Abstract
Chronic lymphocytic leukemia (CLL) cells that use IgH encoded by IGHV3–21 and that have a particular stereotypic third CDR (HCDR3), DANGMDV (motif-1), almost invariably express Ig L chains (IgL) encoded by IGLV3–21, whereas CLL that use IGHV3–21–encoded IgH with another stereotypic HCDR3, DPSFYSSSWTLFDY (motif-2), invariably express κ-IgL encoded by IGKV3–20. This nonstochastic pairing could reflect steric factors that preclude these IgH from pairing with other IgL or selection for an Ig with a particular Ag-binding activity. We generated rIg with IGHV3–21–encoded IgH with HCDR3 motif-1 or −2 and IgL encoded by IGKV3–20 or IGLV3–21. Each IgH paired equally well with matched or mismatched κ- or λ-IgL to form functional Ig, which we screened for binding to an array of different Ags. Ig with IGLV3–21–encoded λ-IgL could bind with an affinity of ~2 × 10−6 M to protein L, a cell-wall protein of Peptostreptococcus magnus, independent of the IgH, indicating that protein L is a superantigen for IGLV3–21–encoded λ-IgL. We also detected Ig binding to cofilin, a highly conserved actin-binding protein. However, cofilin binding was independent of native pairing of IgH and IgL and was not specific for Ig with IgH encoded by IGHV3–21. We conclude that steric factors or the binding activity for protein L or cofilin cannot account for the nonstochastic pairing of IgH and IgL observed for the stereotypic Ig made by CLL cells that express IGHV3–21. The Journal of Immunology, 2011, 186: 000–000.
The Ig expressed in chronic lymphocytic leukemia (CLL) cells have restricted diversity. The IgH used by CLL cells of nonrelated patients frequently use certain IgH V region genes (IGHV), diversity, and junctional gene segments, often with restricted reading frames (1–5). Moreover, the leukemia cells of different patients that use the same IGHV often can be found to have the same or similar H chain CDR3 (HCDR3) sequence. Such stereotypic sequences are found in 28% of CLL patients with leukemia cells that express unmutated IGHV and 12% of CLL patients with leukemia cells that express mutated IGHV (6).
In addition, there are examples in which certain IgH preferentially are expressed with certain Ig L chains (IgL) by CLL cells (3, 7). Tobin and colleagues (8), for example, reported that CLL cells that make IgH encoded by one IGHV, namely, IGHV3–21, frequently express λ-IgL encoded by IGLV3–21. The IGHV3–21–encoded IgH paired with such l-IgL almost invariably have a stereotypic HCDR3, characterized by the amino acid sequence D(A/G)NGMDV, which we designate here as motif-1. On the other hand, we found that some CLL cells also can make another IgH encoded by IGHV3–21 with a different stereotypic HCDR3, characterized by the amino acid sequence DPSFYSSSWTLFDY, which we designate as motif-2. The CLL cells that express this IgH invariably were found to express a K-IgL encoded by IGKV3–20 (9). The nonstochastic pairing of particular IgL with IgH with certain HCDR3 could reflect selection for Ig with binding properties for an Ag(s) that potentially plays a role in leukemogenesis.
Alternatively, the nonstochastic pairing of certain IgH and IgL could be because of steric factors that preclude such IgH or IgL from pairing with other Ig polypeptides to form an intact Ig molecule. Previous studies provided evidence for how such biased assembly of certain IgH with certain IgL could affect B cell maturation in at least two developmental checkpoints: pre-B to immature B cell transition and immature to mature B cell differentiation. As an example of the former, investigators observed that not all IgH could associate with surrogate λ L chain (10). Moreover, pre-B cells that express only IgH encoded by IGHV11–2 may not develop normally into immature B cells because of the poor association of such IgH with surrogate λ L chain (10, 11). Furthermore, the repertoire of mature B cells might be limited through a failure for certain IgH to pair with any but a few IgL (12–18). The most notable example of this is provided from studies on the repertoire of mouse B cells specific for phosphatidyl choline (PtC). PtC-specific B cells express predominantly one of two IgH/IgL combinations with variable regions encoded by VH12/Vκ4/5H and VH11/Vκ9, respectively. Moreover, the HCDR3 of such Abs is made up of 10 aa with an invariant glycine in the fourth position and a tyrosine encoded by JH1 in the fifth position, a motif designated 10/G4 (19). Although the apparently biased association of IgH encoded by VH12 with IgL encoded by VK4/5H could be interpreted as demonstrating selection for Ig with binding to PtC, subsequent studies revealed a biased use of Vk4/5H by VH12-expressing B cells, even B cells making Ig that did not bind PtC (20). Moreover, the IgH encoded by VH12 were found physically unable to associate with different IgL (20). As such, the biased pairing of VH12-encoded IgH with IgL encoded by VK4/5H appeared secondary to selection of VH12-expressing B cells for making functional Ig, rather than for making Ig with a binding activity for a particular Ag, such as PtC. Similarly, there are other examples in which certain IgH and IgL are biochemically incompatible to form dimers required for assembly of functional Ig (12–17).
Conceivably, the respective association of IGHV3–21–encoded IgH with motif-1 or motif-2 HCDR3 for IgL encoded by IGLV3–21 or IGKV3–20 in CLL could reflect similar biochemical constraints that preclude nonnative combinations of IgH and IgL from assembling into intact Ig. To assess the significance and biological basis for selective pairing of IgH and IgL in CLL, we examined the Ig used by CLL cells that express IGHV3–21.
Materials and Methods
Patients and leukemia cells
Blood was collected from consenting patients who satisfied diagnostic and immunophenotypic criteria for CLL and who presented for evaluation at the referral centers of the CLL Research Consortium. Institutional review board approval and informed consent were obtained for the procurement of the samples in all cases, in accordance with the Declaration of Helsinki.
PBMCs were isolated by density gradient centrifugation using Ficoll-Hypaque 1077 (Sigma, St. Louis, MO), washed twice, and analyzed directly or suspended in FCS containing 10% DMSO (Sigma) for storage in liquid nitrogen. All samples contained >90% CLL B cells as assessed by flow cytometric analyses, and the isotype of the expressed IgL was determined by flow cytometry as described previously (5).
Sequence analyses of IGHV, IGKV, and IGLV
The IGHV gene expressed by the CLL cells was determined by reverse transcription-PCR. The cDNA from each sample was amplified using IGHV, IGKV, or IGLV family-specific primers for the sense strand of the gene of interest and antisense IGHM, IGKC, or IGLC consensus primers, respectively (21). Nucleic acid sequence analyses were conducted as previously described (9).
