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Human natural IgM autoantibodies are appealing candidates for immunotherapies and have demonstrated therapeutic potential for the treatment of various diseases including cancer and CNS disorders 1-7. Advantageously, these antibodies will not elicit an immune response in which the generation of neutralizing antibodies substantially reduces the effective therapeutic dose and efficacy. Importantly, all antibodies with therapeutic potential have been of the IgM isotype and belong to the NAb repertoire 3-5,8,9,37,40,42-45. A major hurdle for the potential clinical application of IgM antibodies is the identification of their antigens, which are undetermined in many cases. Standard techniques employed for IgG antibodies are often not applicable to identify an IgM's antigen.
This protocol describes the identification of PSA-NCAM as the antigen for the regenerative human IgM antibody HIgM12, effective in animal models of MS and ALS 15-18. The methodology used is principally applicable to all human antibodies with specific Vκ light chains VκI, VκIII and VκIV and mouse antibodies with VκI light chains, irrespective of the antibody's isotype.
The most critical step in this protocol is the use of IgM antibodies in affinity chromatography applications. More specifically, successful antibodies are required to act as pull-down agents in immunoprecipitations to isolate or to enrich an antigen out of complex tissue- or cell-culture lysates. Enriched antigen fractions may be compared to immunoprecipitations from isotype control antibodies and subsequently analyzed for differences by mass spectrometry. One essential requirement or limitation of this step is the presence of the correct antibody Vκ light chain and host (human, mouse) to enable antibody binding to protein L agarose. Use of mannan-binding protein bound to agarose (also called mannose-binding lectin) instead of protein L agarose is a potential alternative to immunoprecipitate IgMs without specific Vκ light chains. However, as stated by Arnold et al. 35, antigen-bound IgM antibodies do not bind to mannan-binding protein, as the target glycan appear to become inaccessible once the IgM has bound to its antigen. Based on these findings mannan-binding protein cannot be used as a binding matrix to immunoprecipitate antigen-loaded IgM molecules 35. Other potential alternatives might be the use of secondary agarose-bound anti-IgM IgG antibodies 46,47 or use of surface-activated magnetic beads 48. IgG antibodies directed against IgMs could be chemically crosslinked to agarose A or agarose G in order to reduce the extent of eluted antibody together with the antigen of interest. A proper comparison between different variants of IgM immunoprecipitation with respect to successfully identified antigens is difficult because most immunoprecipitations were performed to isolate or deplete IgMs without further interest in their antigens. In addition, immunoprecipitations using IgMs were mainly used to confirm an already known or expected single antigen with antibody exposure to purified antigens 49. A disadvantage of agarose-coupled IgGs directed against human IgMs is a very low yield (10 - 15%) of immunoprecipitated serum IgM molecules when compared to the starting material 50. In contrast, surface-activated magnetic beads were successfully applied to antibodies of different isotypes including IgM to immunoprecipitate scrapie-associated fibrils 48. This method is not restricted to specific kappa (Vκ) or lambda (λ) chains or a particular host and may substantially broaden the spectrum of IgM antibodies used in immunoprecipitations.
Another important step in the protocol is the antibody's ability to function as a detecting antibody (primary antibody) in Western blots or other screening platforms. Successful antibodies must target their antigen with sufficiently high affinity to allow antigen binding in the presence of non-ionic or possibly ionic detergents. High affinity antibodies are common among affinity-maturated IgG antibodies, but less common among antibodies of the IgM isotype, which is one of the reasons why there are relatively few commercially available IgM antibodies as detecting agents in biochemical settings. High affinity binding of antibodies is a requirement for immunoprecipitations of molecular antigens and for Western blotting. Lowering detergent concentrations or the complete absence of detergents in IP buffers and lysis buffers allows antigen targeting by low-affinity antibodies via its Fab domain. In contrast, the antibody's ability to target protein L agarose via its Fc portion is not substantially affected among isotype controls over a range of different detergent concentrations. However, low detergent concentration in lysis buffer and IP buffer prevents cell membrane disruption and isolation of specific molecules. Similarly, a low detergent concentration in Western blot washing buffers (e.g., PBS-T) allows antigen binding of low-affinity antibodies but at the same time increases non-specific binding and is therefore not an option.
