Antibody to granulocyte-macrophage colony-stimulating factor is a dominant anti-cytokine activity in human IgG preparations

M Svenson, MB Hansen, C Ross… - Blood, The Journal …, 1998 - ashpublications.org
M Svenson, MB Hansen, C Ross, M Diamant, K Rieneck, H Nielsen, K Bendtzen
Blood, The Journal of the American Society of Hematology, 1998ashpublications.org
Pharmaceutical preparations of normal human immunoglobulin (IgG) are known to contain
high-avidity and neutralizing antibodies (Ab) to the cytokines interleukin (IL)-1α, IL-6, and
interferon (IFN) α. To test for other cytokine Ab, 23 batches of IgG were tested for saturable
binding to eight 125I-labeled recombinant cytokines. All batches bound granulocyte-
macrophage colony-stimulating factor (GM-CSF) with high avidity (Kav≈ 10 pmol/L) and
capacities of up to 5 μmol GM-CSF/mol IgG. Only 1 of 15 batches bound IL-5, also with high …
Abstract
Pharmaceutical preparations of normal human immunoglobulin (IgG) are known to contain high-avidity and neutralizing antibodies (Ab) to the cytokines interleukin (IL)-1α, IL-6, and interferon (IFN)α. To test for other cytokine Ab, 23 batches of IgG were tested for saturable binding to eight 125I-labeled recombinant cytokines. All batches bound granulocyte-macrophage colony-stimulating factor (GM-CSF) with high avidity (Kav ≈ 10 pmol/L) and capacities of up to 5 μmol GM-CSF/mol IgG. Only 1 of 15 batches bound IL-5, also with high avidity, whereas 13 of 15 batches bound to IL-10 but with lower capacities and avidities. None of the IgG preparations bound IL-1 receptor antagonist (IL-1ra), IL-2, IL-3, IL-4, or G-CSF. Cross-binding and absorption analyses revealed identical or slightly stronger binding of recombinant GM-CSF, IL-5, and IL-10 than their native counterparts. GM-CSF–IgG complexes did not bind to cellular GM-CSF receptors, but Fc-dependent binding occurred to blood polymorphonuclear cells. Increased binding of GM-CSF to patient sera correlated positively with the binding capacities of infused IgG preparations. Patient and normal sera did not interfere with the binding of Ab to GM-CSF. From these and previous experiments, we conclude that pools of normal human IgG contain variable amounts of specific and high-avidity Ab to some cytokines, and that Ab to GM-CSF constitute a dominant anti-cytokine activity in these preparations. These Ab are available for reactionin vivo following IgG therapy.
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