Mucosal Immune Defense: Immunoglobulin A Mucosal Immune Defense: Immunoglobulin A Edited by Charlotte Slayton Kaetzel Professor of Microbiology, Immunology and Molecular Genetics University of Kentucky, Lexington, Kentucky Charlotte S. Kaetzel Department of Microbiology Immunology and Molecular Genetics University of Kentucky Lexington, KY 40536 USA [email protected] ISBN-13: 978-0-387-72231-3 e-ISBN-13: 978-0-387-72232-0 Library of Congress Control Number: 2007934987 © 2007 Springer Science+Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in c onnection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper. 9 8 7 6 5 4 3 2 1 springer.com Preface Although the existence of a humoral “immune” system has been appreciated for millennia, it was not until 1890 that “antibodies” were identified as serum proteins capable of recognizing and neutralizing antigens with a high degree of specificity (von Behring and Kitasato, 1890). Nearly 50 years later, the advent of physicochemical techniques for analyzing the size and charge of serum proteins led to the proposal that antibodies comprised multiple isotypes (Tiselius and Kabat, 1939). The pioneering work of Heremans and colleagues (Carbonara and Heremans, 1963; Heremans, 1959; Heremans et al., 1959, 1963) demonstrated that a carbohydrate-rich antibody species found in the β-globulin fraction of human serum was distinct from the previously identified IgG and IgM isotypes; this new form of antibody was subsequently designated “IgA”. Shortly thereafter, Tomasi and Zigelbaum (1963) demon- strated that IgA in external secretions, unlike serum IgA, consisted mainly of dimers of the basic immunoglobulin subunit. Further structural studies revealed that the IgA dimers in SIgA were linked to an additional glycoprotein of about 80 kDa, which was originally designated the “secretory piece” and is now called the secretory component (SC) (Tomasi et al., 1965). Because most of the serum IgA is monomeric, the question arose whether IgA dimers in SIgA were assembled from serum-derived monomeric IgA or were derived from locally synthesized dimeric IgA. Two landmark experiments demon- strated that the IgA in colostrum is synthesized by local plasma cells as an 11S dimer. Lawton and Mage (1969) examined the distribution of b locus light-chain allotypic markers in colostral IgA from heterozygous rabbits. If the SIgA were assembled from serum-derived monomeric IgA, one would expect to find a random assortment of the light-chain markers. However, immunoprecipitation with antiallotypic antibodies revealed that individual SIgA molecules contained either the b4 or b5 marker, but not both, suggesting that the IgA dimers were assembled within local plasma cells. Similar results were obtained by Bienenstock and Strauss (1970), who demonstrated that individual SIgA molecules from human colostrum contained either κ or λ light chains, but not both. The concept of local origin of SIgA was upheld by later studies in which transport of locally synthesized IgA into jejunal v vi Preface secretions (Jonard et al., 1984) and saliva (Kubagawa et al., 1987) was found to be significantly greater than transport of serum-derived IgA. Further support for the model of local synthesis of polymeric IgA came with the discovery of the “joining” (J) chain, a peptide of about 15 kDa that was found to be a subunit of dimeric IgA and pentameric IgM isolated from colostrum (Halpern and Koshland, 1970; Mestecky et al., 1971). Subsequent studies demonstrated that the J-chain was expressed by a high percentage of IgA- and IgM-secreting plasma cells in mucosal tissues and exocrine glands (Brandtzaeg, 1974, 1983; Brandtzaeg and Korsrud, 1984; Crago et al., 1984; Korsrud and Brandtzaeg, 1980; Kutteh et al., 1982; Nagura et al., 1979) and that expression of the J-chain was correlated with in vitro binding of SC to immunocytes in tissue sections (Brandtzaeg, 1974, 1983; Brandtzaeg and Korsrud, 1984). Current evidence suggests that the J-chain is not obligatory for polymerization of IgA and IgM, rather that the presence of the J-chain is required for binding of polymeric IgA to SC. It is now appreciated that IgA is the most abundant immunoglobulin isotype; its total daily synthesis exceeds that of all other isotypes combined. The predominance of IgA derives from the continuous production and transport of SIgA across the vast surfaces of mucosal epithelia, some 300–400 m2 in adult humans. In fact, it has been estimated that 3 g of SIgA are transported daily into the