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1.
Immunobiology ; 227(3): 152213, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35429697

RESUMEN

Previous studies have shown that polyreactive antibodies play an important role in the frontline defense against the dissemination of pathogens in the pre-immune host. Interestingly, antigen-binding polyreactivity can not only be inherent, but also acquired post-translationally. The ability of individual monoclonal IgG and IgE antibodies to acquire polyreactivity following contact with various agents that destabilize protein structure (urea, low pH) or have a pro-oxidative potential (heme, ferrous ions) has been studied in detail. However, to the best of our knowledge this property of human IgA has previously been described only cursorily. In the present study pooled human serum IgA and two human monoclonal IgA antibodies were exposed to buffers with acidic pH, to free heme or to ferrous ions, and the antigen-binding behavior of the native and modified IgA to viral and bacterial antigens were compared using immunoblot and ELISA. We observed a dose-dependent increase in reactivity to several bacterial extracts and to pure viral antigens. This newly described property of IgA may have therapeutic potential as has already been shown for pooled IgG with induced polyreactivity.


Asunto(s)
Anticuerpos Monoclonales , Inmunoglobulina G , Especificidad de Anticuerpos , Hemo , Humanos , Inmunoglobulina A , Iones
2.
Pharmacology ; 107(7-8): 341-350, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34864734

RESUMEN

INTRODUCTION: As has been shown previously, various protein-modifying agents can change the antigen-binding properties of immunoglobulins. However, induced polyspecificity of human secretory immunoglobulin A (sIgA) has not been previously characterized in detail. METHODS: In the present study, human secretory immunoglobulin A (IgA) was exposed to buffers with acidic pH, to free heme, or to pro-oxidative ferrous ions, and the antigen-binding behavior of the native and modified IgA to viral and bacterial antigens was compared using Western blotting and enzyme-linked immunosorbent assay. The ability of these agents to modulate the antigen-binding properties of human sIgA toward a wide range of pathogen peptides was investigated using an epitope microarray. RESULTS: We have shown that acidic pH, heme, and pro-oxidative ferrous ions influenced the binding of secretory IgA in opposite directions (either increasing or decreasing); however, the strongest effect was observed when using buffers with low pH. This fraction had the highest number of affected reactivities; most of them were increased and most of the new ones were toward common pathogens. CONCLUSIONS: Thus, it was shown that all investigated treatments can alter to some degree the antigen-binding of secretory IgA, but acidic pH has the most potentially beneficial effect by increasing binding to a largest number of common pathogens' antigens.


Asunto(s)
Hemo , Inmunoglobulina A Secretora , Western Blotting , Ensayo de Inmunoadsorción Enzimática , Humanos , Inmunoglobulina A Secretora/farmacología , Iones
3.
Front Immunol ; 11: 973, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32508840

RESUMEN

Mild modification of intravenous immunoglobulin (IVIG) has been reported to result in enhanced polyspecificity and leveraged therapeutic effects in animal models of inflammation. Here, we observed that IVIG modification by ferrous ions, heme or low pH exposure, shifted the repertoires of specificities in different directions. Ferrous ions exposed Fe(II)-IVIG, but not heme or low pH exposed IVIG, showed increased pro-apoptotic effects on neutrophil granulocytes that relied on a FAS-dependent mechanism. These effects were also observed in human neutrophils primed by inflammatory mediators or rheumatoid arthritis joint fluid in vitro, or patient neutrophils ex vivo from acute Crohn's disease. These observations indicate that IVIG-mediated effects on cells can be enhanced by IVIG modification, yet specific modification conditions may be required to target specific molecular pathways and eventually to enhance the therapeutic potential.


