Published in

American Society for Cell Biology, Molecular Biology of the Cell, p. mbc.E20-06-0394, 2021

DOI: 10.1091/mbc.e20-06-0394

Links

Tools

Export citation

Search in Google Scholar

The IgG3 Subclass of β1-adrenergic receptor autoantibody is an endogenous biaser of β1AR signaling

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

Full text: Unavailable

Red circle
Preprint: archiving forbidden
Green circle
Postprint: archiving allowed
Orange circle
Published version: archiving restricted
Data provided by SHERPA/RoMEO

Abstract

Dysregulation of immune responses has been linked to the generation of IgG autoantibodies that target human β1ARs and contribute to deleterious cardiac outcomes. Given the benefits of β-blockers observed in patients harboring IgG3 sub-class of autoantibodies, we investigated the role of these autoantibodies in human β1AR function. Serum and purified IgG3(+) autoantibodies from patients with onset of cardiomyopathy were tested using HEK293 cells expressing human β1ARs. Unexpectedly, pre-treatment of cells with IgG3(+) serum or purified IgG3(+) autoantibodies impaired dobutamine-mediated adenylyl cyclase (AC) activity and cAMP generation while enhancing biased β-arrestin recruitment and ERK activation. Contrastingly, the β-blocker metoprolol increased AC activity and cAMP in the presence of IgG3(+) serum or IgG3(+) autoantibodies. Since IgG3(+) autoantibodies are specific to human β1ARs, non-failing human hearts were used as an endogenous system to determine their ability to bias β1AR signaling. Consistently, metoprolol increased AC activity reflecting the ability of the IgG3(+) autoantibodies to bias β-blocker towards G-protein coupling. Importantly, IgG3(+) autoantibodies are specific towards β1AR as they did not alter β2AR signaling. Thus, IgG3(+) autoantibody biases β-blocker towards G-protein coupling, while impairing agonist-mediated G-protein activation but promoting G-protein-independent ERK activation. This phenomenon may underlie the beneficial outcomes observed in patients harboring IgG3(+) β1AR autoantibodies.