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Open Access Research article

Epitope spreading to citrullinated antigens in mouse models of autoimmune arthritis and demyelination

Brian A Kidd123, Peggy P Ho4, Orr Sharpe12, Xiaoyan Zhao12, Beren H Tomooka12, Jennifer L Kanter4, Lawrence Steinman4 and William H Robinson12*

Author Affiliations

1 Department of Medicine, Division of Immunology and Rheumatology, CCSR 4135, 269 Campus Dr., Stanford University School of Medicine, Stanford, CA, USA

2 GRECC, Palo Alto VA Health Care System, 3801 Miranda Ave., Palo Alto, CA, USA

3 University of Washington, 1705 NE Pacific St., Seattle, WA, USA

4 Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Beckman B-002, 279 Campus Dr., Stanford, CA, USA

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Arthritis Research & Therapy 2008, 10:R119  doi:10.1186/ar2523


See related editorial by Lundberg and Venables, http://arthritis-research.com/content/10/6/122

Published: 30 September 2008

Abstract

Introduction

Anti-citrullinated protein antibodies have a diagnostic role in rheumatoid arthritis (RA); however, little is known about their origins and contribution to pathogenesis. Citrullination is the post-translational conversion of arginine to citrulline by peptidyl arginine deiminase, and increased citrullination of proteins is observed in the joint tissue in RA and in brain tissue in multiple sclerosis (MS).

Methods

We applied synovial and myelin protein arrays to examine epitope spreading of B cell responses to citrullinated epitopes in both the collagen-induced arthritis (CIA) model for RA and the experimental autoimmune encephalomyelitis (EAE) model for MS. Synovial and myelin protein arrays contain a spectrum of proteins and peptides, including native and citrullinated forms, representing candidate autoantigens in RA and MS, respectively. We applied these arrays to characterise the specificity of autoantibodies in serial serum samples derived from mice with acute and chronic stages of CIA and EAE.

Results

In samples from pre-disease CIA and acute-disease EAE, we observed autoantibody targeting of the immunising antigen and responses to a limited set of citrullinated epitopes. Over the course of diseases, the autoantibody responses expanded to target multiple citrullinated epitopes in both CIA and EAE. Using immunoblotting and mass spectrometry analysis, we identified citrullination of multiple polypeptides in CIA joint and EAE brain tissue that have not previously been described as citrullinated.

Conclusions

Our results suggest that anti-citrulline antibody responses develop in the early stages of CIA and EAE, and that autoimmune inflammation results in citrullination of joint proteins in CIA and brain proteins in EAE, thereby creating neoantigens that become additional targets in epitope spreading of autoimmune responses.