Cell Reports (Apr 2013)

Obesity-Associated Autoantibody Production Requires AIM to Retain the Immunoglobulin M Immune Complex on Follicular Dendritic Cells

  • Satoko Arai,
  • Natsumi Maehara,
  • Yoshihiro Iwamura,
  • Shin-ichiro Honda,
  • Katsuhiko Nakashima,
  • Toshihiro Kai,
  • Masato Ogishi,
  • Kumiko Morita,
  • Jun Kurokawa,
  • Mayumi Mori,
  • Yuji Motoi,
  • Kensuke Miyake,
  • Nobuyuki Matsuhashi,
  • Ken-ichi Yamamura,
  • Osamu Ohara,
  • Akira Shibuya,
  • Edward K. Wakeland,
  • Quan-Zhen Li,
  • Toru Miyazaki

DOI
https://doi.org/10.1016/j.celrep.2013.03.006
Journal volume & issue
Vol. 3, no. 4
pp. 1187 – 1198

Abstract

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Natural immunoglobulin M (IgM) is reactive to autoantigens and is believed to be important for autoimmunity. Blood pentameric IgM loaded with antigens forms a large immune complex (IC) that contains various elements, including apoptosis inhibitor of macrophage (AIM). Here we demonstrate that this IgM-AIM association contributes to autoantibody production under obese conditions. In mice fed a high-fat diet, natural IgM increased through B cell TLR4 stimulation. AIM associated with IgM and protected AIM from renal excretion, increasing blood AIM levels along with the obesity-induced IgM augmentation. Meanwhile, the AIM association inhibited IgM binding to the Fcα/μ receptor on splenic follicular dendritic cells, thereby protecting the IgM IC from Fcα/μ receptor-mediated internalization. This supported IgM-dependent autoantigen presentation to B cells, stimulating IgG autoantibody production. Accordingly, in obese AIM-deficient (AIM−/−) mice, the increase of multiple IgG autoantibodies observed in obese wild-type mice was abrogated. Thus, the AIM-IgM association plays a critical role in the obesity-associated autoimmune process.