Asunto(s)
Apoptosis/efectos de los fármacos , Compuestos Ferrosos/química , Inmunoglobulinas Intravenosas/química , Inmunoglobulinas Intravenosas/farmacología , Neutrófilos/efectos de los fármacos , Artritis Reumatoide/inmunología , Enfermedad de Crohn/inmunología , Humanos , Concentración de Iones de Hidrógeno
4.
Front Immunol ; 10: 2796, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31849974

RESUMEN

Specific antibody reactivities are routinely used as biomarkers, but the antibody repertoire reactivity (igome) profiles are still neglected. Here, we propose rationally designed peptide arrays as efficient probes for these system level biomarkers. Most IgM antibodies are characterized by few somatic mutations, polyspecificity, and physiological autoreactivity with housekeeping function. Previously, probing this repertoire with a set of immunodominant self-proteins provided a coarse analysis of the respective repertoire profiles. In contrast, here, we describe the generation of a peptide mimotope library that reflects the common IgM repertoire of 10,000 healthy donors. In addition, an appropriately sized subset of this quasi-complete mimotope library was further designed as a potential diagnostic tool. A 7-mer random peptide phage display library was panned on pooled human IgM. Next-generation sequencing of the selected phage yielded 224,087 sequences, which clustered in 790 sequence clusters. A set of 594 mimotopes, representative of the most significant sequence clusters, was shown to probe symmetrically the space of IgM reactivities in patients' sera. This set of mimotopes can be easily scaled including a greater proportion of the mimotope library. The trade-off between the array size and the resolution can be explored while preserving the symmetric sampling of the mimotope sequence and reactivity spaces. BLAST search of the non-redundant protein database with the mimotopes sequences yielded significantly more immunoglobulin J region hits than random peptides, indicating a considerable idiotypic connectivity of the targeted igome. The proof of principle predictors for random diagnoses was represented by profiles of mimotopes. The number of potential reactivity profiles that can be extracted from this library is estimated at more than 1070. Thus, a quasi-complete IgM mimotope library and a scalable representative subset thereof are found to address very efficiently the dynamic diversity of the human public IgM repertoire, providing informationally dense and structurally interpretable IgM reactivity profiles.


Asunto(s)
Inmunoglobulina M , Biblioteca de Péptidos , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Neoplasias/sangre , Neoplasias/inmunología
5.
Inflammation ; 40(1): 117-122, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-27796617

RESUMEN

Antibody repertoires of healthy humans and animals contain a fraction of antibodies able to acquire additional polyspecificity following exposure to several biologically relevant redox molecules (free heme, reactive oxygen species, ferrous ions, HOCl, etc.). The physiological role of these "hidden" polyspecific antibodies is poorly understood. Similar to inherently polyspecific antibodies, those with induced polyspecificicty may also have immunoregulatory properties. We have previously shown that a pooled human IgG preparation, modified by the exposure to ferrous ions, acquires the ability to significantly improve survival of animals with polymicrobial sepsis or aseptic systemic inflammation induced by bacterial lipopolysaccharide or zymosan administration. In the present study, we have analyzed the effects of administration of heme-exposed pooled human IgG in the same models of sepsis and aseptic systemic inflammation. The administration of a single dose of heme-exposed pooled IgG has resulted in a significant increase in the survival of mice with endotoxinemia, but not in those with polymicrobial sepsis and zymosan-induced severe generalized inflammation. Finally, we have provided evidence that the anti-inflammatory effect of heme-exposed IgG can be explained by scavenging of pro-inflammatory mediators.


Asunto(s)
Endotoxemia/tratamiento farmacológico , Hemo/farmacología , Inmunoglobulina G/uso terapéutico , Inflamación/tratamiento farmacológico , Sepsis/tratamiento farmacológico , Animales , Antiinflamatorios/farmacología , Especificidad de Anticuerpos , Endotoxemia/mortalidad , Humanos , Inmunoglobulina G/efectos de los fármacos , Inmunoglobulina G/inmunología , Mediadores de Inflamación , Lipopolisacáridos , Ratones , Tasa de Supervivencia
6.
Biochem Biophys Res Commun ; 472(1): 281-6, 2016 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-26926563

RESUMEN

Polyreactive antibodies represent a considerable fraction of the immune repertoires. Some antibodies acquire polyreactivity post-translationally after interaction with various redox-active substances, including heme. Recently we have demonstrated that heme binding to a naturally polyreactive antibody (SPE7) results in a considerable broadening of the repertoire of recognized antigens. A question remains whether the presence of certain level of natural polyreactivity of antibodies is a prerequisite for heme-induced further extension of antigen binding potential. Here we used a second monoclonal antibody (Hg32) with unknown specificity and absence of intrinsic polyreactivity as a model to study the potential of heme to induce polyreactivity of antibodies. We demonstrated that exposure to heme greatly extends the antigen binding potential of Hg32, suggesting that the intrinsic binding promiscuity is not a prerequisite for the induction of polyreactivity by heme. In addition we compared the kinetics and thermodynamics of the interaction of heme-exposed antibodies with a panel of unrelated antigens. These analyses revealed that the two heme-sensitive antibodies adopt different mechanisms of binding to the same set of antigens. This study contributes to understanding the phenomenon of induced antibody polyreactivity. The data may also be of importance for understanding of physiological and pathological roles of polyreactive antibodies.


