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Biomedical subjects

A Kijlstra

Publications and source records attributed to A Kijlstra.

At least 217 records · Page 12Linked to original sources

Inhibition of C3 deposition on solid-phase bound immune complexes by lactoferrin.

In the study described here, the effect of human tears and purified lactoferrin was investigated on the deposition of complement components on solid-phase bound immune complexes. After incubating immune complexes with fresh normal human serum, the deposition of complement components (C3, C4 and C5) was measured with an ELISA technique. Rabbit antibodies were used as a constituent of the immune complexes, and so both alternative and classical complement pathway activation could be studied. The addition of human tears or purified lactoferrin to this system resulted in the inhibition of classical pathway deposition of C3 and C5, while C4 deposition was not affected. High concentrations of human tears also inhibited alternative pathway C3 deposition on immune complexes, whereas lactoferrin did not detectably affect this pathway. The inhibition of complement activation by tears was not due to a masking of the immune complexes or the already deposited C3. Experiments with purified lactoferrin furthermore showed that lactoferrin did not bind to the complexes, either before or during complement activation. These findings suggest that the complement inhibitory effect is probably taking place in the fluid phase. Saturation of lactoferrin with iron or copper ions resulted in a markedly diminished effect on the capacity of lactoferrin to inhibit complement activation. C4 deposition on immune complexes was not affected by lactoferrin, which suggested that the inhibition of the classical pathway was due to an effect on the classical C3 convertase. The fact that lactoferrin inhibits the classical, but not the alternative C3 convertase, suggests that the effect is probably not mediated through a competition for certain trace metal ions, but may be caused by protein-protein interactions. The findings reported here indicate that lactoferrin may play an important anti-inflammatory role by modulating activation of the complement system. This observation adds a new property to the already described functions of the iron-binding protein lactoferrin.

Antigen-Antibody Complex↗

Expression of HLA-B27 antigens on mononuclear leucocytes in ankylosing spondylitis.

Differences in expression of HLA-B27 antigens on immune competent cells might play a role in the susceptibility to environmental factors which may be responsible for the initiation of ankylosing spondylitis (AS). Using a quantitative complement-mediated lymphocytotoxity assay we determined the expression of HLA-B27 antigens on the membranes of mononuclear cells obtained from 20 patients with AS, four patients with other seronegative arthropathies and eight healthy controls. The variation in expression of B27 between individuals was quite extensive, but there was no significant difference in the mean titration curves obtained for each of the three groups. These findings suggest that the expression of HLA-B27 antigens on the membrane of mononuclear leucocytes does not play a role in the pathogenesis of AS.

Antigens, Surface↗

Association of Gm allotypes with the occurrence of ankylosing spondylitis in HLA-B27-positive anterior uveitis.

We studied immunoglobulin Gm and Km allotypes in 54 patients with HLA-B27-positive anterior uveitis and in 204 healthy controls. No differences were noted between the two groups. Dividing the patients with anterior uveitis into those with ankylosing spondylitis (No. = 22) and those without it (No. = 32), produced interesting results. The Gm 1, 3, 17; 23; 5, 13, 21 phenotype was significantly (P = .007) increased in those within the ankylosing spondylitis and anterior uveitis group. Of these 22 patients, ten (45.5%) carried the Gm 1, 3, 17; 23; 5, 13, 21 phenotype compared to two of 32 (6.3%) in those with anterior uveitis alone and 33 of 204 (16.2%) normal controls. There were no significant differences between patients and controls in the frequencies of the other phenotypes tested.

Female↗

Complement inhibitors in tears of different species.

Tears of various species were investigated for the presence of inhibitors of the complement system. Rat and mouse tears contained strong anti-complementary activity, whereas goat, guinea pig, rabbit and rhesus monkey gave approximately the same inhibition as human tears. The chicken and cat only contained weak anti-complementary activity. Further analysis of the complement inhibitors in rabbit tears by gel-filtration and SDS-PAGE suggests that a small tear protein (approximately 20 000 daltons) may be involved in the anti-complementary effect in this species. Studies concerning the mechanism of inhibition in rabbit tears show that the complement cascade is inhibited after the EAC14 intermediate has been formed. The fact that various species were shown to have complement inhibitors in their tear film now enables the investigation of the physiological role of these factors.

Animals↗

The identification of transferrin, an iron-binding protein in rabbit tears.

