The Anti-C1s Antibody TNT003 Prevents Complement Activation in the Skin Induced by Bullous Pemphigoid Autoantibodies  Anika Kasprick, Maike M. Holtsche,

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The Anti-C1s Antibody TNT003 Prevents Complement Activation in the Skin Induced by Bullous Pemphigoid Autoantibodies  Anika Kasprick, Maike M. Holtsche, Eileen L. Rose, Sami Hussain, Enno Schmidt, Frank Petersen, Sandip Panicker, Ralf J. Ludwig  Journal of Investigative Dermatology  Volume 138, Issue 2, Pages 458-461 (February 2018) DOI: 10.1016/j.jid.2017.08.030 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Anaphylatoxin levels in plasma of patients with BP. In an exploratory study, levels of anaphylatoxins C3a, C4a, and C5a were determined in plasma samples of (a) patients with BP before initial treatment and sex- and age-matched controls (n = 16/group). Data are shown as individual symbols with mean ± standard deviation, and statistically significant differences between groups are indicated (unpaired t-test). (b) Data of nine patients before and 3 months after initial treatment are shown, and statistically significant differences between time points are indicated (paired t-test, one-tailed). (c) Anaphylatoxin levels of 16 patients with BP before initial treatment were correlated to serum titers of anti-BP180-specific autoantibodies from the same time point. Each data point represents one patient and line indicates linear regression (r, Spearman correlation coefficient). BP, bullous pemphigoid. Journal of Investigative Dermatology 2018 138, 458-461DOI: (10.1016/j.jid.2017.08.030) Copyright © 2017 The Authors Terms and Conditions

Figure 2 Inhibition of anaphylatoxin formation and complement C3 deposition by TNT003. Healthy human foreskin was incubated with serum from patients with bullous pemphigoid (BP sera) or healthy humans (NHS) followed by human plasma in the absence or presence of an isotype (TNT001) or anti-C1s (TNT003) antibody, respectively. Treatment with EDTA served as positive control for complement inhibition. (a) Incubated tissue was stained for complement C3c and its deposition semiquantified at a fluorescence microscope (BP, n = 18; NHS, n = 7). Representative photographs of each condition are shown (scale bar = 50 μm). (b) C3a (n = 4), C4a (n = 5), and C5a (n = 5) were measured in the supernatants of the complement activation assay and data were normalized to untreated samples (---). Data are shown as mean ± SD and statistically significant differences between groups are indicated (one-way ANOVA and multiple comparison with Bonferroni’s method; ns, not significant; **P < 0.01; ***P < 0.001). ANOVA, analysis of variance; PBS, phosphate buffered saline; SD, standard deviation. Journal of Investigative Dermatology 2018 138, 458-461DOI: (10.1016/j.jid.2017.08.030) Copyright © 2017 The Authors Terms and Conditions