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Blood, 1 September 2004, Vol. 104, No. 5, pp. 1411-1418.
Prepublished online as a Blood First Edition Paper on May 18, 2004; DOI 10.1182/blood-2004-01-0267.
Previous Article | Next Article 
Submitted January 22, 2004
Accepted April 30, 2004
Anti-neutrophil cytoplasmic autoantibodies (ANCA) against the murine homolog of proteinase 3 (Wegener's autoantigen) are pathogenic in vivo
Heiko Pfister, Markus Ollert, Leopold F Froehlich, Leticia Quintanilla-Martinez, Thomas V Colby, Ulrich Specks, and Dieter E Jenne*
Neuroimmunology, Max-Planck-Institute of Neurobiology, Martinsried, Germany
Dermatology and Allergy, Technical University of Munich, Munich, Germany
Pathology, GSF Research Center for Environment and Health, Neuherberg, Germany
Pathology, Mayo Clinic, Scottsdale, AZ, USA
Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA
* Corresponding author; email: djenne{at}neuro.mpg.de.
Anti-neutrophil cytoplasmic autoantibodies (ANCA) recognizing human proteinase 3 of neutrophil granules are a diagnostic hallmark of Wegener's granulomatosis, an autoimmune systemic vasculitis with predilection for the respiratory tract and kidneys. In vitro experiments have implicated several mechanisms by which ANCA may lead to tissue injury. However, little is known about the pathogenic significance of proteinase 3-specific antibodies in vivo. In vivo models for ANCA-mediated proinflammatory effects have not been forthcoming, primarily because ANCA-epitopes on human proteinase 3 are not shared by the murine homolog. In this study we generated ANCA against recombinant murine proteinase 3 in proteinase 3/neutrophil elastase-deficient mice that recognized the murine antigen on the surface of neutrophils. Local inflammation induced by intradermal injection of TNF- triggered a stronger subcutaneous panniculitis in the presence of passively transferred systemic proteinase 3-ANCA than in the presence of mock-immune serum. When we transferred mouse proteinase 3-ANCA-serum to systemically lipopolysaccharide primed wild-type mice, proteinase 3-ANCA treated mice did not develop significantly stronger signs of inflammation of the lungs or kidneys than the respective mock-immune serum treated animals. In conclusion, our in vivo study provides the first evidence for a pathogenic effect of proteinase 3-specific ANCA at local sites of inflammation.

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