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Antigen specificity shapes antibody functions in tuberculosis.


ABSTRACT: Tuberculosis (TB) is the number one infectious disease cause of death worldwide in part due to an incomplete understanding of immunity. Emerging data highlight antibody functions as correlates of protection and disease across human TB. However, little is known about how antibody functions impact Mycobacterium tuberculosis (Mtb), the causative agent. Here, we use antigen specificity to understand how antibodies mediate host-Mtb interactions. We focus on Mtb cell wall and ESAT-6 & CFP-10, critical bacterial structural and secreted virulence proteins. In polyclonal IgG from TB patients, we observe that antigen specificity alters IgG subclass and glycosylation that drives Fc receptor binding and effector functions. Through in vitro models of Mtb macrophage infection we find that Mtb cell wall IgG3, sialic acid, and fucose increase opsonophagocytosis of extracellular Mtb and bacterial burden, suggesting that some polyclonal IgG enhance disease. In contrast, ESAT-6 & CFP-10 IgG1 inhibits intracellular Mtb, suggesting that antibodies targeting secreted virulence factors are protective. We test this hypothesis by generating a mAb that reacts to ESAT-6 & CFP-10 and show that it alone inhibits intracellular Mtb. Understanding which antigens elicit antibody mediated disease enhancement and or protection will be critical in appreciating the many roles for antibodies in TB.

SUBMITTER: Miles JR 

PROVIDER: S-EPMC11185737 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature

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Antigen specificity shapes antibody functions in tuberculosis.

Miles Joshua R JR   Lu Pei P   Bai Shuangyi S   Aguillón-Durán Genesis P GP   Rodríguez-Herrera Javier E JE   Gunn Bronwyn M BM   Restrepo Blanca I BI   Lu Lenette L LL  

bioRxiv : the preprint server for biology 20240702


Tuberculosis (TB) is the number one infectious disease cause of death worldwide due to an incomplete understanding of immunity. Emerging data highlight antibody functions mediated by the Fc domain as immune correlates. However, the mechanisms by which antibody functions impact the causative agent <i>Mycobacterium tuberculosis (Mtb)</i> are unclear. Here, we examine how antigen specificity determined by the Fab domain shapes Fc effector functions against <i>Mtb.</i> Using the critical structural  ...[more]

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