The iron-binding protein activity in rabbit tears was analysed using immunochemical techniques. Ouchterlony analysis showed that rabbit tears contain the iron-binding protein transferrin and that tear transferrin has complete antigenic identity with serum and milk transferrin. Immunoelectrophoresis showed that tear transferrin had the same electrophoretic mobility as serum transferrin. SDS-PAGE analysis of rabbit tears in the presence of purified milk transferrin was used to identify the tear transferrin band. The amount of transferrin in rabbit tears, quantified by an ELISA technique, ranged from 80 to 464 micrograms ml-1 with a mean of 285 micrograms ml-1. The origin of transferrin in rabbit tears is not yet clear. Immunofluorescence studies showed the presence of transferrin in cells lining the lacrimal ducts. The results presented here show that rabbit tears are markedly different from human tears. Rabbit tears contain transferrin and probably lack lactoferrin, whereas human tears contain large amounts of lactoferrin and hardly any detectable transferrin.

Animals↗

Separation of human tear proteins by high performance liquid chromatography.

The optimal conditions for separating human tear proteins by high performance liquid chromatography (HPLC) using a Waters I-125 gel filtration column were investigated. Several elution buffers were tested including phosphate buffer alone and phosphate buffer to which varying amounts of NaCl or 0.1% Tween was added. The combination of phosphate buffer (pH 5.28), 0.5 M NaCl and 0.1% Tween gave the best resolution and a recovery of 90% of the proteins applied. Tear lactoferrin was shown to adhere to the column packing when the molarity of the elution buffer was not high enough. Using optimal conditions, the tear proteins IgA, lactoferrin and lysozyme were identified in distinct peaks after a preparative HPLC run. When used in combination with Schirmer strips as a tear sampling method, HPLC was shown to be a rapid, simple and reproducible way of investigating the composition of tear proteins.

Adult↗

Lactoferrin stimulates the production of leucocyte migration inhibitory factor by human peripheral mononuclear leucocytes.

The effect of lactoferrin on the migration of human polymorphonuclear cells was investigated. High concentrations of lactoferrin (greater than 250 micrograms/ml) markedly inhibited the migration of granulocytes under agarose. This migration inhibition could not be neutralized by an antibody against leucocyte migration inhibitory factor (LIF), suggesting a direct effect of lactoferrin on the granulocytes. Low concentrations of lactoferrin were, however, indirectly capable of inhibiting neutrophil migration. The overnight culture of mononuclear leucocytes with low concentrations of lactoferrin (10 micrograms/ml) resulted in the release of granulocyte migration inhibiting factors in the cell free culture supernatant. Strong evidence indicating that the migration inhibiting factors were due to LIF, was obtained in experiments whereby the inhibitory activity could be completely neutralized by anti-LIF antibodies. The lactoferrin-mediated stimulation of LIF release by mononuclear leucocytes could be neutralized by an anti-lactoferrin serum, but not by an anti-albumin serum, whereas PPD-induced LIF release was not affected by either antiserum. These findings suggest that lactoferrin besides its well known anti-microbial properties, may also play a regulatory role in the migratory response of polymorphonuclear cells during inflammatory conditions.

Cell Movement↗

Deposition of immune complexes in the mouse eye.

The ocular deposition of circulating immune complexes was studied in mice using passive and active immune complex models. In the passive model, immune complexes were made at different antigen-to-antibody ratios and subsequently injected intravenously. In the active model, antigen alone was injected intravenously into immune mice. Ocular localization was studied by immunofluorescence microscopy. In both experimental models a marked deposition of antigen, antibody and mouse C3 could be observed in the scleral capillary area, whereas a weaker deposition could also be observed in the ciliary body, iris and choroid. With the immune complex doses used, only a short (1-2 hr) ocular deposition was observed and no inflammatory signs were seen upon histological examination. The deposition of complexes in the episcleral capillary area could provide a suitable experimental model to analyse the role of circulating immune complexes in the pathogenesis of scleral phenomena associated with rheumatoid arthritis.

Animals↗

Possible ankylosing spondylitis in acute anterior uveitis.

HLA-B27 typing of 103 acute anterior uveitis (AAU) patients showed that 49 (48%) were positive for this antigen. Of these HLA-B27 positive AAU patients, 27 (55%) had ankylosing spondylitis (AS) according to the New York criteria. The 22 HLA-B27 positive AAU patients without AS, however, also showed symptoms and signs of AS. Seventeen (77%) of these 22 HLA-B27 positive AS negative AAU patients fulfilled a set of criteria for classification as possible AS. In the group of 54 HLA-B27 negative AAU patients, only two patients (4%) had AS. Of the remaining 52 patients only seven (13%) had possible AS. Of the 21 patients having posterior uveitis (PU) none was HLA-B27 positive nor met the criteria for AS or possible AS. These findings indicate a strong relationship between AAU, AS or possible AS and HLA-B27 and suggest that HLA-B27 typing in AAU patients is important for early diagnosis of AS.

Acute Disease↗

Acute anterior uveitis (AAU) and HLA-B27.

