合了分子模仿、肿瘤遗传学和hla相关易感性的新兴概念。还审查了2021年PNS- care标准,该标准用风险分层表型和抗体取代了早期的“经典/非经典”定义,并展示了卓越的诊断性能,同时强调“可能”和“确定”PNS应同样紧迫地进行管理。新描述的抗体和方法创新,如PhIP-Seq,神经丝轻链和液体活检被强调,这改进了肿瘤搜索策略和纵向监测。管理原则强调早期肿瘤控制、及时免疫治疗和越来越多的靶向药物,以及对ici相关神经系统综合征的具体考虑。剩下的挑战包括诊断延迟,有限的高水平证据,以及缺乏有效的疾病活动生物标志物。未来的工作应优先考虑前瞻性、生物标志物驱动的试验和多学科途径,以缩短PNS患者的诊断时间并改善其长期预后。
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引用次数: 0
Autoantibodies as Precision Tools in Connective Tissue Diseases: From Epiphenomenon to Endophenotype. 自身抗体作为结缔组织疾病的精密工具:从副现象到内表型。
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-13 DOI: 10.3390/antib15010007
Muhammad Soyfoo, Julie Sarrand

Autoantibodies have long been regarded as passive reflections of immune dysregulation in connective tissue diseases (CTDs). Recent advances in systems immunology and molecular pathology have fundamentally redefined them as active molecular fingerprints that delineate distinct disease endophenotypes with predictive power for clinical trajectories and therapeutic responses. Rather than mere epiphenomena, autoantibodies encode precise information about dominant immune pathways, organ tropism, and pathogenic mechanisms. This review synthesizes emerging evidence that autoantibody repertoires-defined by specificity, structural properties, and functional characteristics-stratify patients beyond traditional clinical taxonomy into discrete pathobiological subsets. Specific signatures such as anti-MDA5 in rapidly progressive interstitial lung disease, anti-RNA polymerase III in scleroderma renal crisis, and anti-Ro52/TRIM21 in systemic overlap syndromes illustrate how serological profiles predict outcomes with remarkable precision. Mechanistically, autoantibody pathogenicity is modulated by immunoglobulin isotype distribution, Fc glycosylation patterns, and tissue-specific receptor expression-variables that determine whether an antibody functions as a biomarker or pathogenic effector. The structural heterogeneity of autoantibodies, shaped by cytokine microenvironments and B-cell subset imprinting, creates a dynamic continuum between pro-inflammatory and regulatory states. The integration of serological, transcriptomic, and imaging data establishes a precision medicine framework: autoantibodies function simultaneously as disease classifiers and therapeutic guides. This endophenotype-driven approach is already influencing trial design and patient stratification in systemic lupus erythematosus, systemic sclerosis, and inflammatory myopathies, and is reshaping both clinical practice and scientific taxonomy in CTDs. Recognizing autoantibodies as endophenotypic determinants aligns disease classification with pathogenic mechanism and supports the transition towards immunologically informed therapeutic strategies.

