Antiphospholipid antibodies are associated with enhanced oxidative stress, decreased plasma nitric oxide and paraoxonase activity in an experimental mouse model

• Published in: Rheumatology (Oxford, England) Vol. 44; no. 10; pp. 1238 - 1244
• Main Authors: Delgado Alves, J., Mason, L. J., Ames, P. R. J., Chen, P. P., Rauch, J., Levine, J. S., Subang, R., Isenberg, D. A.
• Format: Journal Article
• Language: English
• Published: Oxford Oxford University Press 01.10.2005; Oxford Publishing Limited (England)
• Subjects: Animals; Antibodies, Antiphospholipid - blood; Antiphospholipid antibodies; Antiphospholipid Syndrome - blood; Antiphospholipid Syndrome - immunology; Antiphospholipid Syndrome - physiopathology; Aryldialkylphosphatase - blood; Biological and medical sciences; Disease Models, Animal; Enzyme-Linked Immunosorbent Assay - methods; Female; Hematologic and hematopoietic diseases; Humans; Immunoglobulin G - blood; Immunoglobulin M - blood; Kidney - enzymology; Medical sciences; Mice; Mice, Inbred BALB C; Mice, SCID; Nitric oxide; Nitric Oxide - blood; Nitric Oxide Synthase - blood; Nitric Oxide Synthase Type II; Nitric Oxide Synthase Type III; Oxidative stress; Oxidative Stress - immunology; Paraoxonase; Platelet diseases and coagulopathies; Total antioxidant capacity; Oxidative stress; Antiphospholipid antibody syndrome; Total antioxidant capacity; Rodentia; Cardiovascular disease; Autoimmune disease; Hemopathy; Paraoxonase; Antioxidant; Antiphospholipid antibodies; Blood plasma; Vascular disease; Vertebrata; Platelet; Mammalia; Mouse; Animal; Nitric oxide; Models
• ISSN: 1462-0324; 1462-0332
• DOI: 10.1093/rheumatology/keh722

Objective. Oxidative stress contributes to atherosclerosis, and evidence of enhanced oxidative stress exists in antiphospholipid syndrome (APS). In a non-lupus murine model, we evaluated whether anticardiolipin (aCL) antibodies could affect the oxidant/antioxidant balance as an early biochemical step of APS. Methods. Hybridomas producing human and murine aCL and anti-β2-glycoprotein I (aβ2-GPI) monoclonal antibodies were injected into three groups of five female BALB/c severe combined immunodeficiency (SCID) mice. Corresponding hybridomas secreting non-antiphospholipid antibodies of the same isotype were employed as controls. Sera and organs were collected after 30 days. Paraoxonase (PON) activity, peroxynitrite, superoxide, nitric oxide (NO) and nitrotyrosine were measured in plasma. Expression of endothelial nitric oxide synthase and inducible nitric oxide synthase (iNOS) was assessed by western blot and immunohistochemistry. Results. PON activity and NO (sum of nitrate and nitrite) levels were reduced in the human aCL IgG group (P<0.002 and P<0.04, respectively), whilst peroxynitrite and superoxide and expression of total antioxidant capacity of plasma were increased (P<0.01). PON and NO were decreased in the murine aβ2-GPI IgG and IgM aCL groups (P<0.03 and P<0.05, respectively). Nitrotyrosine was elevated in the human aCL IgG group (P<0.03). Western blotting showed reduced iNOS expression in the hearts of the IgG aCL group, confirmed by immunostaining. PON inversely correlated with IgG aCL titres (P<0.001), superoxide (P<0.008) and peroxynitrite levels (P<0.0009). Peroxynitrite and total IgG aCL were independent predictors of PON (P<0.0009 and P<0.02, respectively). Superoxide was the only independent predictor of NO (P<0.008) and of nitrotyrosine (P<0.002). Conclusion. aCL antibodies are associated with the decreased PON activity and reduced NO that may occur in the preclinical phase of APS.