Conformational Epitopes of Pemphigus Antigens (Dsg1 and Dsg3) Are Calcium Dependent and Glycosylation Independent

Conformational Epitopes of Pemphigus Antigens (Dsg1 and Dsg3) Are Calcium Dependent and Glycosylation Independent

Conformational Epitopes of Pemphigus Antigens (Dsgl and Dsg3) Are Calcium Dependent and Glycosylation Independent Masayuki Amagai,*t1^ Ken Ishii,*t Ta...

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Conformational Epitopes of Pemphigus Antigens (Dsgl and Dsg3) Are Calcium Dependent and Glycosylation Independent Masayuki Amagai,*t1^ Ken Ishii,*t Takashi Hashimoto,* Sliinobu Gamou,t Nobuyoshi Shimizu,t and Takeji Nishikawa* Departments of'"Dermatology and tMolecular Biology, Keio University School of Medicine; and :j:Tokyo Electric Power Hospital, Sliinjuku, Tokyo, Japan

The target molecule of pemphigus autoantihodies is a transmemhrane desmosomal component, desmoglein 3 (Dsg3) in pemphigus vulgaris (PV) and Dsgl in pemphigus foliaceus (PF). In this study, we examined the effects of calcium and glycosylation on the antigenicity of the pemphigus antigens and on the generation of conformational epitopes. We used recombinant haculovirus proteins, PVIg and PFIg, which are considered to reflect accurately the native conformation ofthe extracellular domain of their respective proteins Dsg3 and Dsgl. These haculoproteins could immunoadsorh heterogeneous autoantihodies from the corresponding sera of PV and PF patients, completely Mocking indirect immunofluorescence staining of normal human skin. Chelating calcium from the solution containing the haculoproteins using ethylenedianiinetetraacetic acid (EDTA) or ethyleneglycol-his(/3-aminoethyl ether)-N,N,N , N -

tetraacetic acid (EGTA) aholished immunoadsorption hy hoth PVIg and PFIg; however, immunoadsorption hy the haculoproteins was restored after dialysis against 1 mM calcium. Nonglycosylated forms of hoth haculoproteins produced in the presence of tunicamycin retained their immunoadsorptive ahility. Furthermore, immunoadsorption hy the haculoproteins ^vas prevented irreversihly hy treatment >vith low pH, high pH, and hoiling, hut not with the non-ionic detergent Nonidet P-40. These findings indicate that formation of the conformational epitopes on the pemphigus antigens is dependent on calcium hut independent of glycosylation, and provide direct evidence that calcium plays an important role in determining the antigenic properties of the

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folding [5]. To address this issue, we used eukaryotic expression by the haculovirus system and produced a chimeric protein, PVIg, containing the entire extracellular domain of Dsg3 fused with the constant region of human IgGl [3]. The PVIg haculoprotein was shown to immunoadsorb polyclonal autoantibodies from the sera of PV patients and eradicated the pathogenic activity of the PV sera. Subseqtiently, a similar chimeric construct for Dsgl, PFIg, was also shown to immunoadsorb autoantibodies from the sera of PF patients [4]. Thus, these baculoproteins, PVIg and PFIg, are considered to reflect accurately the native conformation of Dsg3 and Dsgl extracellular domains, respectively. These findings indicate that conformation of antigenic deterniiuants is important in the antigenicity of the petnphigus antigens and in the binding of pathogenic pemphigus autoantibodies to these epitopes.

o characterize the immunogenic and pathogenic epitopes of the pemphigu.s antigens (desmoglein 1 [Dsgl] for pemphigus fohaceus [PF] antigen and Dsg3 for pemphigus vulgnris [PV] antigen), we have produced recombinant proteins using either a hacterial or a haculovirus expression system [1-4]. Bacterial proteins representing various regions of Dsg3 were produced as insoluble j3-galactosidase fusion proteins [2]. These generated some ofthe epitopes ofthe native antigen but failed to e.xpress most pathogenic epitopes, as the PV IgG that passed through the fusion protein column could still cause gross blisters in the neonatal mouse model for pemphigus. We hypothesized that this failure was due to the incomplete regeneration of conformational epitopes within Dsg3, because most antihodies raised against native proteins recognize complex three-dimensional structures that depend upon protein

pemphigus antigens. Key ivords: desmogleinlhaculoi'irus expressionlcadheriit/atitoitnmtine disease. J Invest Dertnatol 105:243-247, 1995

In this study, we examined whether the conformational epitopes of the pemphigus antigens are dependent on calcium or glycosylation, using these recombiuant baculoproteins. Several reagents used for immunochemical analyses were also examined for their effects on the conformation of PVIg and PFIg.

