Mechanisms for secretion of antibodies with “anti-self” reactivity by the human obese adipose tissue

Abstract

Abstract We have shown that the human obese subcutaneous adipose tissue(SAT)contributes to systemic and B cell intrinsic inflammation and increased secretion of autoimmune antibodies. Immune cells are recruited to the SAT by chemokines released by both adipocytes and infiltrating immune cells. We have identified several mechanisms responsible for the release of “self” antigens in the human obese SAT, induction of class switch and production of autoimmune antibodies, such as hypoxia, NK cell cytotoxicity and DNA damage, which induce cell death and further release of pro-inflammatory cytokines. All these processes, in the context of an inflammatory environment like the obese SAT, stimulate the production of autoimmune IgG antibodies which have been described to be pathogenic. We have identified “self” antigens that stimulate the secretion of autoimmune antibodies in cultures of SAT-derived immune cells, using a Protein G immunoprecipitation protocol to purify the autoantibodies, combined with mass spectrometry. Results show that around 25% of these “self” antigens are found at high frequency in all the individuals evaluated so far in independent experiments. Moreover, >90% of these “self” antigens (lipid and protein antigens, DNA, RNA) are cytoplasmic, nuclear or membrane-associated. These results allow the identification of novel pathways to manipulate in order to decrease pathogenic immune responses during aging.