This investigation was undertaken to test whether anti-LBPA antibodies and IgG from
patients with APS interfere with intracellular β2GPI distribution in EAhy926 endothelial cells and with the coagulation system. Cell
incubation with anti-LBPA MoAb or with patients’ IgG resulted in antibody binding
to late endosomes and caused β2GPI redistribution and accumulation within perinuclear vesicular structures reminiscent
of late endosomes. This finding suggests that aPl may contribute to the pathogenic
mechanisms of APS by modifying the intracellular traffic of proteins, by interactions
between aPl and LBPA, β2GPI and/or LBPA- β2GPI complexes. The anticoagulant activity of anti-LBPA MoAb was analyzed in a sensitized
activated partial thromboplastin time (aPTT) system and in a dilute Russell’s viper
venom time (dRVVT). A significant, concentration-dependent effect of the antibody
on both aPTT and dRVVT prolongation was found. These observations suggest that LBPA
is an important lipid target for aPl with potential functional implications for the
immunopathogenesis of APS.
Keywords
β
2-glycoprotein I - late endosomes - endothelial cells - anti-phospholipid antibodies