Recombinant Ab production and purification
All nested PCR reactions with gene-specific primers or primer mixes were performed with 3.5 μl purified first PCR product as already described (22). Digested PCR product purification and ligation into human Igγ1, Igκ, and Igλ expression vectors were performed as previously described (22). Irrespective of their original isotype, all rAbs are generated as IgG1 molecules to facilitate the detection and comparability in reactivity assays.
Escherichia coli XL1-blue supercompetent cells (Stratagene, San Diego, CA) were transformed at 42°C with 2 μl ligation product. Colonies were screened by PCR using same primers used for nested PCR. PCR products were sequenced to confirm the identity with the original PCR products. Plasmid DNA was isolated from bacteria cultures grown for 16 h at 37°C in Luria-Bertani medium (MP Biochemicals, Solon, OH) containing 100 μg/ ml ampicillin (Sigma) using QIAprep columns (Qiagen, Valencia, CA).
293A human embryonic kidney (HEK) cells were cultured in DMEM supplemented with 10% ultra-low IgG FBS (Invitrogen, Carlsbad, CA) and cotransfected with 12.5 μg IgH and 13.7 μg IgL encoding plasmid DNA by calcium phosphate precipitation. Twelve hours after transfection, the cells were washed with serum-free DMEM and thereafter cultured in DMEM supplemented with 1% Nutridoma SP (Roche, Indianapolis, IN). Supernatants were collected after 8 d of culture (23). Cell debris was removed by centrifugation at 800 × g for 10 min, and rAbs were purified from culture supernatants with protein G beads (GE Healthcare, Piscataway, NJ) as described previously (22). We examined the purified rIgG by SDS gel electrophoresis under nonreducing and reducing conditions. For reduction, 5% DTT was added to the denaturing sample buffer and all samples were incubated for 10 min at 70°C. One microgram of Ig protein was added to each lane of a 4–15% Tris-HCl polyacrylamide gel (BioRad, Hercules, CA) for electrophoresis. Protein bands were visualized by silver staining.
Evaluation of whether steric factors affect the IgH and IgL pairing
293A cells were cotransfected by calcium phosphate precipitation with IGLV3–21 and IGKV3–20 encoding plasmid DNA and limiting amounts (33 and 10%, respectively) of IgG expression plasmids driving expression of IgH with HCDR3 motif-1 or motif-2. Supernatants were collected after 8 d of culture, and cell debris was removed by centrifugation at 800 × g for 10 min. rAbs were purified from culture supernatants with protein G beads (GE Healthcare). Total amount of intact IgH/κ-IgL and IgH/λ-IgL after protein G purification was determined by sandwich ELISA, as previously described (22).
Ag microarray
We examined binding activity with a panel of 45 self-Ags or environmental Ags (Supplemental Table I): small nuclear ribonucleoprotein 68/70 (snRNP 68/70), tetanus toxoid, malondialdehyde BSA (MDA-BSA), malondialdehyde-modified low-density lipoprotein (MDA-LDL), Sjögren syndrome Ag B (SSB), small nuclear ribonucleoprotein BB (snRNP BB), small ribonucleoproteins (SmRNP), smith Ag (Sm), small nuclear ribonucleoprotein A (snRNP A), histone, Sjögren syndrome Ag A of 60 kDa (60), aggrecan, proteoglycan, centromere protein A (CENP-A), Hep-2 extract, glomerular extract, Ku, centromere protein B (CENP-B), alanyl-tRNA synthetase (PL-12), oxidized LDL (OxLDL), human transglutaminase (HtTG), Sjögren syndrome Ag A of 52 kDa (SSA 52), C1q, ssDNA, dsDNA, nucleolar extract, chromatin, laminin (mouse), pneumococcal polysaccharide 23 (pneumococcal PS 23), pneumococcal multiserotype vaccine (Pneumovax), pneumococcal polysaccharide 12 (pneumococcal PS 12), pneumococcal polysaccharide 14 (pneumococcal PS 14), phosphorylcholine conjugated to BSA (PC-BSA), LPS, anti-Saccharomyces cerevisiae Ab (ASCA), capsular polysaccharide (C-PS), BSA, thyroglobulin, fibrinogen type I-S, ribosomal-P, ATPase-associated Ag (M2), entactin, annexin V, collagen IV ms, and protein L. Microarrays were printed on nitrocellulosecoated FAST slides (Whatman, Florham Park, NJ) with a QSoft QArray Mini, using QSoft microarray software (Genetix USA, Boston, MA), with six replicates of each Ag. After blocking with Whatman blocking buffer, the slides were incubated with rIgG (5 μg/ml), or control IgG, in PBS, pH 7.4. The slides were processed and data determined as described previously (24).
Immunoblot for Peptostreptococcus magnus protein L
After electrophoresis of purified recombinant protein L (Pierce, Rockford, IL), the size-separated protein was transferred from the gel onto a nitrocellulose membrane (Invitrogen) by dry electrotransfer using iBlot dryblotting system (Invitrogen). Nitrocellulose membranes were blocked with 5% milk TBS, 0.1% Tween 20 overnight at 4°C. Incubation of native and mismatched Abs was performed using the Cassette Miniblot System (Immunetics, Cambridge, MA) with 28 channels. Native and mismatched Abs were adjusted to 30 μg/ml and incubated for 3 h at room temperature. We performed immunoblot using 30 μg/ml of each rAb to detect Abs with low binding affinity for Ag. After incubation, native and nonnative pairs of IgH/IgL were washed with TBS, 0.1% Tween 20. Secondary HRP-conjugated anti-human IgG (Southern Biotechnology, Birmingham, AL) was incubated for 45 min and then washed as before. The blots were prepared for ECL and subsequent autoradiography.
ELISA for Abs to Peptostreptococcus magnus protein L
We determined the concentration of rIgG in culture supernatants by ELISA using human monoclonal IgG1 λ (Antigensite, San Diego, CA) or human monoclonal IgG1 κ (Southern Biotechnology) to generate a standard curve. Protein L binding activity was measured by ELISA using Reacti-Bind protein L-coated plates (Pierce).