Manuscript received February 10, 1995; final revision received April 25, 1995; accepted for publication May 8, 1995. Reprint requests to; Dr. Masayuki Amagai, Dermatology I3ivision, Tokyo Electric Power Hospital, 9-2 Shinanomacbi, Shinjuku-ku, Tokyo, 160 Japan. Abbreviations; Dsgl, desmoglein 1 or tbe pemphigus foliaceus antigen; Dsg3, desmoglein ?i or the penipbigus vulgaris antigen; PF. pempliigus foliaceus; PV, pempliigus vulgaris; T13S-Ca, 1 mM CaClj in Tris-bufFered saline.

MATERIALS AND METHODS Human Sera Tliree PV and three PF sera vk^ere used. These were obtained from patients witb clinically and histologically typical PV and PF. ImiTiuiioreactivity of tlie tbree PV sera against keratinocyte cell surfaces was abolished completely by incubation with the PVIg baculoprotein alone [3],

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Table I. The Effects of Various Treatments to the PVIg and PFIg Baculoproteins on Iminunoadsorptive Activity"

ENTIRE EXTRAC6LLULAH DOMAINS OF Dsg3 CONSTANT REGION OF HLIMAN lgG1

PFIg

Immunoadsorption by Treatments

i ENTIRE EXTRACELLULAR DOMAINS OF Dsgl

Figure 1. Molecular structure of baculoproteins for pemphigus antigens. The entire extracellular domains of Dsg3 (PVIg) or Dsgl (PFlg) cotitaining the signal peptide (S), the proscquenee (P), and the five extracellular domains (ECl to ECS) are fused with the constant region of human IgGI, including liinge (H), CH2, and CH3 domains. The signal peptide and the proscquence are proteolytically cleaved when secreted.

aud immtinoreactivity of the three PF sera was blocked hy incuhatioti with the PFIg haculoproteiti alotie |4]. Production of Baculoproteins for Pemphigus Antigens A secreted form of Dsg3 or Dsgl recomhinant protein was produced hy baculovirus expressioti as a chinierie molecule contaitiitig the etitire extracellular domain of Dsg3 or Dsgl and the constant region of hunian IgGI (Fig 1) [3,4). The haeuloproteins for Dsg.1 and Dsgf were designated PVIg and PFIg, respectively. The baeuloproteins were produced in High Five cells (Invitrogen, San Diego, CA) cultured iu serum-free EX Cell 400 medium (JRH Biosciences, Lenexa, KS). After itifectioti with high-titer virus stock for PVIg or PFIg, the cells were incuhated at 27°C for 4 d. Supernatant containing fO-30 /Lig/ml ofthe baculoproteiu was obtained and stored at — 7()°C until needed. Supernatant of uuinfected High Five eells wa.s used as a control solution, lti some experiments, the haeuloproteins were purified on protein A-Sepharose (Pharmacia, Uppsala, Sweden). After protein A binding capacity was saturated hy iucuhatioti with an exeess of normal human sera, the haeuloproteins hound directly to protein A were used in the itiimunoadsorption assay. Various Treatments of the Baculoproteins To examine the effects of calcium depletion, we added etliyleuediaininetetraacetic acid (EDTA) or cthyletieglycol-hisO-aminoethyl ether)-N,N,N',N',-tetraacetic acid (EGTA) at 5 uiM to supernatants coutaitiiiig the haeuloproteins. The sample was iticuhatcd for f li at room tetiiperattire and theti subjected to the immunoadsorptiou assay. EDTA or EGTA at 5 tiiM was thought tci he sufficient to clielatc 3.8 niM calcium in the EX Cell 400 culture medium. To avoid a direct effect of EDTA or EGTA in the solution on the pemphigus antigens in cryosectioned skin, we added f 0 liiM CaClj to the solution just before applyitig it to the section for imnumoffuorescence testitig. To determine further whether the effect of calcium depletion was reversible, the sample was dialyzed agaitist f tnM CaCU in Tris-buffercd saline (10 mM Tris-HCl, f 50 tiiM NaCl, pH 7.4) (TI3S-Ca) after the l-h incuhation at room temperature with .S tiiM EDTA or EGTA. Altettiatively, to test the effects of calcium depletion, the haeuloproteins boutid on protein A—Sepharose were incubated with .S mM EDTA or EGTA itl phosphate-buffered saline without caleiutii or maguesiutn (P13S( —)) for f h at room tetnpcraturc, atid washed with PIiS( —) several times to remove EDTA or EGTA. Subsequently, half of the sample was dialyzed against TBS-Ca to determine the reversibility of any effects caused by calcium depletion. To examine the effects of low or high pH solution, we iucubated .SOO \A supernatant cotitaitiiug baculoptoteins for 1 .S tiiiu at rootii temperature with an equal volume of acidic or basic solutions of varyitig pH. This was then neutralized with 100 \i\ of 2 M Tris-HCl, pH 7.4; dialyzed against TBS-Ca; and used for the immunoadsorption assay. For the aeidic solutions, we usc^d acid-glycine (50 tiiM glyeitie, 500 tnM NaCl), pH 2.3 and pH 4.0; and 0.1 M citrate, pH 3.0, pH 4.0, pH 5.1, and pH 6.2. The basic solutions cotitained O.f N and O.df N NaOH. The effects of detergent were examined by adding Nonidet l'-40 (NP-4()) to the stipeniatant contaitiitig the baculoproteitis to achieve a final concentration of 2%, 1%, or O.f% NP-40. This was incubated for f 5 niiti at room temperature and was used in the imiiitinoadsorption assay. To examine the effects of heat denaturatioti, the supernatant was heated in boilitig water for 2 tnin. Immunoadsorption Assay With the Baculoproteins Two nticroliters of PV or l'F sera was serially diluted at 1:20, 1:40, and I ;80 with variously treated supernatants contaiiiiuf; the PVIg or PFIg baculoprotein, respectively. These were incubated at 4°C overnight and subjected to indirect ininiunofluorescciice staining on cryosectioned tiortnal hunian skin using 1:50 dilution of Hiioresceiu isotliiocyanate-conjugated atiti-liuman