Asunto(s)
Anticuerpos Monoclonales/inmunología , Especificidad de Anticuerpos/inmunología , Hemo/inmunología , Inmunidad Adaptativa , Animales , Anticuerpos Monoclonales/metabolismo , Anticuerpos Monoclonales de Origen Murino/inmunología , Anticuerpos Monoclonales de Origen Murino/metabolismo , Diversidad de Anticuerpos , Reacciones Antígeno-Anticuerpo , Proteínas Inmovilizadas/inmunología , Proteínas Inmovilizadas/metabolismo , Inmunoglobulina E/inmunología , Inmunoglobulina E/metabolismo , Cinética , Ratones , Procesamiento Proteico-Postraduccional , Ratas , Resonancia por Plasmón de Superficie , Termodinámica
7.
Mol Med ; 21(1): 1002-1010, 2016 04.
Artículo en Inglés | MEDLINE | ID: mdl-26701312

RESUMEN

Sepsis is a major cause for death worldwide. Numerous interventional trials with agents neutralizing single proinflammatory mediators have failed to improve survival in sepsis and aseptic systemic inflammatory response syndromes. This failure could be explained by the widespread gene expression dysregulation known as "genomic storm" in these patients. A multifunctional polyspecific therapeutic agent might be needed to thwart the effects of this storm. Licensed pooled intravenous immunoglobulin preparations seemed to be a promising candidate, but they have also failed in their present form to prevent sepsis-related death. We report here the protective effect of a single dose of intravenous immunoglobulin preparations with additionally enhanced polyspecificity in three models of sepsis and aseptic systemic inflammation. The modification of the pooled immunoglobulin G molecules by exposure to ferrous ions resulted in their newly acquired ability to bind some proinflammatory molecules, complement components and endogenous "danger" signals. The improved survival in endotoxemia was associated with serum levels of proinflammatory cytokines, diminished complement consumption and normalization of the coagulation time. We suggest that intravenous immunoglobulin preparations with additionally enhanced polyspecificity have a clinical potential in sepsis and related systemic inflammatory syndromes.

9.
Biochemistry ; 54(11): 2061-72, 2015 Mar 24.
Artículo en Inglés | MEDLINE | ID: mdl-25742488

RESUMEN

A fraction of antibodies from healthy immune repertoires binds to heme and acquires the ability to recognize multiple antigens. The mechanism and functional consequences of heme-mediated antigen binding promiscuity (polyreactivity) are not understood. Here, we used SPE7, a mouse monoclonal IgE specific for dinitrophenyl that has been thoroughly characterized at the molecular level, as a model antibody to elucidate the mechanism and functional consequences of heme-mediated polyreactivity. We first demonstrate that exposure of SPE7 to heme results in a substantial increase in its antigen binding polyreactivity. Comparison of the binding kinetics and thermodynamics of interaction of native and heme-bound SPE7 indicates that the binding of heme to SPE7 confers binding affinities in the low nanomolar range toward several antigens but has no influence on the mechanism of recognition of dinitrophenyl. In vitro cellular assays further demonstrate that heme-bound SPE7 does not promote the degranulation of basophils in the presence of new target antigens, while degranulation is observed in the presence of dinitrophenyl. Molecular docking and fluorescence spectroscopy revealed binding of heme to the variable region of SPE7 at a distance from the conventional binding site for dinitrophenyl, explaining the extension of binding polyreactivity without abrogation of the interaction with its cognate antigen. In addition, our data suggest that heme, when bound to IgE, is solvent-exposed and may serve as an interfacial cofactor mediating binding to diverse proteins. This study contributes to the understanding of the mechanisms of heme-induced antibody polyreactivity. It also paves the way toward the delineation of the functional impact of polyreactivity and cross-reactivity of IgE.


