The anti-desmoglein 1 autoantibodies in pemphigus vulgaris sera are pathogenic

J Invest Dermatol. 1999 May;112(5):739-43. doi: 10.1046/j.1523-1747.1999.00585.x.

Abstract

Pemphigus vulgaris and pemphigus foliaceus are two closely related, but clinically and histologically distinct, autoimmune skin diseases. The autoantigens for pemphigus vulgaris and pemphigus foliaceus are desmoglein 3 and desmoglein 1, respectively. The anti-desmoglein 1 antibodies in pemphigus foliaceus and anti-desmoglein 3 antibodies in pemphigus vulgaris are pathogenic as determined by immunoglobulin G passive transfer animal models. More than 50% of pemphigus vulgaris sera also contain anti-desmoglein 1 autoantibodies; however, the pathogenicity of the anti-desmoglein 1 autoantibodies in pemphigus vulgaris remains unknown. In this study, we used soluble recombinant extracellular domains of desmoglein 1 and desmoglein 3 to obtain affinity-purified anti-desmoglein 1 and anti-desmoglein 3 autoantibodies from pemphigus vulgaris sera and examined the pathogenicity of each fraction separately using the passive transfer mouse model. By immunoprecipitation, the purified anti-desmoglein 1 and anti-desmoglein 3 showed no cross-reactivity. The anti-desmoglein 1 autoantibodies in pemphigus vulgaris induced typical pemphigus foliaceus lesions in neonatal mice, whereas the anti-desmoglein 3 fraction induced pemphigus vulgaris-like lesions. In addition, the pathogenic anti-desmoglein 1 and anti-desmoglein 3 autoantibodies in pemphigus vulgaris had predominant IgG4 subclass specificity. These findings suggest that the anti-desmoglein 1 antibodies in pemphigus vulgaris are pathogenic.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acantholysis / immunology
  • Acantholysis / pathology
  • Animals
  • Animals, Newborn
  • Antibody Specificity / immunology
  • Autoantibodies / classification
  • Autoantibodies / metabolism
  • Autoantibodies / physiology*
  • Cadherins / biosynthesis
  • Cadherins / immunology*
  • Desmoglein 1
  • Desmoglein 3
  • Female
  • Fluorescent Antibody Technique, Direct
  • Fluorescent Antibody Technique, Indirect
  • Humans
  • Immunoglobulin G / metabolism
  • Immunoglobulin G / physiology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Pemphigus / immunology*
  • Recombinant Proteins / immunology
  • Recombinant Proteins / isolation & purification

Substances

  • Autoantibodies
  • Cadherins
  • DSG3 protein, human
  • Desmoglein 1
  • Desmoglein 3
  • Immunoglobulin G
  • Recombinant Proteins