Competitive ELISA with Peptostreptococcus magnus protein L
We cotransfected 293A cells with equal amount (6 mg) of IgG expression plasmids driving expression of IgH with HCDR3 motif-2 and IGKV3–20 encoding plasmid DNA, and increasing amounts of IGLV3–21 encoding plasmid DNA (2, 4, 6, 8, 16, and 24 μg, respectively) using calcium phosphate precipitation. Supernatants were collected after 8 d of culture, and cell debris was removed by centrifugation at 800 × g for 10 min. rIgG were purified from cell culture supernatants with protein G beads (GE Healthcare). We examined the purified IgG by SDS gel electrophoresis under nonreducing conditions. Protein bands were visualized by silver staining.
We determined the concentration of IgG in tissue culture supernatants by ELISA using human monoclonal IgG1 λ (Antigensite) or human monoclonal IgG1 κ (Southern Biotechnology) to generate a standard curve. Protein L binding activity was measured by ELISA using Reacti-Bind protein L-coated plates (Pierce) and secondary anti-IgG Ab HRP conjugated (Southern Biotechnology).
Ab affinity measurements
We experimentally determined the equilibrium dissociation constant (Kd) of the following rIgG: mutated IGHV3–21 with HCDR3 motif-1 paired with its native λ-IgL encoded by IGLV3–21 designated as HALA, unmutated IGHV3–21 with HCDR3 motif-1 paired with its native λ-IgL encoded by IGLV3–21 designated as HBLB, unmutated IGHV3–21 with HCDR3 motif-2 paired with its native κ-IgL encoded by IGKV3–20 designated as HCLC. The Kd measurements were performed on a KinExA 3200 instrument (Sapidyne Instruments, Boise, ID) using polystyrene beads as a solid phase to immobilize the ligand, protein L. For each experiment, a series of solutions with fixed concentrations of rIgG and various concentrations of ligand were equilibrated. The solutions were then briefly exposed to the solid phase, and free IgG was captured and measured by detection with goat anti-human IgG conjugated with Cy5 (Jackson ImmunoResearch, West Grove, PA).
Immunoblot analyses for Abs reactive with cofilin
Lysates of human monoblastic leukemia (U937) cells, expressing cofilin (nonmuscle type, cofilin 1), in radioimmunoprecipitation assay buffer were size separated on two-dimensional wells SDS-PAGE. The size-separated proteins were transferred from the gel onto a nitrocellulose membrane (Invitrogen) by dry electrotransfer using iBlot dry blotting system (Invitrogen). We performed immunoblot to test rIgG composed of native and nonnative pairs of IgH and IgL, using the Cassette Miniblot System (Immunetics, Cambridge, MA) with 28 channels. Native and mismatched Abs were adjusted to 30 μg/ml and incubated for 3 h at room temperature. We performed immunoblot using 30 μg/ml of each recombinant Ab to detect Abs with low binding affinity for Ag. After incubation, native and nonnative pairs of IgH/IgL were washed with TBS, 0.1% Tween 20. Secondary HRP-conjugated anti-human IgG (Southern Biotechnology) was incubated for 45 min and then washed as before. The blots were prepared for ECL and subsequent autoradiography. Rabbit polyclonal anti-cofilin 1 (ECM Biosciences, Versailles, KY) was used as positive control.
Results
rIgG with native pairs of IgH and IgL
CLL that make IgH encoded by IGHV3–21 with a HCDR3 harboring the amino acid sequence D(A/G)NGMDV (motif-1) generally also express a λ-IgL encoded by IGLV3–21 (8). We generated the IgH cDNA of two representative cases, one encoded by IGHV3–21 harboring a modest number of somatic mutations, which we designated as HA, and another encoded by IGHV3–21 without somatic mutations, but with variant motif-1 HCDR3 (DQNGMDV), which we designated as HB (Table I). This variant motif-1 HCDR3 is found in the IgH produced by subset of CLL cases that express IGHV3–21 and IGLV3–21 (9). The D segment encoding motif-1 or its variant cannot be assigned because of the short length of these HCDR3. We also generated the cDNA for the IGLV3–21–encoded λ-IgL from each of these two cases, which we designated as LA and LB, respectively. In contrast, CLL that make IgH encoded by IGHV3–21 with a HCDR3 harboring the amino acid sequence DPSFYSSSWTLFDY (motif-2) instead express Ig κ L chains encoded by IGKV3–20 (9). From a representative CLL case, we generated the cDNA encoding the IgH and κ-IgL, which we designated as HC and LC, respectively (Table I). We also generated the Ig cDNA from another CLL case that used an unrelated IgH encoded by IGHV4–39 and a λ-IgL encoded by IGLV1–40, which we designated as HD and LD, respectively. Finally, we made the Ig cDNA from yet another unrelated CLL case (CLL69 C/C) (3, 7), which expressed IgH and IgL encoded by IGHV1–69 and IGLV3–09, respectively. From these cDNA, we generated expression vectors encoding human IgG H chains and λ- or κ-IgL, which we cotransfected into 293A cells to produce recombinant human IgGλ or IgGκ, the characteristics of which are provided in Table I.
Table I.
Characteristics of rIgG
| rIgG ID (Reference) | IGHV Gene | IGHD Gene | IGHJ Gene | % Germline Identity | HCDR3 | IGKV/IGLV Gene | % Germline Identity | LCDR3 |
|---|---|---|---|---|---|---|---|---|
| HALA (9) | IGHV3–21 | JH6 | 95.4 | DGNGMDV | IGLV3–21 | 97 | QVWDSGSDHPWV | |
| HBLB (9) | IGHV3–21 | JH6 | 99 | DQNGMDV | IGLV3–21 | 99.3 | QVWDAGSDHPWV | |
| HCLC (9) | IGHV3–21 | D6–13 | JH4 | 100 | DPSFYSSSWTLFDY | IGKV3–20 | 100 | QQYGSSPLT |
| HDLD | IGHV4–39 | D2–2 | JH6 | 100 | HRLGYCSSTSCYYYYYGMDV | IGLV1–40 | 100 | QSYDSSLSVV |
| CLL69 C/C (7) | IGHV1–69 | D3–3 | JH6 | 99.3 | AGGYDFWSGYYSNYYYYGMDV | IGLV3–09 | 100 | QVWDSSTEV |
Amino acid sequences of the Ig HCDR3 and L chain LCDR3 of the Ig expressed by unrelated patients who have CLL cells that expressed IGHV3–21 with either HCDR3 motif-1 or -2, IGHV4–39, or IGHV1–69.