自身抗体长期以来被认为是结缔组织疾病(CTDs)免疫失调的被动反映。系统免疫学和分子病理学的最新进展从根本上将其重新定义为具有预测临床轨迹和治疗反应能力的不同疾病内表型的活性分子指纹。自身抗体不仅仅是一种现象,它编码了有关主要免疫途径、器官趋向性和致病机制的精确信息。这篇综述综合了新出现的证据,即自身抗体库——由特异性、结构特性和功能特征定义——将患者分层,超越传统的临床分类,划分为离散的病理生物学亚群。特异性标记,如快速进展间质性肺病中的抗mda5,硬皮病肾危象中的抗rna聚合酶III,以及系统性重叠综合征中的抗ro52 /TRIM21,说明了血清学特征如何以惊人的精度预测预后。从机制上讲,自身抗体的致病性是由免疫球蛋白同型分布、Fc糖基化模式和组织特异性受体表达变量调节的,这些变量决定了抗体是作为生物标志物还是致病效应物。细胞因子微环境和b细胞亚群印记塑造了自身抗体的结构异质性,在促炎和调节状态之间创造了一个动态连续体。血清学、转录组学和影像学数据的整合建立了精准医学框架:自身抗体同时作为疾病分类器和治疗指南。这种内表型驱动的方法已经影响了系统性红斑狼疮、系统性硬化症和炎症性肌病的试验设计和患者分层,并正在重塑CTDs的临床实践和科学分类。认识到自身抗体是内表型决定因素,使疾病分类与致病机制一致,并支持向免疫知情的治疗策略过渡。
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引用次数: 0
Oral Immunotherapy-Induced Changes in IgE, IgG, and IgA: A Review of Antibody Isotype Shifts and Their Clinical Relevance in Food Allergy. 口服免疫治疗诱导的IgE、IgG和IgA的变化:抗体同型转移及其在食物过敏中的临床意义的综述
IF 2.7 Q3 IMMUNOLOGY Pub Date : 2026-01-07 DOI: 10.3390/antib15010006
Giovanni Lasagni, Laura Vetrugno, Chiara Maria Maggiore, Chiara Galassetti, Giulia Di Colo, Francesco Pavan, Andrea Costantino, Lorenzo Dagna

Background: Food allergy is a growing public health concern, and oral immunotherapy (OIT) has emerged as a promising approach to induce desensitization and potentially sustained unresponsiveness to allergenic foods. Changes in humoral immunity, particularly in allergen-specific immunoglobulin levels, play a central role in the immunological mechanisms underlying OIT. This review aims to summarize the current evidence on how OIT modulates allergen-specific immunoglobulin E (IgE), G (IgG) and A (IgA) responses in individuals with food allergy.

Methods: We conducted a review of original research articles reporting longitudinal data on allergen-specific IgE, IgG, and/or IgA in patients undergoing OIT for common food allergens.

Results: OIT was consistently associated with a transient increase in allergen-specific IgE levels during early phases, followed by a gradual decline. In contrast, Allergen-specific IgG4 levels showed a robust and sustained increase, correlating with desensitization and proposed to function as blocking antibodies. Several studies also reported an increase in allergen-specific IgA, particularly secretory IgA at mucosal sites, suggesting a potential role in enhancing mucosal tolerance and immune exclusion of allergens.

Conclusions: Humoral immune responses during OIT are characterized by distinct and dynamic changes in immunoglobulin patterns. In particular, the rise in IgG4 and, in some cases, IgA suggests a role in promoting tolerance. Monitoring these biomarkers may offer insights into treatment efficacy and support individualized approaches to OIT.

背景:食物过敏是一个日益严重的公共卫生问题,口服免疫疗法(OIT)已成为一种有前途的方法来诱导脱敏和潜在的对过敏性食物的持续无反应。体液免疫的变化,特别是过敏原特异性免疫球蛋白水平的变化,在OIT的免疫机制中起着核心作用。本文综述了OIT如何调节食物过敏个体的过敏原特异性免疫球蛋白E (IgE), G (IgG)和A (IgA)反应的现有证据。方法:我们对原始研究文章进行了回顾,这些文章报道了因常见食物过敏原而接受OIT的患者中过敏原特异性IgE、IgG和/或IgA的纵向数据。结果:OIT始终与早期阶段过敏原特异性IgE水平的短暂增加有关,随后逐渐下降。相比之下,过敏原特异性IgG4水平显示出强劲和持续的增加,与脱敏相关,并被认为是阻断抗体。几项研究也报道了过敏原特异性IgA的增加,特别是粘膜部位分泌性IgA的增加,表明其在增强粘膜耐受性和免疫排斥过敏原方面的潜在作用。结论:OIT期间的体液免疫反应以免疫球蛋白模式的明显动态变化为特征。特别是,IgG4的增加,在某些情况下,IgA表明在促进耐受性方面起作用。监测这些生物标志物可以提供治疗效果的见解,并支持个体化治疗OIT的方法。
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Antibodies
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