Asunto(s)
Anticuerpos Monoclonales/metabolismo , Especificidad de Anticuerpos , Hemo/metabolismo , Inmunoglobulina E/metabolismo , Modelos Moleculares , Animales , Anticuerpos Monoclonales/química , Afinidad de Anticuerpos , Basófilos/efectos de los fármacos , Basófilos/inmunología , Basófilos/metabolismo , Sitios de Unión de Anticuerpos , Degranulación de la Célula/efectos de los fármacos , Línea Celular , Reacciones Cruzadas , Dinitrobencenos/química , Dinitrobencenos/metabolismo , Dinitrobencenos/farmacología , Hemo/química , Hemina/química , Hemina/metabolismo , Inmunoglobulina E/química , Indicadores y Reactivos/química , Indicadores y Reactivos/metabolismo , Indicadores y Reactivos/farmacología , Cinética , Ratones , Simulación del Acoplamiento Molecular , Ratas , Espectrometría de Fluorescencia
10.
Sci Transl Med ; 7(269): 269ra1, 2015 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-25568069

RESUMEN

Despite the paradigm that carbohydrates are T cell-independent antigens, isotype-switched glycan-specific immunoglobulin G (IgG) antibodies and polysaccharide-specific T cells are found in humans. We used a systems-level approach combined with glycan array technology to decipher the repertoire of carbohydrate-specific IgG antibodies in intravenous and subcutaneous immunoglobulin preparations. A strikingly universal architecture of this repertoire with modular organization among different donor populations revealed an association between immunogenicity or tolerance and particular structural features of glycans. Antibodies were identified with specificity not only for microbial antigens but also for a broad spectrum of host glycans that serve as attachment sites for viral and bacterial pathogens and/or exotoxins. Tumor-associated carbohydrate antigens were differentially detected by IgG antibodies, whereas non-IgG2 reactivity was predominantly absent. Our study highlights the power of systems biology approaches to analyze immune responses and reveals potential glycan antigen determinants that are relevant to vaccine design, diagnostic assays, and antibody-based therapies.


Asunto(s)
Especificidad de Anticuerpos/inmunología , Sitios de Ligazón Microbiológica/inmunología , Carbohidratos/inmunología , Inmunoglobulina G/química , Inmunoglobulina G/inmunología , Antígenos Bacterianos/inmunología , Antígenos Virales/inmunología , Epítopos/inmunología , Glicómica , Humanos , Inmunoglobulinas Intravenosas/inmunología , Ligandos , Donantes de Tejidos
13.
J Immunol ; 191(3): 993-9, 2013 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-23873158

RESUMEN

An Ab molecule or a BCR that is able to bind multiple structurally unrelated Ags is defined as polyreactive. Polyreactive Abs and BCRs constitute an important part of immune repertoires under physiological conditions and may play essential roles in immune defense and in the maintenance of immune homeostasis. In this review, we integrate and discuss different findings that reveal the indispensable role of Ag-binding polyreactivity in the immune system. First, we describe the functional and molecular characteristics of polyreactive Abs. The following part of the review concentrates on the biological roles attributed to polyreactive Abs and to polyreactive BCRs. Finally, we discuss recent studies that link Ig polyreactivity with distinct pathological conditions.


Asunto(s)
Anticuerpos/inmunología , Especificidad de Anticuerpos , Reacciones Antígeno-Anticuerpo , Inmunoglobulinas/inmunología , Anticuerpos/metabolismo , Afinidad de Anticuerpos , Linfocitos B/inmunología , Epítopos/inmunología , Humanos , Región Variable de Inmunoglobulina/inmunología , Inmunoglobulinas/metabolismo , Estructura Secundaria de Proteína , Receptores de Antígenos de Linfocitos B/inmunología , Receptores de Antígenos de Linfocitos B/metabolismo
14.
Autoimmun Rev ; 12(6): 653-6, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23201921

RESUMEN

Intravenous immunoglobulin preparations (IVIg) that have undergone a mild oxidizing treatment with ferrous ions have an increased polyspecificity, which is not associated with a higher propensity to form aggregates. Among other biological properties of the modified IVIg, a protective effect in LPS sepsis model stands out as the native preparation is totally devoid of it or even exacerbates sepsis. A recent finding identified an LPS induced subset of B1 lymphocytes that migrate from the peritoneal cavity to the spleen acquiring the expression of CD93, GM-CSF as well as the capacity to control sepsis. This report demonstrates that modified IVIg, but not the native preparation, causes a further increase in this population during LPS sepsis. Partial targeted suppression of the peritoneal B cell proliferation by an intracellular dye abrogates this effect and the clinical benefit of modified IVIg.


