Heliyon (Aug 2020)

Elevated levels of autoantibodies against DNAJC2 in sera of patients with atherosclerotic diseases

  • Yoichi Yoshida,
  • Xiao-Meng Zhang,
  • Hao Wang,
  • Toshio Machida,
  • Seiichiro Mine,
  • Eiichi Kobayashi,
  • Akihiko Adachi,
  • Tomoo Matsutani,
  • Ikuo Kamitsukasa,
  • Takeshi Wada,
  • Akiyo Aotsuka,
  • Katsuro Iwase,
  • Go Tomiyoshi,
  • Rika Nakamura,
  • Natsuko Shinmen,
  • Hideyuki Kuroda,
  • Hirotaka Takizawa,
  • Koichi Kashiwado,
  • Hideo Shin,
  • Yuichi Akaogi,
  • Junichiro Shimada,
  • Eiichiro Nishi,
  • Mikiko Ohno,
  • Minoru Takemoto,
  • Koutaro Yokote,
  • Kenichiro Kitamura,
  • Yasuo Iwadate,
  • Takaki Hiwasa

Journal volume & issue
Vol. 6, no. 8
p. e04661

Abstract

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Background: Serum antibody markers have been increasingly identified not only for cancer and autoimmune diseases but also for atherosclerosis-related diseases such as acute ischemic stroke (AIS), acute myocardial infarction (AMI), diabetes mellitus (DM), and chronic kidney disease (CKD). Biomarkers for transient ischemic attack (TIA) and non-ST segment elevation acute coronary syndrome (NSTEACS) are potentially useful for detection of early phase of atherosclerotic changes against AIS and AMI, respectively. Methods: We utilized serological identification of antigens by recombinant cDNA expression cloning (SEREX) using a human aortic endothelial cell cDNA phage library and sera from patients with TIA or NSTEACS. Serum antibody levels were measured by amplified luminescent proximity homogeneous assay-linked immunosorbent assay (AlphaLISA) using purified recombinant antigens. Results: Screening of sera from patients with TIA identified DnaJ heat shock protein family (Hsp40) member C2 (DNAJC2) as a candidate antigen, which was also isolated by SEREX screening using sera of patients with NSTEACS. The validation cohort revealed significantly higher DNAJC2 antibody (DNAJC2-Ab) levels in the sera of patients with TIA or AIS than those in healthy donors (HDs). Multivariate logistic regression analysis indicated that the predictive odds ratios (OR) of DNAJC2-Ab levels for TIA and AIS were 2.54 (95% confidence interval [CI]: 1.36–4.74, p = 0.0034) and 2.14 (95% CI: 1.39–3.30, p = 0.0005), respectively. Serum DNAJC2-Ab levels were also higher in patients with AMI, DM, and CKD than those in HDs. Conclusion: Serum DNAJC2-Ab level may be useful for early detection of atherosclerotic lesions, which lead to AIS and AMI.

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