IGHD, IgH diversity; IGHJ, IgH junctional.
The IgG produced by transfected 293A cells was evaluated by SDS gel electrophoresis under nonreducing (Fig. 1A) or reducing (Fig. 1B) conditions. As anticipated, we noted that the native pairs of IgH and IgL assembled into intact IgG of the expected molecular size.
FIGURE 1.
SDS gel electrophoresis of purified rIgG under nonreducing (A, C) or reducing conditions (B, D). The kiloDaltons of size-separated proteins are indicated at the left margin on each panel. In the first two lanes of each gel are the lanes with m.w. markers (M; BioRad) or 1 μg control human IgG1κ Ab (control IgG; Southern Biotechnology). In each of the other lanes, 1 μg IgG composed of native pairs of IgH and IgL (A, B) or nonnative pairs of IgH and IgL (C, D) were loaded to each lane, as indicated at the top of each lane. Protein bands were visualized by silver staining. Sizes of IgG (150 kDa), IgH (50 kDa), and IgL (25 kDa) are indicated on the left of each panel.
Capacity of nonnative pairs of IgH and IgL to assemble into functional IgG
We examined whether the IgH could assemble with different IgL to form intact Ig that ordinarily are not expressed by CLL cells. For this, we cotransfected 293A cells with expression vectors encoding IgH HA, HC, or HD with vectors encoding IgL LC, LA, or LD, respectively. We found that cotransfection of vectors encoding nonnative pairs of IgH and IgL generated proteins of the expected molecular size for intact IgG, as assessed via PAGE under nonreducing (Fig. 1C) or reducing conditions (Fig. 1D).
We also cotransfected 293A cells with fixed and limiting amounts of expression vector directing synthesis of IgH HA or HC together with fixed amounts of plasmids directing synthesis of IgL LA or LC. We determined the total amounts of intact Ig that were generated in a fixed amount of time by transfected 293A cells by ELISA. We did not observe significant differences between the amounts of intact Ig produced by 293A cells transfected with vectors encoding HA/LC or HA/LA (1.8 ± 0.3 versus 1.6 ± 0.4 μg, respectively, p = 0.4). Similarly, we did not observe significant differences between the amounts of intact Ig produced by 293A cells transfected with vectors encoding HC and LC or HC and LA (1.9 ± 0.4 versus 1.6 ± 0.3 μg, respectively, p = 0.2). These results indicate that LC could assemble with HA and LA could assemble with HC, even in 293A cells transfected with limiting amounts of expression vector encoding HA or HC, respectively.
Ag microarray, protein L ELISA, and immunoblot analyses
We examined the capacity of the rIgG to bind one or more Ags present in an array of tissue proteins, plasma proteins, enzymes, mitochondrial proteins, and microbial proteins (Supplemental Table I). We found that IgG composed of HALA, HBLB, or HCLC, but not HULD, could bind protein L (Figs. 2A, 2B), but not any of the other Ags spotted on the array (Supplemental Fig. 1, Supplemental Table II). Protein L is a multidomain cell-wall protein isolated from Peptostreptococcus magnus, a Gram-positive commensal bacterium that comprises a large portion of the human bacterial gut flora. The capacity for IgG composed of HCLC to bind protein L was not surprising, as prior studies indicated that this microbial protein could bind to human Ig κ L chains encoded by IGKV genes of the VκI, VκIII, or VκIV subgroups (25, 26). However, human Ig with λ L chains had not been observed to bind protein L. Because all IgG with IgH encoded by IGHV3–21 could bind protein L, including IgG with λ-IgL, such as HALA or HBLB, we speculated that protein L could be a target Ag driving selection of the stereotypic Ig used by CLL cells that express IGHV3–21.
FIGURE 2.
Native rAbs binding tests. A, Protein L ELISA. Ordinate depicts OD measurements at 450 nm of the ELISA for native rIgG using plates coated with protein L. The abscissa provides the concentration of IgG used in the ELISA in micrograms per milliliter (μg/mf). ELISA data using IgG composed of HALA (diamonds), HBLB (circles), HCLC (gray squares), and HDLD (triangles) are represented by the symbols, as indicated in the fegend on the upper right margin. B, Protein L immunoblot of rIgG. Recombinant protein L was size separated on SDS-PAGE and transferred to nitrocellulose membrane (Invitrogen). This was probed with various concentrations of different rIgG, at 30, 10, and 1 μg, as represented by the triangles at the top of the gel. The different IgG used are indicated above each triangle.
To evaluate for this, we examined rIgG composed of nonnative combinations of IgH and IgL. We found IgG with the λ-IgL LA could bind protein L, even when the IgG had the IgH HC or HD (Fig. 3A, 3B). Similar to the binding activity of IgG composed of HALA, the binding activity of IgG composed of HCLA or HDLA for protein L appeared less than that of IgG that had the κ-IgL LC (Fig. 3A). In contrast, IgG with the λ-IgL LD failed to bind protein L, regardless of its IgH (Fig. 3A).
FIGURE 3.
Nonnative rAbs binding tests. A, Protein L ELISA. Ordinate depicts OD measurements at 450 nm of the ELISA for nonnative rIgG using plates coated with protein L. The abscissa provides the concentration of IgG used in the ELISA in micrograms per milliliter (μg/ml). ELISA data using nonnative rAbs are represented by the symbols indicated in the legend on the upper right margin. B, Protein L immunoblot of rIgG. Recombinant protein L was size separated as in Fig. 2B and probed with various concentrations of different rIgG at 30, 10, and 1 μg, as depicted in Fig. 2B. The different IgG used are indicated above each triangle. C, Competitive ELISA using native rIgG (HALA, HBLB, and HDLD) or IgG made by 293A cells transfected with fixed amounts of vector encoding IgH HC and IgL LC together with increasing amounts of vector encoding IgL LB (e.g., 2, 4, 6, 8, 16, or 24 μg). The number after LB indicates the micrograms of vector encoding IgL LB used.
We tested whether the IgL LB encoded by IGLV3–21 could compete with the IgL LC encoded by IGKV3–20 to assemble with IgH HC to form an IgG with functional binding activity for protein L. For this, we transfected 293A cells with increasing amounts of plasmid encoding IgL LB together with fixed amounts of plasmids encoding IgH HC and IgL LC. At the lowest amount of LB-encoding plasmid used (2 μg), the IgG generated by the transfected 293A cells still bound protein L, albeit with a lower apparent binding activity than IgG composed of HCLC (Fig. 3C). Cotransfection of 293A cells with ≥6 μg plasmid encoding the IgL LB resulted in production of IgG that had binding activity for protein L similar to that of IgG composed of HALA or HBLB (Fig. 3C). These results are consistent with the notion that the λ-IgL LB could compete with K-IgL LC in vivo to form an intact IgG with binding activity for protein L.
