Polymeric Plasma IgA Recovered from Cohn Fraction III Precipitate Binds Recombinant Human Secretory Component

Michael R. Simon,Estelle F. Chiari, Nadia Petlakh Co, Stephen C. Brown

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY(2019)

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Abstract
Cohn fraction III precipitate (CFxIII-ppt) is a discarded byproduct of the recovery of IgG from pooled donor plasma using cold ethanol fractionation. Tons are discarded annually. We propose that recovered IgA has the potential to be a new orally administered immunoglobulin therapy. Water content of CFxIII-ppt was determined by weighing wet and then dried material. IgA was recovered from rehydrated CFxIII-ppt by jacalin affinity chromatography. Concentration of IgA was measured using a spectrophotometer. Proportions of monomer, dimer and polymer in IgA were determined by analyzing size exclusion chromatograms. ELISA demonstrated the association of J chain with IgA dimer and polymer. Immunoblotting showed dimer and polymer binding to recombinant human secretory component (rhSC). Antigenic specificity was determined by ELISA. CFxIII-ppt is ∼65% water. Up to ∼15 mg of IgA is obtained per g of CFxIII-ppt. Recovered plasma IgA is 50.2 (+/-5.36 SD]% monomer, 49.8 (+/-5.3SD)% dimer and higher polymers (n=7). The IgA dimer and higher polymer fractions contain J chain and readily combine with rhSC to form dimeric and polymeric semisynthetic secretory IgA. We previously reported that IgA recovered from CFxIII-ppt binds to Clostridium difficile toxins A and B as well as peanut extract. We now extend the known antigenic specificity of recovered IgA to include Campylobacter Plasma IgA from CFxIII-ppt is slightly less than 50% polymeric IgA (dimer plus larger polymers). Higher IgA polymer as well as dimer can be converted into secretory IgA. Pooled plasma contains IgA with reactivity to Campylobactor.
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plasma
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