Researchers at UCSF and the Chan Zuckerberg Biohub have identified multiple common autoantibody targets in APS1 patients through proteome-wide programmable phage-display.
The identification of autoantigens remains a critical challenge for understanding and treating autoimmune diseases. Autoimmune polyglandular syndrome type 1 (APS1) is a rare monogenic form of autoimmunity that presents with widespread T and B cell autoimmune responses to multiple organs. Although APS1 is rare, many autoantibodies in APS1 patients are observed in individuals with more common autoimmune diseases. Therefore, autoantibody discovery in individuals with APS1 can illuminate fundamental autoimmune disease pathogenesis and provide biomarkers for identifying those at risk for disease.
Autoantibody discovery to diagnose autoimmune diseases and identify tissues at risk of damage
The inventors have identified autoantibody targets for APS1 by employing high-throughput, proteome-wide phage immunoprecipitation sequencing (PhIP-Seq) of serum from a cohort of patients with APS1. This PhIP-Seq autoantibody survey identified a collection of novel APS1 autoantigens as well as numerous known APS1 autoantigens. The inventors interrogated the PhIP-Seq data for phenotypic associations, as the cohort of APS1 individuals was extensively phenotyped for 24 clinical manifestations, and validated seven novel autoantigens. The identification of clinically-correlated autoantigens has important implications for poorly understood manifestations of APS1.
Patent Pending
autoantibody, antibody, particle display, serum