Comment on 'AIRE-deficient patients harbor unique high-affinity disease-ameliorating autoantibodies'

  1. Nils Landegren  Is a corresponding author
  2. Lindsey B Rosen
  3. Eva Freyhult
  4. Daniel Eriksson
  5. Tove Fall
  6. Gustav Smith
  7. Elise M N Ferre
  8. Petter Brodin
  9. Donald Sharon
  10. Michael Snyder
  11. Michail Lionakis
  12. Mark Anderson
  13. Olle Kämpe
  1. Karolinska University Hospital, Karolinska Institutet, Sweden
  2. Science for Life Laboratory, Uppsala University, Sweden
  3. National Institute of Allergy and Infectious Diseases, National Institutes of Health, United States
  4. National Bioinformatics Infrastructure, Sweden
  5. Karolinska University Hospital, Sweden
  6. Lund University, Skåne University Hospital, Sweden
  7. Broad Institute of Harvard, Massachusetts Institute of Technology, United States
  8. Lund University, Sweden
  9. Science for Life Laboratory, Karolinska Institutet, Sweden
  10. Stanford University, United States
  11. University of California, San Francisco, United States
  12. University of Bergen, Norway
2 figures, 1 table and 1 additional file

Figures

Figure 1 with 7 supplements
The statistical analysis used by Meyer et al. is biased towards overestimation of the number of autoantibody signals in the patient group.

(A) We used our previously published proteome array dataset for 51 APS1 patients and 21 healthy controls to reevaluate the autoantigen spectrum in APS1. (B) To first determine if our dataset and the …

https://doi.org/10.7554/eLife.43578.002
Figure 1—figure supplement 1
Autoantibody signals for interferons in the protein array.

Z-scores were calculated based on the mean and standard deviation of the healthy controls. p=APS1 patients (n = 51), C = controls (n = 21).

https://doi.org/10.7554/eLife.43578.003
Figure 1—figure supplement 2
Simulation where an elevated outlier value at saturation level (65 000 signal units) was introduced in either the APS1 patient group or the control group for the array protein serum albumin.

Z-scores were calculated based on the mean and standard deviation of the healthy controls. p=APS1 patients, C = controls.

https://doi.org/10.7554/eLife.43578.004
Figure 1—figure supplement 3
Simulation where increasingly strong outliers (z-score 2, 3, …, 10) were introduced in random normal data for in total 51 ‘cases’ and 21 ‘controls’ respectively, illustrating how the cutoff is affected by elevated outliers in the control group but not by outliers in the case group.

Horizontal bars indicate 3, 4, and five standard deviations above the ‘control’ group mean.

https://doi.org/10.7554/eLife.43578.005
Figure 1—figure supplement 4
Analyses in permuted data from healthy controls reveal skewing effects in the analysis used by Meyer et al.

To investigate whether there was an inherent skewing effect associated with the statistical method used by Meyer et al., analyses were performed using healthy blood donors randomly assigned to …

https://doi.org/10.7554/eLife.43578.006
Figure 1—figure supplement 5
Random selection of 10 protein identified as autoantigens in APS1 using the criteria applied by Meyer et al.

(Z ≥ 3). Z-scores were calculated based on the mean and standard deviation of the healthy controls. p=APS1 patients (n = 51), C = controls (n = 21).

https://doi.org/10.7554/eLife.43578.007
Figure 1—figure supplement 6
Targets identified using the analysis by Meyer et al. are low in signal and do not show enrichment for tissue-specific genes.

To further evaluate the relevance of the targets identified using the statistical analysis by Meyer et al., we compared them against the established autoantigens in APS1 with respect to the number …

https://doi.org/10.7554/eLife.43578.008
Figure 1—figure supplement 7
No support for widespread autoantigen spectrum in APS1.

As the statistical analysis used by Meyer et al. had proved to be biased in the comparison between patients and controls, the question remained whether or not the APS1 patients showed autoantibody …

https://doi.org/10.7554/eLife.43578.009
No association between neutralizing interferon autoantibodies and type 1 diabetes in APS1.

(A) Representative FACS plots showing IFNα-induced (blue), IFNω-induced (green), or IFNγ-induced (red) STAT1 phosphorylation in normal PBMC (gating on CD14 +monocytes) in the presence of 10% serum …

https://doi.org/10.7554/eLife.43578.010
Figure 2—source data 1

Neutralizing interferon autoantibodies in APS1 patients with and without type 1 diabetes.

https://doi.org/10.7554/eLife.43578.011

Tables

Key resources table
Reagent type
(species) or resource
DesignationSource or
reference
IdentifiersAdditional
information
Biological sample (Homo sapiens)Serum samples from patients with APS1 from Sweden, Norway and Finland, and blood donor controls from SwedenPMID: 26084804 and 26830021
Biological sample
(Homo sapiens)
Serum samples from patients with APS1 from USAPMID: 27588307
Biological sample
(Homo sapiens)
Blood donor controls from NIH Blood Bank
AntibodyFluorophore-conjugated goat polyclonal anti-human IgGThermo Fisher ScientificAlexa Fluor 647 Goat Anti-Human IgG; Cat#A21445,Concentration: 1:2000
AntibodyFluorophore-conjugated mouse monoclonal anti-pSTAT1BD BiosciencesAlexa Fluor 647 mouse anti-human Stat1 (pY701); Cat# 6125975 uL/test
AntibodyFluorophore-conjugated mouse monoclonal anti-CD14BD BiosciencesFITC mouse anti-human CD14; Cat# 5553972 uL/test
Recombinant proteinRecombinant human interferon-alpha 2PBL Assay ScienceCat # 11101–2Concentration:
10 ng/mL
Recombinant proteinRecombinant human interferon-alphaPeprotechCat# 300–02JConcentration:
10 ng/mL
Recombinant proteinRecombinant human interferon-gamma 1bActImmuneNDC 42238-111-01Concentration:
400 U/mL
Commercial assay or kitProtein microarrayThermo Fisher ScientificProtoArray v5.0 (PAH0525020)
Commercial assay or kitBlocking buffer kit used in the protein array screeningThermo Fisher ScientificBlocking Buffer Kit (PA055)
Software, algorithmSoftware used for protein microarray scanning, alignment and data acquisitionGenePix Pro microarray (v6.1)
SoftwareFlowJoFlowJo (v10.5.3)
SoftwarePrismGraphPad Prism (v6.0)

Additional files

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