Asunto(s)
Linfocitos B/efectos de los fármacos , Inmunoglobulinas Intravenosas/uso terapéutico , Factores Inmunológicos/uso terapéutico , Sepsis/tratamiento farmacológico , Animales , Linfocitos B/inmunología , Células Cultivadas , Inmunoglobulinas Intravenosas/química , Inmunoglobulinas Intravenosas/farmacología , Factores Inmunológicos/química , Factores Inmunológicos/farmacología , Hierro/química , Lipopolisacáridos , Ratones , Ratones Endogámicos ICR , Cavidad Peritoneal/citología , Sepsis/inducido químicamente , Sepsis/inmunología
15.
Adv Exp Med Biol ; 750: 213-26, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22903677

RESUMEN

Polyspecificity (polyreactivity) is currently considered an intrinsic property of a subset of antibodies, primarily of naturally occurring autoantibodies. Polyspecificity is no longer viewed as a biologically irrelevant stickiness. Furthermore, the capacity to bind defined sets of unrelated antigens finds its structural explanation. What is most intriguing, the elucidation of the role of polyspecificity may promote a better understanding of specific recognition as a function of the entire immune system. The early events of immune recognition depend on polyspecific binding. Thus, the completeness of the naïve repertoires of antigen receptors is ensured. The process of immunologically-relevant antigen recognition that is initiated goes beyond simple molecular interaction with the antigenic determinants. It involves cellular cooperation and culminates in antibody response maturation. Recent findings also pave the way for the clinical application of posttranslationally induced polyspecificity.


Asunto(s)
Especificidad de Anticuerpos/inmunología , Autoanticuerpos/inmunología , Inmunoglobulina G/inmunología , Inmunoglobulina M/inmunología , Antígenos/química , Antígenos/inmunología , Autoanticuerpos/química , Compuestos Ferrosos/química , Hemo/química , Humanos , Concentración de Iones de Hidrógeno , Inmunoglobulina G/química , Inmunoglobulina M/química , Región Variable de Inmunoglobulina/química , Región Variable de Inmunoglobulina/inmunología , Unión Proteica , Procesamiento Proteico-Postraduccional
18.
Clin Immunol ; 138(2): 162-71, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-21123117

RESUMEN

Intravenous immunoglobulins (IVIG) are known to have a therapeutic effect in some autoimmune diseases. We examined the effect of IVIG and heme-exposed IVIG on the development of immune mediated diabetes induced in C57BL/6 mice by multiple low doses of streptozotocin. IVIG were used in a dose of 200mg/kg daily for 15 days. Treatment with IVIG resulted in significant attenuation of diabetes induction as evaluated by glycemia, glycosuria and HbA1c level. Interestingly, heme-exposed IVIG had a still stronger antidiabetogenic effect. Serum levels of proinflammatory cytokines TNF-α, IFN-γ and IL17 were lower in IVIG treated animals when compared with controls, while IL10 level was higher. The number of CD4(+)Foxp3(+) cells was higher in pancreatic lymph nodes of heme-exposed IVIG treated mice. Our results show that IVIG may downregulate diabetes induction possibly by favouring induction of T regulatory cells and suggest enhanced effect upon heme-binding to IVIG.


