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Individual and stable autoantibody repertoires in healthy individuals

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posted on 2019-03-05, 20:58 authored by Maja Neiman, Cecilia Hellström, David Just, Cecilia Mattsson, Linn Fagerberg, Ina Schuppe-Koistinen, Anders Gummesson, Göran Bergström, Olli Kallioniemi, Adnane Achour, Riitta Sallinen, Mathias Uhlén, Peter Nilsson

In the era towards precision medicine, we here present the individual specific autoantibody signatures of 193 healthy individuals. The self-reactive IgG signatures are stable over time in a way that each individual profile is recognized in longitudinal sampling. The IgG autoantibody reactivity towards an antigen array comprising 335 protein fragments, representing 204 human proteins with potential relevance to autoimmune disorders, was measured in longitudinal plasma samples from 193 healthy individuals. This analysis resulted in unique autoantibody barcodes for each individual that were maintained over one year’s time. The reactivity profiles, or signatures, are person specific in regards to the number of reactivities and antigen specificity. Two independent data sets were consistent in that each healthy individual displayed reactivity towards 0–16 antigens, with a median of six. Subsequently, four selected individuals were profiled on in-house produced high-density protein arrays containing 23,000 protein fragments representing 14,000 unique protein coding genes. Based on a unique, broad and deep longitudinal profiling of autoantibody reactivities, our results demonstrate a unique autoreactive profile in each analyzed healthy individual. The need and interest for broad-ranged and high-resolution molecular profiling of healthy individuals is rising. We have here generated and assessed an initial perspective on the global distribution of the self-reactive IgG repertoire in healthy individuals, by investigating 193 well-characterized healthy individuals.Highlights

A unique longitudinal profiling of autoantibody repertoires in healthy individuals

Autoantibody profiles are highly individual and stable over time

All individuals display IgG binding to human protein fragments

The specificity of disease associated autoantigens needs to be thoroughly characterized

The identification of a small set of highly reactive autoantigens

Importance of stringent antigen and sample specific cut-offs for defining reactivity

A unique longitudinal profiling of autoantibody repertoires in healthy individuals

Autoantibody profiles are highly individual and stable over time

All individuals display IgG binding to human protein fragments

The specificity of disease associated autoantigens needs to be thoroughly characterized

The identification of a small set of highly reactive autoantigens

Importance of stringent antigen and sample specific cut-offs for defining reactivity

Funding

This work was supported by the KTH Center for Applied Precision Medicine funded by the Ehrling Persson foundation, as well as the Human Protein Atlas project funded by Knut and Alice Wallenberg Foundation. The multi-disciplinary DHR programme was coordinated and managed by Center for Health and Technology, University of Oulu, Finland. This research was supported by a grant from Tekes – the Finnish Funding Agency for Innovation as part of Digital Health Revolution programme. SCAPIS was supported by the Swedish Heart and Lung Foundation, the Knut and Alice Wallenberg Foundation, the Swedish Research Council and VINNOVA.

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