[HTML][HTML] Bacterial IgA protease-mediated degradation of agIgA1 and agIgA1 immune complexes as a potential therapy for IgA Nephropathy

L Wang, X Li, H Shen, N Mao, H Wang, L Cui… - Scientific reports, 2016 - nature.com
L Wang, X Li, H Shen, N Mao, H Wang, L Cui, Y Cheng, J Fan
Scientific reports, 2016nature.com
Mesangial deposition of aberrantly glycosylated IgA1 (agIgA1) and its immune complexes is
a key pathogenic mechanism of IgA nephropathy (IgAN). However, treatment of IgAN
remains ineffective. We report here that bacteria-derived IgA proteases are capable of
degrading these pathogenic agIgA1 and derived immune complexes in vitro and in vivo. By
screening 14 different bacterial strains (6 species), we found that 4 bacterial IgA proteases
from H. influenzae, N. gonorrhoeae and N. meningitidis exhibited high cleaving activities on …
Abstract
Mesangial deposition of aberrantly glycosylated IgA1 (agIgA1) and its immune complexes is a key pathogenic mechanism of IgA nephropathy (IgAN). However, treatment of IgAN remains ineffective. We report here that bacteria-derived IgA proteases are capable of degrading these pathogenic agIgA1 and derived immune complexes in vitro and in vivo. By screening 14 different bacterial strains (6 species), we found that 4 bacterial IgA proteases from H. influenzae, N. gonorrhoeae and N. meningitidis exhibited high cleaving activities on serum agIgA1 and artificial galactose-depleted IgA1 in vitro and the deposited agIgA1-containing immune complexes in the mesangium of renal biopsy from IgAN patients and in a passive mouse model of IgAN in vitro. In the modified mouse model of passive IgAN with abundant in situ mesangial deposition of the agIgA-IgG immune complexes, a single intravenous delivery of IgA protease from H. influenzae was able to effectively degrade the deposited agIgA-IgG immune complexes within the glomerulus, demonstrating a therapeutic potential for IgAN. In conclusion, the bacteria-derived IgA proteases are biologically active enzymes capable of cleaving the circulating agIgA and the deposited agIgA-IgG immune complexes within the kidney of IgAN. Thus, the use of such IgA proteases may represent a novel therapy for IgAN.
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