intestines of the average adult (Conley and Delacroix, 1987; Mestecky et al., 1986). SIgA antibodies are the diplomats of the immune system, with the mission of maintaining homeostasis at mucosal surfaces. We receive the first members of this diplomatic corps from our mothers, in the form of SIgA antibodies in breast milk, which serve until our developing immune system produces its own envoys. SIgA antibodies can be found at every mucosal surface, where they enlist the aid of epithelial cells and a host of innate immune factors to negotiate with microbes, food antigens, and environmental substances. Microbes that agree not to breach the mucosal barrier and to work for the benefit of the host are welcomed as members of the commensal microbiota. Pathogens and noxious substances that threaten to invade the body proper are neutralized and deported through the closest body orifice. Only when diplomacy fails, because of overwhelming numbers of enemy combatants, microbial weapons of mass destruction, or defects in the IgA system, are the big guns of the adaptive immune response (such as IgG antibodies and effector T-cells) recruited to protect the host. The cost of the military option is collateral damage to the mucosal surface, with the risk of serious injury and even death. A healthy IgA system allows us to thrive in a world full of potential pathogens and to co-exist peacefully with hundreds of billions of commensal microorganisms. Recent advances in human genomics, gene regulation, structural biology, cell signaling, and immunobiology have greatly enhanced our understand- ing of this important class of antibody. This volume is designed to serve as a reference for current knowledge of the biology of IgA and its role in mucosal immune defense and homeostasis. Topics include the structure of Preface vii IgA (Chapter 1), the development of IgA plasma cells (Chapter 2), epithe- lial transport of IgA and interaction with Fc receptors (Chapters 3 and 4), regulation of the IgA system (Chapter 5), biological roles of IgA, including newly discovered functions (Chapters 6–9), regional functions of IgA (Chap- ters 10–12), IgA-associated diseases (Chapter 13), and potential therapeutic applications for IgA (Chapters 14 and 15). References Bienenstock, J., and Strauss, H. (1970). Evidence for synthesis of human colostral γA as an 11S dimer. J. Immunol. 105:274–277. Brandtzaeg, P. (1974). Presence of J chain in human immunocytes containing various immunoglobulin classes. Nature 252:418–420. Brandtzaeg, P. (1983). Immunohistochemical characterization of intracellular J-chain and binding site for secretory component (SC) in human immunoglobulin (Ig)-producing cells. Mol. Immunol. 20:941–966. Brandtzaeg, P., and Korsrud, F. R. (1984). Significance of different J chain profiles in human tissues: Generation of IgA and IgM with binding site for secretory com- ponent is related to the J chain expressing capacity of the total local immunocyte population, including IgG and IgD producing cells, and depends on the clinical state of the tissue. Clin. Exp. Immunol. 58:709–718. Carbonara, A. O., and Heremans, J. F. (1963). Subunits of normal and pathological γ-1A-globulins. (β-2A-globulins). Arch. Biochem. Biophys. 102:137–143. Conley, M. E., and Delacroix, D. L. (1987). Intravascular and mucosal immunoglobu- lin A: two separate but related systems of immune defense? Ann. Intern. Med. 106:892–899. Crago, S. S., Kutteh, W. H., Moro, I., Allansmith, M. R., Radl, J., Haaijman, J. J., and Mestecky, J. (1984). Distribution of IgA1-, IgA2-, and J chain-containing cells in human tissues. J. Immunol. 132:16–18. Halpern, M. S., and Koshland, M. E. (1970). Novel subunit in secretory IgA. Nature 228:1276–1278. Heremans, J. F. (1959). Immunochemical studies on protein pathology. The immu- noglobulin concept. Clin. Chim. Acta 4:639–646. Heremans, J. F., and Schultz, H. E. (1959). Isolation and description of a few properties of the β2A-globulin of human serum. Clin. Chim. Acta. 4:96–102. Heremans, J. F., Vaerman, J. P., and Vaerman, C. (1963). Studies on the immune globulins of human serum. II. A study of the distribution of anti-Brucella and anti-diphtheria antibody activities among γ-ss, γ-im and γ-1a-globulin fractions. J Immunol. 91:11–17. Jonard, P. P., Rambaud, J. C., Vaerman, J. P., Galian, A., and Delacroix, D. L. (1984). Secretion of immunoglobulins and plasma proteins from the jejunal mucosa. Transport rate and origin of polymeric immunoglobulin A. J. Clin. Invest. 