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01.01.2016 | Original Paper

Immunoadsorber for specific apheresis of autoantibodies in the treatment of bullous pemphigoid

verfasst von: Michael Mersmann, Jenny Dworschak, Kristin Ebermann, Lars Komorowski, Wolfgang Schlumberger, Winfried Stöcker, Detlef Zillikens, Christian Probst, Enno Schmidt

Erschienen in: Archives of Dermatological Research | Ausgabe 1/2016

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Abstract

Bullous pemphigoid (BP) is an autoimmune blistering skin disease associated with autoantibodies against two hemidesmosomal proteins, BP180 (type XVII collagen) and BP230. As the pathogenic relevance of antibodies against the immunodominant NC16A domain of BP180 has been clearly demonstrated, specific removal of these antibodies should be a rational therapeutic approach. Here, we evaluated three recombinant forms of bacterially produced BP180 NC16A, a monomer, trimer, and tetramer, together with different matrices for their efficacy to specifically adsorb autoantibodies from BP plasma samples. An adsorber consisting of NC16A-trimer coupled to NHS-activated Sepharose 4 Fast Flow revealed satisfying adsorption rates and a high specificity. The NC16A-trimer adsorber was regenerable and autoclavable. It has the potential to be used for specific immunoadsorption to treat severe and refractory BP and other pemphigoid diseases associated with BP180 NC16A reactivity.

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Titel: Immunoadsorber for specific apheresis of autoantibodies in the treatment of bullous pemphigoid
verfasst von: Michael Mersmann
Jenny Dworschak
Kristin Ebermann
Lars Komorowski
Wolfgang Schlumberger
Winfried Stöcker
Detlef Zillikens
Christian Probst
Enno Schmidt
Publikationsdatum: 01.01.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Dermatological Research / Ausgabe 1/2016
Print ISSN: 0340-3696
Elektronische ISSN: 1432-069X
DOI: https://doi.org/10.1007/s00403-015-1606-7

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Immunoadsorber for specific apheresis of autoantibodies in the treatment of bullous pemphigoid

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