Fungal protein MGL_1304 in sweat is an allergen for atopic dermatitis patients  Takaaki Hiragun, MD, PhD, Kaori Ishii, MSc, Makiko Hiragun, MD, Hidenori.

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Fungal protein MGL_1304 in sweat is an allergen for atopic dermatitis patients  Takaaki Hiragun, MD, PhD, Kaori Ishii, MSc, Makiko Hiragun, MD, Hidenori Suzuki, PhD, Takanobu Kan, MD, Shoji Mihara, MD, PhD, Yuhki Yanase, PhD, Joachim Bartels, PhD, Jens-M. Schröder, MD, PhD, Michihiro Hide, MD, PhD  Journal of Allergy and Clinical Immunology  Volume 132, Issue 3, Pages 608-615.e4 (September 2013) DOI: 10.1016/j.jaci.2013.03.047 Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Identification of MGL_1304 in human sweat. QRX was purified with an Aqua 5μ-C18-200Å column (A) and with a Jupiter 5μ-C18-300Å HPLC column (B) based on histamine-releasing activity (black bars in lower panels). The fraction indicated by arrows in Fig 1, A was further purified in Fig 1, B. The peptide sequence identified by mass spectrometry is shown in Fig 1, B. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 rMGL_1304 induces histamine release from basophils of patients with AD. A, TF, TF-rMGL_1304, and rMGL_1304 were stained by CBB (left), or blotted with anti-His (center) and AD serum (right). B, Histamine release in response to rMGL_1304 from basophils of patients with AD and of healthy controls (HC). C, Supernatants of COS7 cells transfected with mock, MGL_1304, or Der f 1 were blotted with anti-Myc. D, Plot of histamine release from basophils of each patient with AD induced by QR and rMGL_1304. CBB, Coomassie brilliant blue. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Correlation between histamine release against MGL_1304 and specific IgE against Malassezia and Candida. Plot of histamine release from basophils of each patient with AD induced by rMGL_1304 and specific IgE against Malassezia (A) and Candida (B) quantified by ImmunoCAP. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 4 rMGL_1304 captures immunoreactive IgE against the semi-purified sweat antigen from sera of patients with AD. A, Antigens (rDer f 1, QRX, and rMGL_1304) were blotted with sera of patients with AD, sera pretreated with rMGL_1304, or sera pretreated with QRX. B, RBL-48 cells were sensitized by sera treated with TF or TF-MGL_1304, and then stimulated with anti-IgE, QR, or the mite extract (Mite-Df). Data were expressed as mean ± SEM of net release of β-hexosaminidase (%) in 3 independent experiments done in duplicate. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 5 IgE of patients with AD recognizes the conformational structure of MGL_1304. A, A schematic figure of MGL_1304 mutants. The density of dots of bars indicated the histamine-releasing activity and IgE-binding ability. The bars highlighted by double lines represent immunoreactivity to Smith-2. B and E, The truncated proteins were blotted with anti-His, sera from patients with AD, or Smith-2. C and D, Histamine release from basophils with rMGL_1304 mutants that lack amino acids in the N-terminus (Fig 5, C) or the C-terminus (Fig 5, D). Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 6 MGL_1304 is cleaved and secreted into sweat from M globosa. A, Histamine-releasing activity was purified from sweat (QRX), culture supernatants (M. sup. [purified]), and lysates (M. lys. [purified]) of M globosa. The purified proteins were blotted with Smith-2. B, The whole lysate (M. lys. [whole]) and whole culture supernatant (M. sup. [whole]) of M globosa, and QRX were blotted by sera of patients with AD or sera pretreated with rMGL_1304. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 7 MGL_1304 induces degranulation of LAD-2 cells and cytokine production of human basophils. A, LAD-2 cells were sensitized with sera of HC and patients with AD, and then stimulated with MGL_1304 purified from sweat. The release percent of β-hexosaminidase was calculated from 3 independent experiments (mean ± SEM). B, Purified human basophils from AD were stimulated with MGL_1304 from different sources. The released IL-4 level was measured in triplicate (mean ± SEM). Similar results were obtained in 2 independent experiments with basophils of different donors. HC, Healthy controls. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 Summary of mass spectrometric analysis. Mass spectrometric amino acid sequence analysis of the protein corresponding to the histamine-release activity containing UV-absorbing peak (Fig 1) revealed a partial peptide sequence, HKMSVGDSESPGNMRSFCTKPYSSK, which by Blast search was revealed to be identical to 51-75 of amino acid sequence of MGL_1304 from Malassezia globosa. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E2 HRTs by the use of rMGL_1304 mutants. Histamine release with mutant rMGL_1304 proteins that lack amino acids in the N-terminus (A and B) or the C-terminus (C and D). Each panel shows independent data for a patient with AD performed in duplicate. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E3 Immunoreactive IgE against the semi-purified sweat antigen does not cross-react with hMnSOD. RBL-48 cells were sensitized with serum of a patient with AD that was pretreated with TF, TF-rMGL_1304, or TF-rhMnSOD, and then stimulated with anti-IgE, QR, or the mite extract (Mite-Df), respectively. Data were expressed as mean ± SEM of net release of β-hexosaminidase (%) performed in triplicate. Journal of Allergy and Clinical Immunology 2013 132, 608-615.e4DOI: (10.1016/j.jaci.2013.03.047) Copyright © 2013 American Academy of Allergy, Asthma & Immunology Terms and Conditions