PVIg

Control (no treatment) EfFect of calcium 5 mM EI>TA 5 niM EDTA + dialysis' EfFect of glyeosylation (tunicamyciti)' Effect of various reagents Aeid glyeine, pH 2.3, + dialysis Acid glyeine, pH 4.0, + dialysis 0.1 M citrate, pH 3.0, + dialysis O.f M citrate, pH 4.0, + dialysis 0.1 M citrate, pH 5.1, + dialysis 0.1 M citrate, pH 6.2, + dialysis O.f N NaOH + dialysis 0.01 N NaOH + dialysis 2% NP-4() 1% NP-4(I 0.1% NP-40 Boilitig, 2 miti

PFIg

-1-/-

" PV sera and l'F sera were incubated with the variously treated PVIg anci PFIg hiifttloprotein.s, respectively, and their itiinmiiofltiorescetife titers were deterniitied iti tiortnal hutn,iti skin sections. + , removal of innnunofltiorescetice hy the hacnloproteins; —, no sigtiirit:ant chatige of itnnuinoHtiorescence titers. '• Dialysis against TBS-Ca. ' Insect cells itifected with the recnnihinant viru.ses were treated with tutiicaniyciii, and notiglycosylated haeuloproteins were used for this assay.

IgG antibodies (Dako, Copetiliagen, Denmatk) as a second antibody. PV or PF sera were iticnbated with the cultutc supeniatatit of utiinfectcd High Five cells as positive staitiitig controls. In some cxperitiients, patietits' sera were incubated widi the PVIg or PFIg hound on ptotein A-Scphatose at 4°C overnight, followed by removal of protein A-Sepharose by centrifugation and serial dilution oftlie sera. Tunicamycin Treatment for Production of Nonglycosylated Baculoproteins Tunicamycin (Sigma, St. Louis, MO) was added to the culture tnediutn at 0.5 /xg/tnl at the titne of infection with recomhinant virus. High Five eells were iticubated at 27°C for 3 d, and supernatants containing the nonglycosylated fonn ofthe bacnloproteins were recovered. Notiglycosylated baculoproteins were purified ott protein A-Sepharose and used for the immunoadsorption assay as mentioned above. Immunoblot Analysis of the Baculoproteins Tlie baeuloproteins purified on protein A-Sepharose were sepatated by sodium dodecylsulfatepolyacrylamide gel electrophoresis and transferred to a PVDF tueinbratie (Millipore C;orp., Bedford, MA). To detect the baculoproteins, the metnbraue was incubated with a thousandfold diluted alkaline-phosphatasecotijugated atiti-hutiian IgG antibodies (Zytned Laboratories, Itic, San Francisco, CA). RESULTS The Conformational Epitopes of the PVIg and PFIg Baculoproteins Are Calcium Dependent The PVIg and PFIg baculoproteins are considered to represent accurately the native conformations of the extracellular domains of Dsg3 and Dsgl, respectively (Fig 1) [3,4]. PVIg was capable of completely blocking the indirect immunofluorescence in about \Wu of PV sera, whereas PFIg blocked 100% of PF sera (Fig 2a,h,eJ). Tbe immunoreactivity of the remaining 60% of PV sera was removed by incubation with a mixture of the PVIg and PFIg baculoproteins (M. Amagai, unpublished data), indicating that these PV sera contain both anti-Dsg3 and anti-Dsgi autoantibodies. To avoid confusion, we used PV sera containing only anti-Dsg3 autoantibodies, and their immunofluore.scence was completely blocked by incuhation with the PVIg alone. To determine the effects of calcium on antigenicity, we treated the haeuloproteins with EDTA. When calcium in the supernatant was depleted in this manner, the baculoproteins were tillable to immunoadsorb autoantibodies from both PV and PF sera (Tahle I;