74:525–535. Korsrud, F. R., and Brandtzaeg, P. (1980). Quantitative immunohistochemistry of immunoglobulin- and J-chain-producing cells in human parotid and submandibular salivary glands. Immunol. 39:129–140. Kubagawa, H., Bertoli, L. F., Barton, J. C., Koopman, W. J., Mestecky, J., and Cooper, M. D. (1987). Analysis of paraprotein transport into the saliva by using anti-idiotype antibodies. J. Immunol. 138:435–439. viii Preface Kutteh, W. H., Prince, S. J., and Mestecky, J. (1982). Tissue origins of human polymeric and monomeric IgA. J. Immunol. 128:990–995. Lawton, A. R., III, and Mage, R. G. (1969). The synthesis of secretory IgA in the rabbit. I. Evidence for synthesis as an 11S dimer. J. Immunol. 102:693–697. Mestecky, J., Russell, M. W., Jackson, S., and Brown, T. A. (1986). The human IgA system: A reassessment. Clin. Immunol. Immunopath. 40:105–114. Mestecky, J., Zikan, J., and Butler, W. T. (1971). Immunoglobulin M and secretory immunoglobulin A: Presence of a common polypeptide chain different from light chains. Science 171:1163–1165. Nagura, H., Brandtzaeg, P., Nakane, P. K., and Brown, W. R. (1979). Ultrastructural localization of J chain in human intestinal mucosa. J. Immunol. 123:1044–1050. Tiselius, A., and Kabat, E. A. (1939). An electrophoretic study of immune sera and purified antibody preparations. J. Exp. Med. 69:119–131. Tomasi, T. B., Jr., Tan, E. M., Solomon, A., and Prendergast, R. A. (1965). Charac- teristics of an immune system common to certain external secretions. J. Exp. Med. 121:101–124. Tomasi, T. B., Jr., and Zigelbaum, S. (1963). The selective occurence of γ-1A globulins in certain body fluids. J Clin. Invest. 42:1552–1560. von Behring, E., and Kitasato, S. (1890). On the acquisition of immunity against diphtheria and tetanus in animals. Deutsch. Med. Wochenschr. 16:1145–1148. Acknowledgments The Editor gratefully acknowledges the hard work of all of the contributors to this volume, each of whom is a leader in the field of IgA immunology. It has been a pleasure to work with such an outstanding group of scien- tists. I also appreciate the invaluable editorial assistance of my colleague Dr. Maria Bruno. Finally, I wish to express my sincere thanks to all of the helpful people at Springer Publishing, especially Andrea Macaluso, who conceived the concept for this book, Lisa Tenaglia and Suji Prakash. Charlotte Slayton Kaetzel Lexington, Kentucky ix Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii 1. The Structure of IgA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Jenny M. Woof 2. IgA Plasma Cell Development. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Jo Spencer, Laurent Boursier, and Jonathan D. Edgeworth 3. Epithelial Transport of IgA by the Polymeric Immunoglobulin Receptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Charlotte S. Kaetzel and Maria E. C. Bruno 4. Fc Receptors for IgA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 H. Craig Morton 5. Regulation of the Mucosal IgA System. . . . . . . . . . . . . . . . . . . . . . . . 111 Finn-Eirik Johansen, Ranveig Braathen, Else Munthe, Hilde Schjerven, and Per Brandtzaeg 6. Biological Functions of IgA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Michael W. Russell 7. Protection of Mucosal Epithelia by IgA: Intracellular Neutralization and Excretion of Antigens . . . . . . . . . . . 173 Michael E. Lamm 8. Novel Functions for Mucosal SIgA. . . . . . . . . . . . . . . . . . . . . . . . . . . 183 Armelle Phalipon and Blaise Corthésy xi xii Contents 9. IgA and Antigen Sampling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 Nicholas J. Mantis and Blaise Corthésy 10. IgA and Intestinal Homeostasis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 Per Brandtzaeg and Finn-Eirik Johansen 11. IgA and Respiratory Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269 Dennis W. Metzger 12. IgA and Reproductive Tract Immunity . . . . . . . . . . . . . . . . . . . . . . . 291 Charu Kaushic and Charles R. Wira 13. IgA-Associated Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321 Jiri Mestecky and Lennart Hammarström 14. Mucosal SIgA Enhancement: Development of Safe and Effective Mucosal Adjuvants and Mucosal Antigen Delivery Vehicles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345 Jun Kunisawa, Jerry R. McGhee, and Hiroshi Kiyono 15. Recombinant IgA Antibodies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390 Esther M. Yoo, Koteswara R. Chintalacharuvu, and Sherie L. Morrison Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417