Ab binding affinity measurements
We determined the binding affinity of the rIgG for protein L. We found that IgG composed of HCLC had a Kd for protein L of 1.5 ± 0.5 × 10−7 M (Fig. 4A), which agreed with the results of prior studies using fluorescence measurements (27). In contrast, IgG composed of HALA or HBLB each had a Kd for protein L of 2.1 ± 0.5 × 10−6 or 1.7 ± 0.5 × 10−6 M, respectively (Fig. 4A).
FIGURE 4.
Binding affinity measurements to protein L. Binding affinity measurements for (A) native rIgG (HALA, HBLB, or HCLC) and for (B) nonnative rIgG (HALC, HDLC, HCLA, or HDLA). In A and B, the ordinate depicts the percentage of free rIgG, and the abscissa provides the molar (M) concentration of protein L used to determine the Kd of the native or nonnative rIgG. Kd values for each rIgG are indicated in each panel.
We determined the binding affinity for protein L of rIgG composed of nonnative pairs of IgH and IgL (e.g., HALC, HDLC, HCLA, or HDLA). We found that IgG composed of HALC or HDLC each had a Kd for protein L comparable with that of IgG composed of HCLC (1.7 ± 0.5 × 10−7 and 1.6 ± 0.5 × 10−7 M, respectively; Fig. 4B). In contrast, IgG composed of HCLA or HDLA each had Kd for protein L that was comparable with that of IgG composed of HALA (2.0 ± 0.5 × 10−6 and 2.3 ± 0.5 × 10−6 M, respectively; Fig. 4B). We conclude that rIgG composed of either native or nonnative pairs of IgH and IgL can bind protein L with similar binding affinities, which appeared dependent on the type of IgL used.
Ab binding activity for cofilin
We also tested whether the IgG listed in Table I could bind cofilin. Cofilin is an actin- and phosphatidylinositol 4,5-bisphosphate-binding protein that is well conserved and ubiquitous (28). We found that the IgG with native pairs of IgH and IgL (e.g., HALA, HBLB, HCLC, or HDLD) could bind cofilin by immunoblot analysis on lysates of U937 (Fig. 5A). In contrast, the IgG-derived CLL69 C/C (7) did not have detectable binding activity (Fig. 5A). As noted for the Ab binding activity for protein L, the weak binding activity for cofilin of the tested IgG did not appear dependent on having a native pair of IgH and IgL, as IgG composed of nonnative pairs (e.g., HDLA, HALD, or HDLC) also bound cofilin by immunoblot analyses (Fig. 5B). From these studies, we conclude that the binding activity for cofilin of these IgG could not account for the nonstochastic coexpression of these IgH and IgL by CLL cells.
FIGURE 5.
Ab binding activity for cofilin. Lysates of U937 cells that express nonmuscle type, cofilin 1, were size separated on SDS-PAGE and transferred to nitrocellulose membrane (Invitrogen). The membranes were probed with 30 or 10 μg of different rIgG, HALA, HCLC, HDLD, or CLL69C/C (A) or HDLA, HALD, or HDLC (B). The triangles at the top of the gels represent the relative concentration of IgG used. The different IgG are as indicated above each triangle. The last lane of each gel was probed with rabbit anti-cofilin 1 Abs (ECM Biosciences), which served as a positive control (+ α-cofilin).
Discussion
We investigated whether steric factors were responsible for the nonstochastic coexpression of stereotypic IGHV3–21–encoded IgH with certain IgL in CLL. Prior studies identified examples in which some IgH preferentially assembled with certain IgL. Moreover, in some cases, the IgH was physically unable to assemble with any but a few IgL to form an intact Ig (20). As has been evaluated in studies on other types of Abs (29–33), we considered whether similar constraints in IgH/IgL assembly could account for the frequent coexpression of certain IgL with stereotypic IGHV3–21–encoded IgH in CLL. However, our studies failed to identify biochemical constraints in the capacity of stereotypic, IGHV3–21–encoded IgH to assemble with any IgL to form IgG with IgH and IgL that typically are not coexpressed by CLL B cells.
The finding that IGHV3–21–encoded IgH with HCDR3 motif-1 is not precluded from binding different κ-IgL has implications for models proposing prior Ig receptor editing in cases of CLL that use λ-IgL encoded by IGLV3–21 (9). Analyses of the rearranged and nonexpressed κ-IgL locus of such cases revealed evidence for productive rearrangements and somatic mutations in the rearranged κ-IgL V region genes that presumably occurred before secondary rearrangements with kappa deleting element that aborted expression of the κ-IgL. Receptor editing has been found to occur for normal B cells that express autoreactive Ig, allowing such B cells to express Ig with different binding properties that do not lead to clonal deletion or autoimmunity (34). Conceivably, the de novo expression of λ-IgL encoded by IGLV3–21 after such receptor editing generated Ig that had binding properties for some self-Ags or environmental Ag conducive to clonal expansion and/or survival of preleukemia and/or nascent leukemia B cells. In this regard, the nonstochastic association of stereotypic IGHV3–21–encoded IgH with particular IgL appears to be due to selection for B cells that have Ig with the binding activity required for their potential malignant transformation into CLL.
We examined for Ags that could bind the stereotypic IGHV3–21–encoded Ig observed in CLL. We observed that IgGλ composed of HALA or HBLB could bind protein L, a cell-wall protein isolated from a commensal Gram-positive bacterium, Peptostreptococcus magnus. Prior studies found protein L could bind human Ig with κ-IgL encoded by IGKV genes of the I, III, and IV subgroups, but not human Ig with l-IgL (25–27). However, another study found that Ig with an IgH such as HA and an IgL such as LA (Table I) could react against Gram-positive bacteria (e.g., Streptococcus pyogenes, Enterococcus faecium, and Enterococcus faecalis) (35). Conceivably, these Ig react with proteins similar to that of protein L, which might also be expressed by these bacteria. In any case, because these microorganisms commonly colonize the human mouth, skin, or gastrointestinal tracts, there is prevalent and continuous exposure to the Ags they produce, such as protein L. For this reason, these microbial products are considered good candidate Ags for driving constitutive stimulation and/or proliferation of Ag-specific B cells, which, over time, might undergo neoplastic transformation (35–37).