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Figure 2. Calcium chelating by EDTA abolished the ability of the baculoproteins to block immunofluorescence of patients' sera. A PV serum (a-d) or a PF scrum (e—h) was incubated with solution containing no baculoproteins {a,e), baculoproteins witb calcium (/),/), or baculoproteins without calcium (e,g). The efFect of EDTA was completely reversed after dialysis of the EDTA-containing baculoproteins against 1 mM calcium {d,h). The figures are shown at 1:40 dilution ofthe patients' sera. Bar, 50 /xm.

g 2c,g). Calcium depletion did not result in proteolytic degradation of the baculoproteins, because immunoblotting did not reveal any apparent cbanges in size or intensity of the bands before or after the treatment with EDTA (data not shown). It is interesting that this EDTA efFect was reversible. After dialysis of tbe sample containing EDTA against TBS-Ca, tbe ability of tbe baculoproteins to adsorb autoantibodies was restored (Table I; Fig 2d,h). Calcium chelating witb EGTA gave essentially tbe same results (data not shown). To exclude a potential effect on this assay by some components in tbe culture media, we used purified bactiloproteins on protein A-Sepbarose and obtained similar results (data not shown). Tbese findings indicate tbat calcium plays an important role in formation of tbe conformational epitopes of tbese recombinant proteins.

Nonglycosylated Baculoproteins Retain Enough Conformation of the Native Antigens to Adsorb Patients' Sera

orescence of the PV and PF sera (Fig 4). Compared witb the glycosylated form, the nonglycosylated form seemed to bave a similar level of imniunoadsorptive activity. Tbe nonglycosylated baculoprotein also kept its specificity, because tbe nonglycosylated PVIg did not alter tbe titers of PF sera, and vice versa (data not sbown). Glycosylated forms were not detected in tbe nonglycosylated baculoprotein preparation even after excess amounts of the nonglycosylated preparation were subjected to immunoblot analysis (data not shown), tbus excluding the possibility tbat minor contamination witb glycosylated forms adsorbed tbe autoantibod-

TM

Dsg3 and Dsgl are known to be N-glycosylated [1,6,7]. To examine wbether glycosylation is involved in determining tbeir antigenicity, we treated insect cells witb tunicamycin while tbe baculoproteins were being produced. Proteins produced in tbis manner bad a reduction in tbeir molecular weight, confirming tbat the original baculoproteins were produced in glycosylated form (Fig 3). Glycosylated PVIg was produced as major (107 kD) and minor (110 kD) bands (Fig 3, lane I). Tbe 107-kD band is thought to be tbe processed form of tbe PVIg after cleavage of the prosequence, and tbe 110-kD band represents tbe unprocessed form, as discussed previously [3]. Nonglycosylated PVIg was also detected as major (97 kD) and minor (102 kD) bands (Fig 3, latte 2). Glycosylated PFIg was expressed as major (112 kD) and minor (115 kD) bands (Fig 3, lattc 3). Tbe doublets were again considered to be processed and unprocessed forms of tbe PFIg [4]. Nonglycosylated PFlg was detected as 102-kD and 106-kD bands (Fig 3, lane

