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Immunoproteomic Identification of Noncarbohydrate Antigens Eliciting Graft‐Specific Adaptive Immune Responses in Patients with Bovine Pericardial Bioprosthetic Heart Valves
Author(s) -
Gates Katherine V.,
Xing Qi.,
Griffiths Leigh G.
Publication year - 2019
Publication title -
proteomics – clinical applications
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 54
eISSN - 1862-8354
pISSN - 1862-8346
DOI - 10.1002/prca.201800129
Subject(s) - affinity chromatography , antigen , polyclonal antibodies , immune system , antibody , chemistry , immunology , biochemistry , biology , enzyme
Purpose This case‐control retrospective discovery study is to identify antigenic bovine pericardium (BP) proteins that stimulate graft‐specific humoral immune response in patients implanted with glutaraldehyde fixed bovine pericardial (GFBP) heart valves. Experimental design Banked serum is collected from age‐ and sex‐matched patients who received either a GFBP or mechanical heart valve replacement. Serum IgG is isolated and used to generate poly‐polyclonal antibody affinity chromatography columns from each patient. Native and deglycosylated BP protein extracts are separately added to individual patient affinity chromatography columns, with unbound proteins washed through the column. Proteins captured in the affinity chromatography columns are submitted for proteomic identification. Differences between GFBP and mechanical heart valve replacement recipients are analyzed with Gaussian linearized modeling. Results Carbohydrate antigens overwhelm protein capture in the column, requiring BP protein deglycosylation prior to affinity chromatography. Nineteen BP protein antigens, which stimulated graft‐specific IgG production, are identified in patients who received GFBP valve replacements. Identified antigens are significantly over‐represented for calcium‐binding proteins. Conclusions and clinical relevance Patients implanted with GFBP valves develop a graft‐specific humoral immune response toward BP protein antigens, with 19 specific antigens identified in this work. The molecular functions of over‐represented antigens, specifically calcium‐binding proteins, may aid in understanding the underlying factors that contribute to structural valve deterioration.