However, we found that IgG with -IgL encoded by IGLV3–21 bound protein L regardless of the IgH used. This is similar to what we observed for the Ig expressed in CLL that had κ-IgL encoded IGKV3–20. As such, protein L is a superantigen for B cells that express Ig with l-IgL encoded by IGLV3–21 or κ-IgL encoded by IGKVof the VκI, VκIII, or VκIV subgroups (25–27).
Superantigens are substances that bind site(s) in the Ig V region that are outside the conventional Ag-binding region (38). The binding sites for superantigens typically are not influenced by the HCDR3 or the combinatorial diversity afforded by the pairing of IgH and IgL in the intact Ig molecule. Consequently, a superantigen can bind to the Ig made by many different clones of B cells, which collectively have undergone disparate Ig gene rearrangements and that express different Ig chains together with the Ig chain(s) that possesses the superantigen-binding site(s). The fate of B cells that express such Ig can be influenced through interaction with its respective superantigen, which can cause oligoclonal B cell expansion or deletion, depending in part on the relative binding affinity of Ig for the superantigen (38–41). Moreover, superantigens may drive oligoclonal B cell proliferation that might factor in the development of autoimmune disease or B cell leukemogenesis (42–44).
However, selection for superantigen binding cannot account for the nonstochastic coexpression of stereotypic IgH with certain IgL in CLL unless the irrelevant Ig chain somehow influences the relative binding activity of the intact Ig for its superantigen. We considered this possibility and hence studied the binding affinities for protein L of the stereotypic IGHV3–21 Ig expressed in CLL. We found that the binding affinity for protein L by IgG with an IgH encoded by IGHV3–21 and an IgL encoded by IGKV3–20 was similar to that noted in prior studies on IgGκ made by normal, nonleukemia B cells (27). Furthermore, we found that IgG composed of the stereotypic IGHV3–21–encoded IgH paired with a λ-IgL encoded by IGLV3–21 had binding affinity for protein L (Kd, ≈2 × 10−6 M) that was ~ 10-fold lower than that noted for such IgGk, including Ig with the stereotypic κ-IgL encoded by IGKV3–20 that was expressed in CLL. Moreover, the binding affinity for protein L of IgGI with λ-IgL encoded by IGLV3–21 was not affected by use of different IgH. As such, we conclude that stimulation by the protein L superantigen cannot account for the non-stochastic coexpression of stereotypic IGHV3–21–encoded IgH with certain IgL in CLL.
A prior study showed that the stereotypic IGHV3–21–encoded Ig expressed in CLL, such as the Ig represented by HALA in this study (Table I), also could bind cofilin (36, 37). Cofilin is a family of three highly conserved and ubiquitous actin-binding proteins that disassemble actin filaments, can facilitate cellular entry of Gram-positive bacteria into nonphagocytic mammalian cells, and potentially play a role in neurodegenerative diseases associated with aging (45–47). Because it is a ubiquitous self-Ag that might have altered expression or distribution in conditions associated with aging, cofilin is an attractive candidate Ag for driving B cell proliferation and potential neoplastic transformation leading to CLL. In this study, we confirmed that the stereotypic IGHV3–21–encoded Ig expressed by CLL cells could bind cofilin by immunoblot analyses. Moreover, we found that IgG with IgH and IgL respectively encoded by IGHV4–39 and IGLV1–40 also could bind to this self-Ag. However, as with our studies on the interactions of such Ig with protein L, we found the detected binding for cofilin was not restricted to Ig having the native pair of IgH and IgL that typically are expressed together in CLL. As such, there are no data to support the notion that cofilin can select for B cells that use the stereotypic Ig expressed in CLL.
This study provides an important caveat to the conclusions reached from studies examining the binding activity of the Abs expressed in CLL for self-Ags or environmental Ags. Indeed, the observed binding activities of Ig for such Ags might be fortuitous and may not account for the apparent selection of CLL B cells that express such Abs. Future studies on the binding properties of the Ig used by CLL B cells should take into account whether the binding for Ag is affected by the combinatorial diversity resulting from the pairing of disparate IgH and IgL, which also appears restricted in the repertoire of Abs expressed in this disease.
Supplementary Material
Acknowledgments
This work was supported by National Institutes of Health Grant PO1-CA81534 for the Chronic Lymphocytic Leukemia Research Consortium and Grant R37-CA49870 (to T.J.K.).
E.M.G. designed and performed research, analyzed data, and wrote the manuscript; G.F.W. and L.Z.R. performed research and analyzed data; and T.J.K. designed the research, contributed patient samples, analyzed data, and wrote the manuscript.
Abbreviations used in this article
- CLL
chronic lymphocytic leukemia
- HCDR3
H chain CDR3
- IGHV
IgH V region gene
- IgL
Ig L chains
- Kd
equilibrium dissociation constant
- PtC
phosphatidyl choline
Footnotes
Disclosures
The authors have no financial conflicts of interest.
The online version of this article contains supplemental material.