4). W e next attempted to determine wbetber tbese nonglycosylated baculoproteins were still capable of immunoadsorbing autoantibodies from patients' sera. Because tunicainycin treatment suppressed the expression level of tbe baculoproteins, we purified nonglycosylated baculoproteins on protein A-Sepharose. Immunoblot analysis was carried out to ensure tbat tbe amount of nonglycosylated protein used in tbe immunoadsorption assay was eqtiivalent to tbe amount of glycosylated protein. Tbe results showed that nonglycosylated baculoproteins also completely blocked tbe immunoflu-

1 2

3 4

Figure 3. Nonglycosylated forms ofthe baculoproteins produced in tunicamycin-treated insect cells. Tbe High Five insect cells were infected with the recoinbinant viruses of PVIg or PFIg in the presence or absence of tunicamycin (TM), and secreted baculoproteins were visualized by immunoblot tising alkaline-phosphatase—conjugated anti-human IgG antibodies. Bars, left, indicate molecular-weight standards of 200, 116, 97, and 66 kD, from top to bottom.

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as foutid in the classic cadherins. Taketi together, these findings suggest that there are some calcium-setisitive conformational epitopes on the pemphigus antigens. In tbi.s study, we attempted to detertnine whether the conformational epitopes of the pemphigus antigen.s are dependent on calcium. Because the baculovirus proteins are tbought to reflect accurately the native conformation ofthe pemphigus antigens, we used them in an immunoadsorption assay. If the baculoproteins treated in various ways are not present in the native confonnatioti, they should be unable to remove the polyclonal autoantibodies from tbe patients' sera. Treattnent with EDTA prevented imniunoad.sorption of autoantibodies in PV or PF seta by the corresponding baculoprotein, resulting in positive itidirect immunofluorescence staining using these sera. The effect of calcium depletion was reversed and the immunoadsorptive ability of the baculoproteins was restored after dialysis against 1 tiiM calcium chloride. These observations have led us to conclude that calcium has an important role in formation ofthe conformational epitopes of both Dsg3 and Dsgl, Recently, calcium binding has been shown to cause conformational changes in the recombinant extracellular domain of E-cadherin by clectroti microscopy after rotary shadowing [19], In the presence of calcium, the recombinant E-cadheriti exhibited a rod-like structure with nodularity, indicating their subdivisions into four or five subdomains. When calcium was depleted by EDTA, Figure 4, Nonglycosylated forms of the baculoproteins hlocked the rod-like structure was changed to a more globular assembly. the immunofluorescence staining of patients' sera. A PV serum {a—c) These visual images ofthe recombinant E-cadherin further support or a PF sernm {d-f) was incubated with solution containing no baculoprothe above conclusioti. teins (rt,(/). glycosylated hacnloproteins {b,e), or nonglycosylated bacnioproteins (fj). The tigures are sbown at l;40 dilution of tbe patients' sera. Bar, 50 )nm.

ies. These observations indicate tbat glycosylation in not itivolved in determining antigenicity ofthe pemphigus antigens. Effects on the Conformation by Other Reagents We further determined the efFects of low or high pH solution or the non-ionic detergent NP-4(). Acid glycine (pH 2.3 and 4.0), 0.1 M citrate (pH 3.0 to 5,1), and 0.1 N and 0.(1] N NaOH were found to abolish the immunoadsorptive ability of the baculoproteins even after dialysis against TBS-Ca (Table I), Baculoproteins treated with 0.1 M citrate, pH 6,2, showed partial immunoadsorptive activity. Immunoadsorption was not affected by 0.1% to 2% NP-40, which is often used in extraction buffers for the immunoprecipitation of pemphigus antigens. Boiling for 2 min abolished the immunoadsorptive activity. These findings indicate that the conformation of the recombinant proteins was irreversibly lost in low or high pH solution and also by boiling denaturation, but not by the non-ionic detergent NP-40, DISCUSSION The effects of calcium on the antigenic profile of the pemphigus antigens have been known since the late 1970s. Immunofluorescence staining using patients' sera showed that chelation of calcium by pre-treatment of tissue sections with EDTA for 10 min completely abolished subsequent binding of pemphigus autoantibodies [8] and that the presence of calcium increases the sensitivity of indirect immunofluorescence for the detection of PV and PF autoantibodies [9]. Later, when immmiochemical approaches such as immunoprecipitation became available, it was shown that all PF sera tested could immunoprecipitate Dsgl in the presence of calcium, whereas most of the PF sera were unable to immunoprecipitate Dsgl when calcium was removed with EDTA [10,11], Calcium chelatioti also reduced the intensity of Dsg3 immunoprecipitated by PV sera, even though the effect was not as dramatic as that of Dsgl [12]. When cDNA clones for the pemphigus antigens became available, sequence analyses revealed that the both antigens belong to the cadherin supergene family [1,13-15], For classic cadherins, snch as E-, P-, or N-cadherin, it is well accepted that calciutn plays an essential role for the homophilic adhesive function [16-18], Dsgl and Dsg3 contain the same calcium-binding motifs

