Autoantibody-mediated inflammation contributes to the development of rheumatoid arthritis (RA), and anti-type II collagen (CII) antibodies are present in the serum, synovial fluid, and cartilage of RA patients. We had previously generated and characterized knockin mice expressing a germline-encoded, CII-specific IgH (B10Q.ACB), which demonstrated positive selection of self-reactive B cells. Here, we show that despite the spontaneous production of CII-specific autoantibodies, B10Q.ACB mice are protected from collageninduced arthritis. Introducing a mutation in the Ncf1 gene, leading to ROS deficiency, breaks this strong arthritis resistance. Disease development in Ncf1-mutated B10Q.ACB mice is associated with an enhanced germinal center formation but without somatic mutations of the auto-reactive B cells, increased T-cell responses and intramolecular epitope-spreading. Thus, ROS-mediated B-cell tolerance to a self-antigen could operate by limiting the expansion of the auto-reactive B-cell repertoire, which has important implications for the understanding of epitope spreading phenomena in rheumatoid arthritis and other autoimmune diseases.Keywords: Auto-reactive B cells r Autoantibodies r Arthritis r Epitope spreading r ROS Additional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionAutoimmune diseases affect 5% of the worldwide population, and often involve autoantibody-mediated tissue inflammation. The development of rheumatoid arthritis (RA) involves autoantibodies such as rheumatoid factor and antibodies to citrullinated protein antigens. These antibodies appear in the blood of RA patients, many years before the onset of clinical symptoms [1,2], and durCorrespondence: Dr. Rikard Holmdahl e-mail: rikard.holmdahl@ki.se ing the preclinical phase epitope spreading of the antibodies to citrullinated protein antigens occurs [3,4].Anti-type II collagen (CII) antibodies are present in the serum, synovial fluid, and cartilage of RA patients [5,6]. These are directed to both native triple helical (approx. 10% of the patients) and modified citrullinated (approx. 40% of the patients) epitopes [7,8]. The triple helical CII-directed antibodies are detected during the early joint inflammatory phase of RA [9,10]. Interestingly, the identification of the CII epitopes showed that they are highly conserved between mammals [11,12]. Functional analysis of single chain variable fragment antibody [13] Numerous studies identified the prototypes of different pathogenic autoimmune diseases, where the production of hightiter, high affinity autoantibodies to the proposed antigens is generated in germinal centers (GC). GCs in the secondary lymphoid organs are the sites of intense B-cell proliferation and support somatic hyper mutation and the subsequent selection of high affinity B cells. Extra-follicular (non-GC) origin of the autoantibodies was described in many mouse models of autoimmune diseases [19]. We have previously found that Ncf1 polymorphism leads to a lower oxid...