1. Natural Antibodies: from First-Line Defense Against Pathogens to Perpetual Immune Homeostasis
- Author
-
Jordan D. Dimitrov, Mohan S. Maddur, Sébastien Lacroix-Desmazes, Jagadeesh Bayry, Srini V. Kaveri, Michel Kazatchkine, Centre de Recherche des Cordeliers (CRC (UMR_S_1138 / U1138)), École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Université de Paris (UP), United Nations Special Envoy for AIDS in Eastern Europe and Central Asia, and Lacroix-Desmazes, Sébastien
- Subjects
0301 basic medicine ,[SDV.IMM] Life Sciences [q-bio]/Immunology ,medicine.medical_treatment ,Autoimmunity ,medicine.disease_cause ,Epitope ,Antibodies ,Immunomodulation ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,medicine ,Immune Tolerance ,Immunology and Allergy ,Animals ,Homeostasis ,Humans ,B cell ,Intravenous immunoglobulin ,Disease Resistance ,030203 arthritis & rheumatology ,IVIG ,Immune homeostasis ,biology ,Autoantibody ,Immunity ,General Medicine ,Immunotherapy ,Immunity, Innate ,3. Good health ,Immunoglobulin Isotypes ,030104 developmental biology ,medicine.anatomical_structure ,Polyclonal antibodies ,Organ Specificity ,Immunology ,Antibody Formation ,Host-Pathogen Interactions ,biology.protein ,[SDV.IMM]Life Sciences [q-bio]/Immunology ,Therapy ,Antibody ,Natural IgG ,Natural IgM - Abstract
International audience; Natural antibodies (nAbs) are most commonly defined as immunoglobulins present in the absence of pathological conditions or deliberate immunizations. Occurrence of nAbs in germ- and antigen-free mice suggest that their production is driven, at least in part, by self-antigens. Accordingly, nAbs are constituted of natural autoantibodies (nAAbs), and can belong to the IgM, IgG, or IgA subclasses. These nAbs provide immediate protection against infection while the adaptive arm of the immune system mounts a specific and long-term response. Beyond immediate protection from infection, nAbs have been shown to play various functional roles in the immune system, which include clearance of apoptotic debris, suppression of autoimmune and inflammatory responses, regulation of B cell responses, selection of the B cell repertoires, and regulation of B cell development. These various functions of nAbs are afforded by their reactivity, which is broad, cross-reactive, and shown to recognize evolutionarily fixed epitopes shared between foreign and self-antigens. Furthermore, nAbs have unique characteristics that also contribute to their functional roles and set them apart from antigen-specific antibodies. In further support for the role of nAbs in the protection against infections and in the maintenance of immune homeostasis, the therapeutic preparation of polyclonal immunoglobulins, intravenous immunoglobulin (IVIG), rich in nAbs is commonly used in the replacement therapy of primary and secondary immunodeficiencies and in the immunotherapy of a large number of autoimmune and inflammatory diseases. Here, we review several topics on nAbs features and functions, and therapeutic applications in human diseases.
- Published
- 2019
- Full Text
- View/download PDF