The presence of an antigen protein core is another requirement for this method. Proteins with posttranslational modifications (e.g., glycoproteins, lipoproteins) and unmodified proteins, but not sole lipids or carbohydrates, are detectable in Western blots. It is not possible to immunoprecipitate lipids (e.g., sphingolipids) from tissue or cell lysates in the presence or absence of detergents. The physicochemical properties of detergents and lipids are too similar to allow selective lipid-antibody interactions, while at the same time detergents are essential to disrupt membranes in order to allow selective isolation of specific molecules. To our best knowledge, immunoprecipitations solely comprised of carbohydrate, in the absence of a protein core, have not been previously reported. This becomes particularly relevant because IgM antibodies frequently target carbohydrates and glycolipids, which are not necessarily linked to a protein unit. Other chromatographic techniques are required for the separation and immunologic identification of lipids and carbohydrates in the absence of a protein core. For example, thin layer chromatography (TLC) of cellular lipids with subsequent antibody detection on the TLC plate (immuno-TLC) can be implemented 51,52.
Other anti-PSA antibodies have been described in previous studies and results compared with HIgM12 as well as the commercially available anti-PSA IgM (clone 2-2B). The most commonly used antibody in the field of PSA is an IgG antibody (clone 735) available as mouse monoclonal or rabbit polyclonal antibody 53. This anti-PSA IgG antibody detects PSA on SynCAM and NCAM on different CNS cell types including microglial cells 41. In contrast to the anti-PSA IgG antibody, human IgM antibodies HIgM12, HIgM42 and the anti-PSA mouse IgM (clone 2-2B) are unable to target PSA on SynCAM (but on NCAM) at various embryonic and early postnatal stages in mice, while non-polysialylated SynCAM is easily detectable 15. The IgM antibodies used are also not able to detect PSA on microglial cells (Figures 3 + 4). A possible explanation for differences observed between antibody isotypes may be low PSA-SynCAM levels compared to levels of PSA-NCAM combined with the potentially lower affinity binding of IgM antibodies compared to the anti-PSA IgG. To test this hypothesis, we performed immunoprecipitations in NCAM KO animals at embryonic stage E17 with vast amounts of SynCAM present and used HIgM12 as a "pull-down agent"15. In E17 WT littermate controls HIgM12 immunoprecipitated PSA-NCAM to an extent that showed similar intensities of "pulled down" PSA-NCAM compared to the IgMs heavy chain as detected by densitometry in subsequent Western blot using eluted antigens. This outcome suggested at least a sufficient affinity of HIgM12 to its target PSA. In contrast to WT littermate controls HIgM12 did not detect PSA attached to SynCAM in NCAM KO animals. Identical results were obtained in immunoprecipitations using the human anti-PSA IgM HIgM42. HIgM12 and HIgM42, as well as the mouse anti-PSA IgM (clone 2-2B) were unable to target PSA on SynCAM in Western blots from WT and NCAM KO animals at embryonic and postnatal developmental stages. Given the low amount of HIgM12 required (0.1 µg/ml) to specifically detect PSA attached to NCAM in Western blots using small amounts of CNS tissue (0.1 µg CNS tissue per well) 15 it appears to be unlikely that low affinities alone are responsible for complete lack of PSA-SynCAM detection by HIgM12 in three different methods.
We conclude that there are significant differences between anti-PSA IgM antibodies and the frequently published anti-PSA IgG antibody (clone 735). It is not clear why commercially available anti-PSA IgM antibodies were not used more frequently in the past to confirm results obtained with antiPSA IgG antibody 735. This is particularly interesting because HIgM12 has already proven efficacy in different disease models. While other anti-PSA IgM antibodies may have similar therapeutic effects it remains unclear whether the anti-PSA IgG antibody (clone 735) has a similar therapeutic outcome in models of MS and ALS.
In brief, methods described here were used primarily to identify the antigen of the regenerative human antibody HIgM12 to support potential clinical trials for MS and possibly other neurodegenerative diseases. The identification of antigens for antibodies with biological activity is as essential step to understand their mechanism of action. This becomes particularly relevant in the context of numerous monoclonal antibodies currently being tested for safety and efficacy in human trials. While the number of clinically tested IgM antibodies to date is small, recent advances in hybridoma technology together with an increasing number of studies highlighting the therapeutic potential of this antibody class 1-10,37,40,42-45 urges the development of new or modified methods applicable to identify non-protein IgM antigens.