IgG glycan hydrolysis attenuates ANCA-mediated glomerulonephritis

J Am Soc Nephrol. 2010 Jul;21(7):1103-14. doi: 10.1681/ASN.2009090984. Epub 2010 May 6.

Abstract

Anti-neutrophil cytoplasmic autoantibodies (ANCA) directed against myeloperoxidase (MPO) and proteinase 3 (Pr3) are considered pathogenic in ANCA-associated necrotizing and crescentic glomerulonephritis (NCGN) and vasculitis. Modulation of ANCA IgG glycosylation may potentially reduce its pathogenicity by abolishing Fc receptor-mediated activation of leukocytes and complement. Here, we investigated whether IgG hydrolysis by the bacterial enzyme endoglycosidase S (EndoS) attenuates ANCA-mediated NCGN. In vitro, treatment of ANCA IgG with EndoS significantly attenuated ANCA-mediated neutrophil activation without affecting antigen-binding capacity. In a mouse model of anti-MPO IgG/LPS-induced NCGN, we induced disease with either unmodified or EndoS-treated (deglycosylated) anti-MPO IgG. In separate experiments, we administered EndoS systemically after disease induction with unmodified anti-MPO IgG. Pretreatment of anti-MPO IgG with EndoS reduced hematuria, leukocyturia, and albuminuria and attenuated both neutrophil influx and formation of glomerular crescents. After inducing disease with unmodified anti-MPO IgG, systemic treatment with EndoS reduced albuminuria and glomerular crescent formation when initiated after 3 but not 24 hours. In conclusion, IgG glycan hydrolysis by EndoS attenuates ANCA-induced neutrophil activation in vitro and prevents induction of anti-MPO IgG/LPS-mediated NCGN in vivo. Systemic treatment with EndoS early after disease induction attenuates the development of disease. Thus, modulation of IgG glycosylation is a promising strategy to interfere with ANCA-mediated inflammatory processes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Animals
  • Antibodies, Antineutrophil Cytoplasmic / metabolism*
  • Bacterial Proteins / pharmacology
  • Case-Control Studies
  • Disease Models, Animal
  • Female
  • Glomerulonephritis / chemically induced
  • Glomerulonephritis / metabolism*
  • Glomerulonephritis / prevention & control*
  • Glycoside Hydrolases / pharmacology
  • Humans
  • Hydrolysis / drug effects
  • Immunoglobulin G / metabolism*
  • Lipopolysaccharides / adverse effects
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Middle Aged
  • Neutrophils / pathology
  • Peroxidase / immunology
  • Polysaccharides / metabolism*
  • Time Factors

Substances

  • Antibodies, Antineutrophil Cytoplasmic
  • Bacterial Proteins
  • Immunoglobulin G
  • Lipopolysaccharides
  • Polysaccharides
  • Peroxidase
  • Glycoside Hydrolases
  • NDOS protein, Streptococcus pyogenes