Untersuchungen zur Pathogenität von Autoantikörpern gegen Typ-XVII-Kollagen von Patienten mit Pemphigoid gestationis [Elektronische Ressource] = Pathogenic relevance of autoantibodies to type XVII collagen from pemphigoid gestationis patients / vorgelegt von Josep E. Herrero-González
Aus der Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie der Universität Würzburg Direktorin: Prof. Dr. med. Eva-Bettina Bröcker Untersuchungen zur Pathogenität von Autoantikörpern gegen Typ XVII Kollagen von Patienten mit Pemphigoid gestationis Pathogenic relevance of autoantibodies to type XVII collagen from pemphigoid gestationis patients Inaugural – Dissertation zur Erlangung der Doktorwürde der Medizinischen Fakultät der Bayerischen Julius-Maximilians-Universität zu Würzburg vorgelegt von Josep E. Herrero-González aus Barcelona, SpanienWürzburg, Dezember 2006 Referent: Prof.Dr.med.DetlefZillikensKoreferent: Prof.Dr.med.EvaBettinaBröckerDekan: Prof.Dr.med.MatthiasFroschTagdermündlichenPrüfung:14.
Referent: Prof. Dr. med. Detlef Zillikens Koreferent: Prof. Dr. med. EvaBettina Bröcker Dekan: Prof. Dr. med. Matthias Frosch Tag der mündlichen Prüfung: 14. März 2007 Der Promovend ist Arzt
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*$ % ( - -% •atPstnei •Preparation of recombinant and cellderived forms of type XVII collagen •Production of synthetic peptides •Immunofluorescence microscopy, immunoblotting and ELISA •Complement source for immunofluorescence studies and complement inactivation of sera •Affinity purification of total IgG and specific antiBP180 autoantibodies•Isolation of peripheral blood leucocytes •Treatment of cryostat sections of normal human skin •Assessment of the blisterinducing potential of autoantibodies :•Preadsorption against the NC16A domain of type XVII collagen does not block autoantibodyinduced dermal epidermal separation in the majority of patients with bullous pemphigoid
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•Pemphigoid gestationis autoantibodies induce leucocyte dependent dermalepidermal separation in cryosections of human skin •Preadsorption against the NC16A domain of type XVII collagen blocks the split formation induced by autoantibodies from pemphigoid gestationis patients •Binding of autoantibodies to more than one epitope of type XVII collagen results in subepidermal split formation •Pemphigoid gestationis autoantibodies recognize two major epitopes within the NC16A domain of type XVII collagen •Preadsorption against two synthetic peptides including the two major epitopes abolishes dermalepidermal separation induced by pemphigoid gestationis autoantibodies $<$4(>:$ $,
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Aa: amino acid BMZ: basal membrane zone BP: bullous pemphigoid BP180: bullous pemphigoid antigen of 180kDa / type XVII collagen BP230: bullous pemphigoid antigen of 230kDa BSA: bovine serum albumin DEJ: dermalepidermal junction ELISA: enzymelinked immunoassay GST: glutathionetransferase HRP: horseradish peroxidase IF: immunofluorescence LAD1: linear IgA disease antigen1 NC16A: 16th noncollagenous A domain PBS: phosphatebuffered saline PG: pemphigoid gestationis SDSPAGE: sodium dodecyl sulfatepolyacrilamide gel electrophoresis TBS: Trisbuffered saline TBST:Trisbuffered saline plus Tween20