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Contents - College of Medical and Dental Sciences - University of ...

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The 11 th International Workshop on KSHV & Related Agents, Birmingham, UK<br />

Immunology II Abstract 43<br />

SCREENING FOR NATURALLY OCCURRING ANTI-KCP (KSHV COMPLEMENT<br />

CONTROL PROTEIN; ORF4) ANTIBODIES IN KSHV-INFECTED PATIENTS AND<br />

GENERATION OF SPECIFIC MONOCLONAL ANTIBODIES FOR PATHOGENESIS<br />

STUDIES<br />

Anna M. Blom 1a , Marcin Okroj, 1a Linda Mark, 1a Zoltan Korodi, 1b Rosamaria Tedeschi, 2<br />

Joakim Dillner 1b <strong>and</strong> O. Brad Spiller 3<br />

a Department <strong>of</strong> Laboratory Medicine, b Department <strong>of</strong> <strong>Medical</strong> Microbiology, 1 Lund<br />

<strong>University</strong>, <strong>University</strong> Hospital Malmö, S-205 02, Malmö, Sweden. 2 Department <strong>of</strong><br />

Microbiology, Oncological Center, Aviano 33081, Italy. 3 Department <strong>of</strong> Child Health,<br />

Cardiff <strong>University</strong>, School <strong>of</strong> Medicine, Cardiff CF14 4XN, United Kingdom.<br />

Abstract<br />

ORF4 encodes a complement regulating protein expressed in the late virus replication<br />

phase, referred to as the KSHV Complement Control Protein (KCP). KCP is expressed on<br />

the virion surface <strong>and</strong> can be induced on the surface <strong>of</strong> KSHV-positive primary effusion<br />

lymphoma (PEL) B-lymphocytes. KCP mediates protection from complement attack <strong>and</strong><br />

an integral heparin binding motif enables virion KCP to enhance virus infection through<br />

extracellular matrix binding. Using recombinant soluble KCP <strong>and</strong> transfected cells hyperexpressing<br />

various recombinant portions <strong>of</strong> KCP, serum from different KSHV-infected<br />

patient groups were investigated for anti-KCP reactivity. Specific anti-KCP IgG, but not<br />

IgM, was found predominantly in patients that had high titres <strong>of</strong> antibodies against other<br />

lytic KSHV proteins <strong>and</strong> the second (CCP2) <strong>of</strong> the 4 complement control domains in KCP<br />

was found to be the dominant epitope recognised. Patient anti-KCP antibodies enhanced<br />

complement attack on KCP-expressing CHO cells, suggesting neutralisation. Anti-KCP<br />

antibodies were found in all KSHV-infected lymphoma patients except one examined, but<br />

only 3/16 KS patients, suggesting differential KCP expression between these two<br />

diseases. Recombinant soluble <strong>and</strong> cell-expressed KCP were used to generate <strong>and</strong><br />

characterise monoclonal anti-KCP antibodies against each CCP domain. These<br />

monoclonal antibodies differentially regulated decay-accelerating factor activity, c<strong>of</strong>actor<br />

activity <strong>and</strong> heparin binding. Primary conjugated anti-KCP monoclonal antibodies<br />

labelled with FITC, PE, APC or HRP have now been created <strong>and</strong> await appropriate KSHV<br />

patient groups for longitudinal flow cytometric <strong>and</strong> histological assessment through<br />

disease progression <strong>and</strong> treatment.<br />

Presenting author Email: spillerb@Cardiff.ac.uk<br />

69

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