A group of 30 consecutive HLA-B27 positive acute anterior uveitis (AAU) patients was compared to 30 consecutive HLA-B27 negative AAU patients. The B27 positive group was characterized by male preponderance, earlier age of onset, unilateral uveitis and favourable outcome with therapy. It is concluded that HLA-B27 typing is a useful diagnostic discriminant in AAU.

Acute Disease↗

Lactoferrin levels in normal human tears.

Using commercially available reagents we developed an enzyme-linked immunosorbent assay to measure lactoferrin in normal human tears. Tears obtained from 38 normal human subjects contained a mean lactoferrin content of 2.2 mg/ml (g/l). No differences in the mean level of lactoferrin were found when tears were collected by either Schirmer tear strips or by glass capillaries after short tear gas stimulation. Tear lactoferrin levels were not influenced by age or sex of the subjects investigated in this study. We found that lactoferrin represents approximately 25% by weight of the total tear proteins.

Adolescent↗

Degradation of soluble immunoglobulin aggregates in vitro by monocytes from normal subjects and from patients with systemic lupus erythematosus.

The capacity of human peripheral monocytes to degrade soluble immunoglobulin (IgG) aggregates (AIgG) was studied in vitro. Under serum-free conditions peripheral monocytes from normal donors were able to degrade soluble AIgG in a linear and time-dependent fashion. Addition of fresh human or fresh guinea-pig serum to the incubation mixtures caused a marked increase in degradation of the amount of soluble AIgG available. The stimulatory effect of fresh serum was complement-mediated, because it was abolished by heat treatment of the serum and was not seen when C4- or C3-deficient sera were tested. Functional inactivation of C3 receptors on the phagocytes by trypsin also abolished the complement-mediated stimulation, suggesting cooperation between Fc and C3 receptor in degradation of soluble AIgG. No significant differences were found between monocytes from normal donors and those from patients with systemic lupus erythematosus, as far as degradation is concerned in the presence of complement.

Animals↗

Modulation of classical C3 convertase of complement by tear lactoferrin.

Lactoferrin isolated fom normal human tears was shown to inhibit the complement-mediated lysis of antibody-coated red cells. The anti-complementary effect of lactoferrin on serum complement could be reversed by adding Fe3+ but not by Mg++ or Ca++. Lactoferrin did not inhibit the formation of EAC14 but markedly blocked the assembly of the EAC142 enzyme. Once the C3 convertase was formed lactoferrin did not affect the function of the enzyme and only had a minor effect on the intrinsic decay of C2 from the convertase. Inhibition of the C3 convertase formation was not seen by preincubating EAC14 intermediates with lactoferrin, but only occurred when lactoferrin and C2 were incubated together with EAC14 cells. Our findings suggest that lactoferrin may play an anti-inflammatory role by modulating activation of the complement system.

Calcium Chloride↗

Enhanced degradation of soluble immune complexes by guinea-pig peritoneal macrophages in the presence of complement.

The role of complement in the processing of soluble immune complexes by guinea-pig peritoneal macrophages was studied in an homologous system in vitro by using immune complexes prepared with bovine thyroglobulin as the antigen and guinea-pig IgG2 antibodies. The simplest complexes showing complement activation and which were degradable by macrophages had a composition of Ag1 Ab2-3. Complement was shown to have an enhancing effect on the degradation of complexes which had an antibody: antigen ratio in the complexes which was at least 4 (Ag1 Ab4). The effect of size on complement activation and degradation of the complexes by macrophages was studied by employing the observation that immune complexes increase in size during their preparation. In the presence of serum as a complement source it was shown that degradation of small complexes by macrophages was inhibited whereas the degradation of large complexes was enhanced. The enhanced degradation of complexes in the presence of fresh serum did not occur in C4-deficient serum nor in EDTA-serum, which indicates that the observed effect is complement mediated. The experiments described here thus extend and confirm earlier studies using heat aggregated immunoglobulins and show that complement may play an important role in the elimination of immune complexes in vivo.

Animals↗

Clearance and glomerular localization of preformed DNP anti-DNP immune complexes.

The in vivo behaviour of well-defined immune complexes in rats was studied using complexes derived from DNP-conjugated bovine thyroglobulin (DNP-BTG) and purified specific goat anti-DNP IgG. Both clearance and glomerular localization were mainly dependent on the nature of the antigen. Soluble immune complexes formed with DNP17-BTG were cleared faster and showed a more marked localization in the glomerular mesangium than complexes formed with DNP3.4-BTG. A slight increase in the antibody to antigen ratio seemed to facilitate mesangial localization of soluble immune complexes. Insoluble immune complexes showed temporary localization as microemboli in the lumina of glomerular and peritubular capillaries. This study thus shows that not only the size and composition of the complexes but also the nature of the antigen within the complex can influence the clearance and organ localization of circulating immune complexes.

Animals↗