Austin Health

Title
Immunoglobulin G genetic variation can confound assessment of antibody levels via altered binding to detection reagents.
Publication Date
2024
Author(s)
Purcell, Ruth A
Aurelia, L Carissa
Esterbauer, Robyn
Allen, Lilith F
Bond, Katherine A
Williamson, Deborah A
Trevillyan, Janine M
Trubiano, Jason
Juno, Jennifer J
Wheatley, Adam K
Davenport, Miles P
Nguyen, Thi Ho
Kedzierska, Katherine
Kent, Stephen J
Selva, Kevin John
Chung, Amy W
Subject
IgG
allotype
anti‐immunoglobulin
polymorphisms
reproducibility
serology
Type of document
Journal Article
OrcId
0000-0001-6378-5114
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0002-7091-0048
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0002-9072-1017
#PLACEHOLDER_PARENT_METADATA_VALUE#
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0002-9294-7693
0000-0001-6141-335X
0000-0002-8539-4891
#PLACEHOLDER_PARENT_METADATA_VALUE#
0000-0003-0020-9704
DOI
10.1002/cti2.1494
Abstract
Amino acid variations across more than 30 immunoglobulin (Ig) allotypes may introduce structural changes that influence recognition by anti-Ig detection reagents, consequently confounding interpretation of antibody responses, particularly in genetically diverse cohorts. Here, we assessed a panel of commercial monoclonal anti-IgG1 clones for capacity to universally recognise two dominant IgG1 haplotypes (G1m-1,3 and G1m1,17). Four commercial monoclonal anti-human IgG1 clones were assessed via ELISAs and multiplex bead-based assays for their ability to bind G1m-1,3 and G1m1,17 IgG1 variants. Detection antibodies were validated against monoclonal IgG1 allotype standards and tested for capacity to recognise antigen-specific plasma IgG1 from G1m-1,3 and G1m1,17 homozygous and heterozygous SARS-CoV-2 BNT162b2 vaccinated (n = 28) and COVID-19 convalescent (n = 44) individuals. An Fc-specific pan-IgG detection antibody corroborated differences between hinge- and Fc-specific anti-IgG1 responses. Hinge-specific anti-IgG1 clone 4E3 preferentially bound G1m1,17 compared to G1m-1,3 IgG1. Consequently, SARS-CoV-2 Spike-specific IgG1 levels detected in G1m1,17/G1m1,17 BNT162b2 vaccinees appeared 9- to 17-fold higher than in G1m-1,3/G1m-1,3 vaccinees. Fc-specific IgG1 and pan-IgG detection antibodies equivalently bound G1m-1,3 and G1m1,17 IgG1 variants, and detected comparable Spike-specific IgG1 levels between haplotypes. IgG1 responses against other human coronaviruses and influenza were similarly poorly detected by 4E3 anti-IgG1 in G1m-1,3/G1m-1,3 subjects. Anti-IgG1 clone 4E3 confounds assessment of antibody responses in clinical cohorts owing to bias towards detection of G1m1,17 IgG1 variants. Validation of anti-Ig clones should include evaluation of binding to relevant antibody variants, particularly as the role of immunogenetics upon humoral immunity is increasingly explored in diverse populations.
Link
Citation
Clinical & Translational Immunology 2024; 13(3)
Jornal Title
Clinical & Translational Immunology

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