Abstract
Background
Anti-neutrophil cytoplasmic autoantibodies (ANCA) associated vasculitis is a pauci-immune disease with the inflammation of the small blood vessels. The efficacies of antibody drugs for induction therapies of vasculitis vary among cases. Here, we developed a novel clone of a single chain Fv region (ScFv) with vasculitis-specific therapeutic potential.
Materials and methods
The clone, termed VasSF, was selected from our Escherichia coli expression library of recombinant human ScFv based on the therapeutic efficacy in an SCG/Kj mouse model of MPO-ANCA-associated vasculitis (MAAV), such as improvement of the urinary score and decreased crescent formation in glomeruli, granulomatous in lung, MPO-ANCA biomarkers, the anti-moesin antibody, and some cytokine levels.
Results
We identified vasculitis-associated apolipoprotein A-II (VAP2) as a target molecule of the clone and confirmed the independently-established VAP2 antibodies were also therapeutic in SCG/Kj mice. In MAAV, MPO-ANCA and cytokines stimulate neutrophils by facilitating heterodimer formation of VAP2 with apolipoprotein A-I in HDL.
Conclusion
VasSF would constitute a novel antibody drug for vasculitis by suppressing the heterodimer formation of the apolipoproteins.
Supplementary materials
Abbreviation: hScFv, human single chain Fv region.
Abbreviation: hScFv, human single-chain Fv regions.
Abbreviations: aVAP2, anti-VAP2 polyclonal antibodies; GRA, granulocytes; LYM, lymphocytes; MON, monocytes; WBC, white blood cells.
Acknowledgments
This study was supported, in part, by a grant from the Gamma-globulin Project from the Japan Science and Technology Agency and the Japan Agency for Medical Research and Development in Japan. We thank Drs Toshiko Ito-Ihara and Wako Yumura for medical advice, Ms Hisae Onodera and Ms Yuko Okada of A-CLIP Institute and Ms Kaoru Tosaka and Ms Haruko Haisa of Teikyo University for their documentation.
Disclosure
The authors report no conflicts of interest in this work.