Asunto(s)
Diabetes Mellitus Experimental/prevención & control , Diabetes Mellitus Tipo 1/prevención & control , Hemo/inmunología , Inmunoglobulinas Intravenosas/uso terapéutico , Linfocitos T Reguladores/inmunología , Animales , Ciclofosfamida/inmunología , Citocinas/sangre , Diabetes Mellitus Experimental/inmunología , Diabetes Mellitus Tipo 1/inmunología , Regulación hacia Abajo , Hemoglobina Glucada , Glucosuria/inmunología , Glucosuria/prevención & control , Humanos , Hiperglucemia/inmunología , Hiperglucemia/prevención & control , Inmunoglobulinas Intravenosas/inmunología , Ganglios Linfáticos/inmunología , Masculino , Ratones , Ratones Endogámicos C57BL
19.
Rheumatology (Oxford) ; 49(12): 2273-80, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20736228

RESUMEN

OBJECTIVES: Nucleic acids are known to induce complement activation, which results in the masking and removal of apoptotic cells exposing nuclear components. Dysregulation of these events is characteristic of SLE, a systemic autoimmune disease characterized by the appearance of ANAs. In this study, we aimed to investigate the relationship between development of ANAs and their effect on complement activation by nucleic acids. METHODS: We used protein array technology to characterize complement activation by murine mAbs and polyclonal antibodies against various forms of nucleic acid. Serum samples from MRL/lpr mice were collected, starting before the onset of the disease till 6 months of age. Binding of IgG and its subclasses to dsDNA, ssDNA, RNA, plasmid DNA and nucleosome complexes was determined, along with C3 fixation. RESULTS: We show that complement C3 binding to various forms of nucleic acid that serve as targets in lupus is absent in normal serum. The addition of dsDNA-specific mAbs to normal serum results in the deposition of complement C3 to nucleic acids. In MRL/lpr mice, IgG antibodies against various nuclear antigens appear with ageing and disease progression. C3 binding to the antigens is somewhat delayed and suggests that accumulation or maturation of pathogenic antibodies is required for inducing C3 binding to ICs containing nucleic acids. CONCLUSIONS: C3 deposition on nuclear antigens, therefore, reflects the state of disease progression in this murine model of SLE.


Asunto(s)
Anticuerpos Antinucleares/inmunología , Activación de Complemento/inmunología , Proteínas del Sistema Complemento/inmunología , Inmunoglobulina G/inmunología , Lupus Eritematoso Cutáneo/inmunología , Lupus Eritematoso Sistémico/inmunología , Animales , Anticuerpos , Progresión de la Enfermedad , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos MRL lpr , Modelos Animales
20.
Autoimmun Rev ; 9(11): 775-9, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20601201

RESUMEN

A novel approach for the selective silencing of targeted autoreactive B lymphocytes is reviewed that mimics the physiological mechanisms for suppressing B cell activity. It is based on the use of bi- or tri-specific chimeric antibodies that cross-link BCRs with a pre-selected antigen-binding specificity with one or more inhibitory types of receptors on the surface of the same disease-associated B lymphocyte. The effect of these engineered antibodies was proved to be specific as they only suppressed the production of the targeted pathological antibodies while sparing those with other specificities. The administration of the chimeric molecules to lupus-prone MRL/lpr mice resulted in decreased levels of disease-associated IgG autoantibodies and of proteinuria, in the prevention of cutaneous lesions, in decreased sizes of the lymphoid organs and in prolonged survival. These results prove that it is indeed possible to selectively silence unwanted B lymphocytes as well as to significantly delay the natural course of a spontaneous antibody-mediated autoimmune disease.


Asunto(s)
Anticuerpos Biespecíficos/inmunología , Anticuerpos Biespecíficos/uso terapéutico , Anticuerpos Monoclonales/uso terapéutico , Enfermedades Autoinmunes/terapia , Autoinmunidad , Linfocitos B/inmunología , Animales , Anticuerpos Monoclonales/inmunología , Especificidad de Anticuerpos , Autoanticuerpos , Autoantígenos/inmunología , Enfermedades Autoinmunes/inmunología , Linfocitos B/patología , Inmunoglobulina G/inmunología , Lupus Eritematoso Sistémico/inmunología , Lupus Eritematoso Sistémico/terapia , Ratones , Ratones Endogámicos MRL lpr , Receptores de Antígenos de Linfocitos B/inmunología , Receptores de IgG/inmunología , Proteínas Recombinantes de Fusión/inmunología , Proteínas Recombinantes de Fusión/uso terapéutico , Lectina 2 Similar a Ig de Unión al Ácido Siálico/inmunología
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