References
- 1.Ghiotto F, Fais F, Valetto A, Albesiano E, Hashimoto S, Dono M, Ikematsu H, Allen SL, Kolitz J, Rai KR, et al. 2004. Remarkably similar antigen receptors among a subset of patients with chronic lymphocytic leukemia. J. Clin. Invest. 113: 1008–1016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Messmer BT, Albesiano E, Efremov DG, Ghiotto F, Allen SL, Kolitz J, Foa R, Damle RN, Fais F, Messmer D, et al. 2004. Multiple distinct sets of stereotyped antigen receptors indicate a role for antigen in promoting chronic lymphocytic leukemia. J. Exp. Med. 200: 519–525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Stamatopoulos K, Belessi C, Hadzidimitriou A, Smilevska T, Kalagiakou E, Hatzi K, Stavroyianni N, Athanasiadou A, Tsompanakou A, Papadaki T, et al. 2005. Immunoglobulin light chain repertoire in chronic lymphocytic leukemia. Blood 106: 3575–3583. [DOI] [PubMed] [Google Scholar]
- 4.Stamatopoulos K, Belessi C, Moreno C, Boudjograh M, Guida G, Smilevska T, Belhoul L, Stella S, Stavroyianni N, Crespo M, et al. 2007. Over 20% of patients with chronic lymphocytic leukemia carry stereotyped receptors: pathogenetic implications and clinical correlations. Blood 109: 259–270. [DOI] [PubMed] [Google Scholar]
- 5.Widhopf II GF, Rassenti LZ, Toy TL, Gribben JG, Wierda WG, and Kipps TJ. 2004. Chronic lymphocytic leukemia B cells of more than 1% of patients express virtually identical immunoglobulins. Blood 104: 2499–2504. [DOI] [PubMed] [Google Scholar]
- 6.Messmer BT, Raphael BJ, Aerni SJ, Widhopf GF, Rassenti LZ, Gribben JG, Kay NE, and Kipps TJ. 2009. Computational identification of CDR3 sequence archetypes among immunoglobulin sequences in chronic lymphocytic leukemia. Leuk. Res. 33: 368–376. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Widhopf II GF, Goldberg CJ, Toy TL, Rassenti LZ, Wierda WG, Byrd JC, Keating MJ, Gribben JG, Rai KR, and Kipps TJ. 2008. Nonstochastic pairing of immunoglobulin heavy and light chains expressed by chronic lymphocytic leukemia B cells is predicated on the heavy chain CDR3. Blood 111: 3137–3144. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Tobin G, Thunberg U, Johnson A, Thörn I, Söderberg O, Hultdin M, Botling J, Enblad G, Sällström J, Sundström C, et al. 2002. Somatically mutated Ig V(H)3–21 genes characterize a new subset of chronic lymphocytic leukemia. Blood 99: 2262–2264. [DOI] [PubMed] [Google Scholar]
- 9.Ghia EM, Jain S, Widhopf GF II, Rassenti LZ, Keating MJ, Wierda WG, Gribben JG, Brown JR, Rai KR, Byrd JC, et al. 2008. Use of IGHV3–21 in chronic lymphocytic leukemia is associated with high-risk disease and reflects antigen-driven, post-germinal center leukemogenic selection. Blood 111: 5101–5108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Wasserman R, Li YS, Shinton SA, Carmack CE, Manser T, Wiest DL, Hayakawa K, and Hardy RR. 1998. A novel mechanism for B cell repertoire maturation based on response by B cell precursors to pre-B receptor assembly. J. Exp. Med 187: 259–264. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Carmack CE, Shinton SA, Hayakawa K, and Hardy RR. 1990. Rearrangement and selection of VH11 in the Ly-1 B cell lineage. J. Exp. Med 172: 371–374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Hardy RR, Carmack CE, Shinton SA, Riblet RJ, and Hayakawa K. 1989. A single VH gene is utilized predominantly in anti-BrMRBC hybridomas derived from purified Ly-1 B cells. Definition of the VH11 family. J. Immunol 142: 3643–3651. [PubMed] [Google Scholar]
- 13.Moazzeni M, Mosayyebi G, Stevenson FK, Abbot S, Mageed RA, and Shokri F. 1994. Biased utilization of immunoglobulin variable region heavy- and light-chain genes by the malignant CD5- B lymphocytes from patients with Burkitt’s lymphoma. Int. J. Cancer 58: 226–232. [DOI] [PubMed] [Google Scholar]
- 14.Seidl KJ, MacKenzie JD, Wang D, Kantor AB, Kabat EA, Herzenberg LA, and Herzenberg LA. 1997. Frequent occurrence of identical heavy and light chain Ig rearrangements. Int. Immunol. 9: 689–702. [DOI] [PubMed] [Google Scholar]
- 15.Yurovsky VV, and Kelsoe G. 1993. Pairing of VH gene families with the lambda 1 light chain: evidence for a non-stochastic association. Eur. J. Immunol 23: 1975–1979. [DOI] [PubMed] [Google Scholar]
- 16.Siebert GR, Harris JF, and Gefter ML. 1978. Regulation of immunoglobulin biosynthesis in the murine plasmacytoma MOPC 315. J. Immunol 121: 1808–1818. [PubMed] [Google Scholar]
- 17.Knott J, Bona C, and Kaushik A. 1998. The primary antibody repertoire of kappa-deficient mice is characterized by non-stochastic Vlamda1 + V(H) gene family pairings and a higher degree of self-reactivity. Scand. J. Immunol 48: 65–72. [DOI] [PubMed] [Google Scholar]
- 18.Tatu C, and Clarke SH. 2000. Selective maturation of VH12 B cells in the spleen enriches for anti-phosphatidyl choline B cells: evidence for receptor editing. Curr. Top. Microbiol. Immunol 252: 77–86. [DOI] [PubMed] [Google Scholar]
- 19.Pennell CA, Mercolino TJ, Grdina TA, Arnold LW, Haughton G, and Clarke SH. 1989. Biased immunoglobulin variable region gene expression by Ly-1 B cells due to clonal selection. Eur. J. Immunol 19: 1289–1295. [DOI] [PubMed] [Google Scholar]
- 20.Tatu C, Ye J, Arnold LW, and Clarke SH. 1999. Selection at multiple checkpoints focuses V(H)12 B cell differentiation toward a single B-1 cell specificity. J. Exp. Med 190: 903–914. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Chen L, Widhopf G, Huynh L, Rassenti L, Rai KR, Weiss A, and Kipps TJ. 2002. Expression of ZAP-70 is associated with increased B-cell receptor signaling in chronic lymphocytic leukemia. Blood 100: 4609–4614. [DOI] [PubMed] [Google Scholar]
- 22.Tiller T, Meffre E, Yurasov S, Tsuiji M, Nussenzweig MC, and Wardemann H. 2008. Efficient generation of monoclonal antibodies from single human B cells by single cell RT-PCR and expression vector cloning. J. Immunol. Methods 329: 112–124. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Wardemann H, Yurasov S, Schaefer A, Young JW, Meffre E, and Nussenzweig MC. 2003. Predominant autoantibody production by early human B cell precursors. Science 301: 1374–1377. [DOI] [PubMed] [Google Scholar]
