In Focus

Humanized monoclonal antibodies to Human Neutrophil Antigens

Advancing routine diagnostic testing applications

Ryutaro Tobita

Japanese Red Cross, Tokyo, Japan

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Nelson H Tsuno

Japanese Red Cross, Tokyo, Japan

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Antibodies targeting human neutrophil antigens (HNAs) play a critical role in the pathogenesis of alloimmune and autoimmune neutropenia, including conditions such as neonatal alloimmune neutropenia and neonatal autoimmune neutropenia.

These antibodies have also been implicated in the development of severe transfusion reactions, specifically transfusion-related acute lung injury (TRALI). TRALI caused by HNA-3a antibody may occur through a two-event mechanism involving neutrophil activation and a one-event mechanism directly targeting endothelial cells. For the accurate diagnosis and management of neutropenia, it is essential to detect and identify the causative antibodies. Additionally, identifying HNA antibodies in donor serum can help prevent the transfusion of plasma products containing antibodies, which are associated with a higher risk of TRALI. Proper identification of HNA antibodies depends significantly on the availability of high-quality human antiserum and monoclonal antibodies. Historically, many laboratories worldwide have stored anti-HNA antisera for diagnostic purposes. However, increasingly stringent ethical guidelines have made the use of human-origin antisera more challenging. Moreover, the monoclonal antibody immobilization of granulocyte antigens (MAIGA) assay, a widely used method for identifying HNA antibodies, relies on the availability of well-characterized mouse monoclonal antibodies that do not compete with human antibodies for antigen recognition.

Dr. Kikuyo Taniguchi, a pioneering researcher in granulocyte immunobiology in Japan, successfully developed mouse monoclonal antibodies targeting HNA-1a, HNA-1b, HNA-2, and FcγRIIIb (the molecule carrying HNA-1a and HNA-1b) in the late 1990s (1,2). These monoclonals were named TAG-1 (anti-HNA-1a), TAG-2 (anti-HNA-1b), TAG-3 (anti-FcγRIIIb), and TAG-4 (anti-HNA-2). Dr. Taniguchi was also an active participant in the Granulocyte Workshop of the Japan Society of Blood Transfusion and Cell Therapy and contributed significantly to the ISBT Granulocyte Immunobiology Working Party, particularly in her role as a trainer and lecturer for training courses in Asian countries. More recently, using recombinant technology, we developed humanized versions of the TAG antibodies, which were named TAGH-1 to TAGH-4. These humanized monoclonals were confirmed to specifically react with HNA-1a (TAGH-1), HNA-2 (TAGH-4), and FcγRIIIa (TAG-3). However, TAGH-2 exhibited non-specific reactivity with HNA-1a, but this reactivity was limited to flow cytometry (granulocyte immunofluorescence test, GIFT) and was not observed in the MAIGA assay.

Despite the expectation that leukocyte reduction by filtration effectively prevents HLA and HNA immunization as well as negative transfusion effects in recipients, filtration is known to induce the release of neutrophil granules in the supernatant4,5. Accordingly, our analysis suggests that despite the effective elimination of leukocytes from the erythrocytes by filtration, the trapped leukocytes on the filter tend to be activated and therefore release soluble CD177/PR3. In addition, a significantly increased CD177/PR3 concentration was documented in the stored red cells after filtration compared to fresh red cell concentrate; this indicates an additional effect of storage on the release of CD177/PR3 from leukocytes and thus an increased concentration of this antigen in the filtered red cell concentrate6.

References

  1. Taniguchi K, Kobayashi M, Tanihiro M, Hiraoka A, Okada K, Takata N, Ueda K. Development of a monoclonal antibody to neutrophil-specific antigen-1. Jpn J Transf Med, 1998; 44:309-316 (in Japanese)
  2. Taniguchi K, Kobayashi M, Tanihiro M, Hiraoka A, Okada K, Takata N, Kihara H Ueda K. Development of a novel monoclonal antibody, TAG2, to the neutrophil-specific antigen-2. Jpn J Transf Med, 1999; 45(5): 629-631 (in Japanese)
  3. Ishimoto Y, Taniguchi K, Bayat B, Tobita R, Miyazaki T, Onodera R, Kurita E, Kobayashi M, Muroi K, Tsuno NH Production of recombinant humanized monoclonal anti-human neutrophil antigen (HNA) antibodies with potential applicability as standard antibodies Transfusion 2023; 63(12): 2282-2288
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