“…4 From a micro-scale perspective, altered antibody specificity and increased immunoreactivity to self-antigens was reported to occur due to a wide range of different factors, such as oxidative stress (reactive-oxygen species (ROS)), hemin, chemical agents/metabolites (hypochlorite (HOCl), peroxynitrite, urea), low pH, metal catalyzed-(Fe 2þ ) and electrooxidation. [5][6][7][8][9] Electro-oxidation of normally protective immunoglobulin (Ig)G and IgM isolated from healthy blood donors resulted in increased binding of oxidized antibodies to b2-glycoprotein I (b2GPI). 7,10 b2GPI, a plasma protein consisting of 326 amino acids arranged into five domains, is one of the main cofactors in antiphospholipid syndrome (APS).…”