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Research Article| Volume 299, P70-78, October 15, 2016

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Isoaspartylation appears to trigger small cell lung cancer-associated autoimmunity against neuronal protein ELAVL4

  • Author Footnotes
    1 Dr. Pulido and Dr. DerHartunian contributed equally to this article.
    Mario A. Pulido
    Footnotes
    1 Dr. Pulido and Dr. DerHartunian contributed equally to this article.
    Affiliations
    Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Department of Biochemistry and Molecular Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Author Footnotes
    1 Dr. Pulido and Dr. DerHartunian contributed equally to this article.
    Meleeneh Kazarian DerHartunian
    Footnotes
    1 Dr. Pulido and Dr. DerHartunian contributed equally to this article.
    Affiliations
    Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Department of Biochemistry and Molecular Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Zhenxia Qin
    Affiliations
    Department of Molecular Biology and Biochemistry, University of California at Irvine, Irvine, CA, USA
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  • Eric M. Chung
    Affiliations
    Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Department of Biochemistry and Molecular Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Diane S. Kang
    Affiliations
    Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Department of Biochemistry and Molecular Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Andrew W. Woodham
    Affiliations
    Department of Molecular Microbiology and Immunology, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Jeffrey A. Tsou
    Affiliations
    Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Department of Biochemistry and Molecular Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Rinse Klooster
    Affiliations
    Department of Neurology, Leiden University, Leiden, The Netherlands
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  • Omid Akbari
    Affiliations
    Department of Molecular Microbiology and Immunology, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Lina Wang
    Affiliations
    Department of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • W. Martin Kast
    Affiliations
    Department of Molecular Microbiology and Immunology, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Stephen V. Liu
    Affiliations
    Department of Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Jan J.G.M. Verschuuren
    Affiliations
    Department of Neurology, Leiden University, Leiden, The Netherlands
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  • Dana W. Aswad
    Affiliations
    Department of Molecular Biology and Biochemistry, University of California at Irvine, Irvine, CA, USA
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  • Ite A. Laird-Offringa
    Correspondence
    Corresponding author at: USC/Norris Comprehensive Cancer Center, 1441 Eastlake Ave. NTT6420, Los Angeles, CA 90089-9176, USA.
    Affiliations
    Department of Surgery, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Department of Biochemistry and Molecular Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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  • Author Footnotes
    1 Dr. Pulido and Dr. DerHartunian contributed equally to this article.
Published:September 02, 2016DOI:https://doi.org/10.1016/j.jneuroim.2016.09.002

      Highlights

      • Small cell lung cancer (SCLC) neuronal autoantigen ELAVL4 becomes isoaspartylated in vitro.
      • ELAVL4 becomes isoaspartylated in vivo, in mice deficient in the isoaspartyl repair enzyme, PIMT.
      • Tumors from SCLC patients show reactivity with a new isoaspartyl-ELAVL4 rabbit antiserum we raised.
      • Isoaspartylated ELAVL4 is highly immunogenic in mice and human peripheral blood monocytic cells.
      • Anti-ELAVL4 positive SCLC patient antisera react with the isoaspartyl-prone ELAVL4 N-terminus.

      Abstract

      Autoantibodies against SCLC-associated neuronal antigen ELAVL4 (HuD) have been linked to smaller tumors and improved survival, but the antigenic epitope and mechanism of autoimmunity have never been solved. We report that recombinant human ELAVL4 protein incubated under physiological conditions acquires isoaspartylation, a type of immunogenic protein damage. Specifically, the N-terminal region of ELAVL4, previously implicated in SCLC-associated autoimmunity, undergoes isoaspartylation in vitro, is recognized by sera from anti-ELAVL4 positive SCLC patients and is highly immunogenic in subcutaneously injected mice and in vitro stimulated human lymphocytes. Our data suggest that isoaspartylated ELAVL4 is the trigger for the SCLC-associated anti-ELAVL4 autoimmune response.

      Graphical abstract

      Keywords

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