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Originally published In Press as doi:10.1074/jbc.M003174200 on July 17, 2000

J. Biol. Chem., Vol. 275, Issue 38, 29466-29476, September 22, 2000
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Pemphigus Vulgaris Antibody Identifies Pemphaxin
A NOVEL KERATINOCYTE ANNEXIN-LIKE MOLECULE BINDING ACETYLCHOLINE*

Vu Thuong Nguyen, Assane Ndoye, and Sergei A. GrandoDagger

From the Department of Dermatology, University of California at Davis, Sacramento, California 95817

Because pemphigus vulgaris (PV) IgGs adsorbed on the rDsg3-Ig-His baculoprotein induced blisters in neonatal mice, it was proposed that anti-desmoglein 3 (Dsg 3) autoantibody causes PV. However, we found that rDsg3-Ig-His absorbs autoantibodies to different antigens, including a non-Dsg 3 keratinocyte protein of 130 kDa. This prompted our search for novel targets of PV autoimmunity. The PV IgG eluted from a 75-kDa keratinocyte protein band both stained epidermis in a pemphigus-like pattern and induced acantholysis in keratinocyte monolayers. Screening of a keratinocyte lambda gt11 cDNA library with this antibody identified clones carrying cDNA inserts encoding a novel molecule exhibiting ~40% similarity with annexin-2, named pemphaxin (PX). Recombinant PX (rPX-His) was produced in Escherichia coli M15 cells, and, because annexins can act as cholinergic receptors, its conformation was tested in a cholinergic radioligand binding assay. rPX-His specifically bound [3H]acetylcholine, suggesting that PX is one of the keratinocyte cholinergic receptors known to be targeted by disease-causing PV antibodies. Preabsorption of PV sera with rPX-His eliminated acantholytic activity, and eluted antibody immunoprecipitated native PX. This antibody alone did not cause skin blisters in vivo, but its addition to the preabsorbed PV IgG fraction restored acantholytic activity, indicating that acantholysis in PV results from synergistic action of antibodies to different keratinocyte self-antigens, including both acetylcholine receptors and desmosomal cadherins.


* This work was supported by the International Pemphigus Research Fund. Preliminary reports of these findings were presented at the Third Tricontinental Meeting of the Society for Investigative Dermatology, the European Society for Dermatological Research, and the Japanese Society for Investigative Dermatology, Cologne, Germany, May 9, 1998, and at the 60th Annual Meeting of the Society for Investigative Dermatology, Chicago, Illinois, May 7, 1999, and May 12, 2000, and published in abstract form in the Journal of Investigative Dermatology 110:486, 1998, and Journal of Investigative Dermatology 112:250, 1999, respectively.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

The nucleotide sequence(s) reported in this paper has been submitted to the GenBankTM/EMBL Data Bank with accession number(s) AF230929.

Dagger To whom correspondence should be addressed: Dept. of Dermatology, University of California, Davis, UC Davis Medical Center, 4860 Y St., Suite 3400, Sacramento, CA 95817. Tel.: 916-734-6057; Fax: 916-734-6793; E-mail: sagrando@ucdavis.edu.


Copyright © 2000 by The American Society for Biochemistry and Molecular Biology, Inc.
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