- 24.Silverman GJ, Srikrishnan R, Germar K, Goodyear CS, Andrews KA, Ginzler EM, and Tsao BP. 2008. Genetic imprinting of autoantibody repertoires in systemic lupus erythematosus patients. Clin. Exp. Immunol 153: 102–116. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Enokizono J, Wikström M, Sjöbring U, Björck L, Forsén S, Arata Y, Kato K, and Shimada I. 1997. NMR analysis of the interaction between protein L and Ig light chains. J. Mol. Biol 270: 8–13. [DOI] [PubMed] [Google Scholar]
- 26.Nilson BH, Solomon A, Björck L, and Akerström B. 1992. Protein L from Peptostreptococcus magnus binds to the kappa light chain variable domain. J. Biol. Chem 267: 2234–2239. [PubMed] [Google Scholar]
- 27.Beckingham JA, Bottomley SP, Hinton R, Sutton BJ, and Gore MG. 1999. Interactions between a single immunoglobulin-binding domain of protein L from Peptostreptococcus magnus and a human kappa light chain. Biochem. J 340: 193–199. [PMC free article] [PubMed] [Google Scholar]
- 28.Bamburg JR 1999. Proteins of the ADF/cofilin family: essential regulators of actin dynamics. Annu. Rev. Cell Dev. Biol 15: 185–230. [DOI] [PubMed] [Google Scholar]
- 29.De Lau WB, Heije K, Neefjes JJ, Oosterwegel M, Rozemuller E, and Bast BJ. 1991. Absence of preferential homologous H/L chain association in hybrid hybridomas. J. Immunol 146: 906–914. [PubMed] [Google Scholar]
- 30.Hamel PA, Klein MH, Smith-Gill SJ, and Dorrington KJ. 1987. Relative noncovalent association constant between immunoglobulin H and L chains is unrelated to their expression or antigen-binding activity. J. Immunol 139: 3012–3020. [PubMed] [Google Scholar]
- 31.Kaushik A, Schulze DH, Bonilla FA, Bona C, and Kelsoe G. 1990. Stochastic pairing of heavy-chain and kappa light-chain variable gene families occurs in polyclonally activated B cells. Proc. Natl. Acad. Sci. USA 87: 4932–4936. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Novobrantseva T, Xu S, Tan JE, Maruyama M, Schwers S, Pelanda R, and Lam KP. 2005. Stochastic pairing of Ig heavy and light chains frequently generates B cell antigen receptors that are subject to editing in vivo. Int. Immunol 17: 343–350. [DOI] [PubMed] [Google Scholar]
- 33.Smith-Gill SJ, Hamel PA, Lovoie TB, and Dorrington KJ. 1987. Contributions of immunoglobulin heavy and light chains to antibody specificity for lysozyme and two haptens. J. Immunol. 139: 4135–144. [PubMed] [Google Scholar]
- 34.von Boehmer H, and Melchers F. 2010. Checkpoints in lymphocyte development and autoimmune disease. Nat. Immunol. 11: 14–20. [DOI] [PubMed] [Google Scholar]
- 35.Hatzi K, Catera R, Ferrarini M, Fischetti V, Herve M, Meffre E, Chu CC, and Chiorazzi N. 2006. B-cell chronic lymphocytic leukemia (B-CLL) cells express antibodies reactive with antigenic epitopes expressed on the surface of common bacteria. Blood (ASH Annual Meeting Abstracts) 108: 25. [Google Scholar]
- 36.Lanemo Myhrinder A, Hellqvist E, Sidorova E, Söderberg A, Baxendale H, Dahle C, Willander K, Tobin G, Bäckman E, Söderberg O, et al. 2008. A new perspective: molecular motifs on oxidized LDL, apoptotic cells, and bacteria are targets for chronic lymphocytic leukemia antibodies. Blood 111: 3838–3848. [DOI] [PubMed] [Google Scholar]
- 37.Catera R, Silverman GJ, Hatzi K, Seiler T, Didier S, Zhang L, Hervé M, Meffre E, Oscier DG, Vlassara H, et al. 2008. Chronic lymphocytic leukemia cells recognize conserved epitopes associated with apoptosis and oxidation. Mol. Med 14: 665–674. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Silverman GJ, and Goodyear CS. 2006. Confounding B-cell defences: lessons from a staphylococcal superantigen. Nat. Rev. Immunol 6: 465–475. [DOI] [PubMed] [Google Scholar]
- 39.Duong BH, Ota T, Aït-Azzouzene D, Aoki-Ota M, Vela JL, Huber C, Walsh K, Gavin AL, and Nemazee D. 2010. Peripheral B cell tolerance and function in transgenic mice expressing an IgD superantigen. J. Immunol 184: 4143–4158. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Goodyear CS, and Silverman GJ. 2005. B cell superantigens: a microbe’s answer to innate-like B cells and natural antibodies. Springer Semin. Immunopathol 26: 463–484. [DOI] [PubMed] [Google Scholar]
- 41.Stevenson FK, and Caligaris-Cappio F. 2004. Chronic lymphocytic leukemia: revelations from the B-cell receptor. Blood 103: 4389–4395. [DOI] [PubMed] [Google Scholar]
- 42.Marasca R, Vaccari P, Luppi M, Zucchini P, Castelli I, Barozzi P, Cuoghi A, and Torelli G. 2001. Immunoglobulin gene mutations and frequent use of VH1– 69 and VH4–34 segments in hepatitis C virus-positive and hepatitis C virusnegative nodal marginal zone B-cell lymphoma. Am. J. Pathol 159: 253–261. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Rhee KJ, Jasper PJ, Sethupathi P, Shanmugam M, Lanning D, and Knight KL. 2005. Positive selection of the peripheral B cell repertoire in gut-associated lymphoid tissues. J. Exp. Med. 201: 55–62. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Leucht S, Uttenreuther-Fischer MM, Gaedicke G, and Fischer P. 2001. The B cell superantigen-like interaction of intravenous immunoglobin (IVIG) with Fab fragments of V(H) 3–23 and 3–30/3–30.5 germline gene origin cloned from a patient with Kawasaki disease is enhanced after IVIG therapy. Clin. Immunol 99: 18–29. [DOI] [PubMed] [Google Scholar]
- 45.Bamburg JR, Bernstein BW, Davis RC, Flynn KC, Goldsbury C, Jensen JR, Maloney MT, Marsden IT, Minamide LS, Pak CW, et al. 2010. ADF/Cofilin-actin rods in neurodegenerative diseases. Curr. Alzheimer Res 7: 241–250. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Bamburg JR, and Bloom GS. 2009. Cytoskeletal pathologies of Alzheimer disease. Cell Motil. Cytoskeleton 66: 635–649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Lambrechts A, Gevaert K, Cossart P, Vandekerckhove J, and Van Troys M. 2008. Listeria comet tails: the actin-based motility machinery at work. Trends Cell Biol. 18: 220–227. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.





