Shared idiotypic determinant in mono- and polyclonal anti-phospholipid antibodies with lupus anticoagulant activity

Thromb Res. 1991 Feb 1;61(3):201-11. doi: 10.1016/0049-3848(91)90096-f.

Abstract

Of 42 purified human myeloma proteins tested, two (IgG3 Her and IgM Mag) were found to possess strong lupus anticoagulant (LA) and anti-cephalin activity, as assessed by a dilute activated partial thromboplastin time (dAPTT) and ELISA test, respectively. For these proteins, we confirmed the observation reported by others that LA activity is present in the antigen-binding (Fab) portion of the immunoglobulin molecule. Rabbit anti-idiotype antibodies against IgG3 Her inhibited the anti-cephalin activity of this protein, suggesting that the anti-cephalin activity of IgG3 Her depends on the hypervariable part of the immunoglobulin and thus most probably is a true antigen-antibody reaction. The anti-Her idiotype antibodies were also able to bind to and inhibit the anti-cephalin activity of IgM Mag. ELISA binding and inhibition experiments showed that the anti-idiotype antiserum contained at least two sets of anti-idiotypes; one set that recognizes a cross-reactive idiotype shared by IgG3 Her and IgM Mag, and another set that seems to be unique to the immunizing protein IgG3 Her. Both sets of anti-idiotype antibodies also bound weakly to polyclonal (patient) IgG, indicating an idiotypic cross reaction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Anti-Idiotypic / analysis*
  • Antibodies, Anti-Idiotypic / immunology
  • Antibodies, Monoclonal / immunology*
  • Blood Coagulation / immunology*
  • Blood Coagulation Factors / analysis
  • Blood Coagulation Factors / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Immunoglobulin Fab Fragments / analysis
  • Immunoglobulin Fab Fragments / immunology
  • Immunoglobulin Fc Fragments / analysis
  • Immunoglobulin Fc Fragments / immunology
  • Immunoglobulin Fragments / analysis
  • Immunoglobulin Fragments / immunology
  • Immunoglobulin G / analysis*
  • Immunoglobulin G / immunology
  • Immunoglobulin M / analysis
  • Immunoglobulin M / immunology
  • Lupus Coagulation Inhibitor
  • Partial Thromboplastin Time
  • Phosphatidylethanolamines / immunology*

Substances

  • Antibodies, Anti-Idiotypic
  • Antibodies, Monoclonal
  • Blood Coagulation Factors
  • Immunoglobulin Fab Fragments
  • Immunoglobulin Fc Fragments
  • Immunoglobulin Fragments
  • Immunoglobulin G
  • Immunoglobulin M
  • Lupus Coagulation Inhibitor
  • Phosphatidylethanolamines