Discussion on glycosylation and pemphigus antigens also goes back to the 1970s, Because ofthe identical intercellular staining pattern of human epidennis seen with botb Fluorescein-isothiocyanate—labeled lectins and pemphigus antibodies, the possibility of shared epitopes was exatnined [20-23], Direct evidence that pemphigus antigen (which seems to correspond to Dsg3 based on its molecular weight) was a glycoprotein was first obtained when it was labeled metabolically with D-[l-' 'C] glucosamine or D-[2-''H] tnannose iti cultured keratinocytes [6]. Dsgl was also considered to bave an N-linked carbohydrate moiety, as indicated by the overall carbohydrate composition pattem of desmoglein isolated from bovine snout desmosomes [24], Glycosylation on Dsgl was also demonstrated by inhibition experiments using tunicamycin in cultured cells and by biochemical chatacterization ofthe glycosylation steps using endoglycosidase H and alkali treatment [25-27]. The deduced amino acid sequences obtained by cDNA cloning revealed the existence of a consensus sequence for N-linked glycosylation sites in the extracellular domains of both Dsg3 and Dsgl [1,15], Subsequently, a tnajor N-glycosylation site of Dsgl was identified in the middle of ECl domain by lectin affinity chromatography and amino acid sequencing [7], This glycosylation site is also conserved in Dsg3 [1], There has been an increased awareness of carbohydrates as antigenic determinants of glycoproteins [28]. However, it was not clear what role the carbohydrate moieties of desmogleitis had in determining antigenicity. The immunoprecipitation reaction of pemphigus antigens was not altered by removal ofthe carbohydrate moieties from the glycopeptide by treatnient with tunicamycin or peptide N glycosidase F [1,29], indicating that there are at least some glycosylation-independent epitopes on Dsg3 and Dsgl. To extend this notion and to determitie whether the conformational epitopes ofthe pemphigus antigens are dependent on glycosylatioti, we produced nonglycosylated baculoproteins with tunicamycin and used thetn in an immunoadsorption assay. If the nonglycosylated baculoproteins do not form the proper conformation or if some autoantibodies react with carbohydrates on the antigen, polyclonal IgG in patients' sera will not be cotnpletely removed and indirect immunofluorescence testing will show positive staining. However, the nonglycosylated fonns of both the PVIg and PFIg were able to block the itnmunofluorescence of PV and PF patients' sera, respectively. This confirms that the conformational epitopes recognized by autoantibodies in the tested sera were not dependent upon tbe presence of carbohydrate moieties. It also indicates that the carbo-

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hydrate tnoieties themselves are not part of the epitope recognized by the autoantibodies in these sera. It is interestitig to note that tunicamycin-treated teratocarcinoma cells sliowed aggregation mediated by nonglycosylated E-cadheriti, suggesting that glycosylation is not directly linked to the adhesive function of E-cadlierin [30|. Therefore, one can speculate that glycosylation of desmoglein may have other roles, such as stabilization of the peptide against proteolysis, rather than maintenance of proteiii confonnation or mediation of biologic activity. In conclusion, the conformational epitopes of the pemphigus antigens (Dsg3 and Dsgl) are dependent on calcium but independent of glycosylation. This notion will provide valuable information for further study ofthe pathophysiologic mechanism of petnphigus and the biologic function of desmosomal cadherins.

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17. We gratcfttlly acknoti'ledjie Dr. John R. Stattley for ittsii;htftd disettssiotts. We also thattk Dr. Vittce Att^eloni for cotrection of Ett);lislt ttsct^e. We thank Dr. Reiko Harctda for her gettetotts sttpport dttriitg this ptoject. This tfotk tvas supported by a Grattt-Iti-Aid for Scietitife Reseatrlt ftotn the Ministry of Fdtteation, Science, attd Ctiltnre of Japatt.

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