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<strong>Proceedings</strong> of the 31 st European Peptide SymposiumMichal Lebl, Morten Meldal, Knud J. Jensen, Thomas Hoeg-Jensen (Editors)European Peptide Society, 2010Identification of a New Citrullinated Epitope on Filaggrin forthe Early Diagnosis of Rheumatoid ArthritisFruzsina Babos 1,2 , Eszter Szarka 1 , Ádám Bartos 2 , György Nagy 3 ,Gabriella Sármay 1,4 , Anna Magyar 2 , and Ferenc Hudecz 1,21 Department of Immunology, Eötvös Loránd University, Budapest, Hungary; 2 HAS-ELTEResearch Group of Peptide Chemistry, Budapest, Hungary; 3 Buda Hospital of HospitallerBrothers of St. John, Budapest, Hungary; 4 Immunology Research Group of the HungarianAcademy of Sciences at ELTE, Budapest, HungaryIntroductionAnti-citrullinated protein antibodies (ACPA) are sensitive and specific markers fordiagnosis and prognosis in Rheumatoid Arthritis (RA). Citrullination is a post-translationalmodification of arginine by deimination, induced by peptidylarginine deiminase (PAD). Itis a physiologically occurring phenomenon during apoptosis, inflammation or keratinization.Citrullination has been observed in different synovial proteins, including fibrinogen,vimentin [1] and collagen. Antibodiesspecific for cycliccitrullinated filaggrin [2] peptide(CCP1) were detected in RA seraand anti-CCP positivity is widelyused for diagnostic purposes.However, to determine theACPA-reacting epitopes onvimentin and new epitopes onfilaggrin would be useful in thediagnosis of anti-CCP3 seronegativepatients. Our aim was todevelop new tools for thedetection of ACPA and thus forthe early diagnosis of RA by theuse of clearly defined epitopes onfilaggrin and vimentin.OD ratioOD ratio15.012.510.015.012.510.07.55.02.50.07.55.02.50.0Filaggrin 306-324 XXXCCP3+ Healthy CCP3-CCP3+ vs Healthy P < 0.001CCP3+ vs CCP3- P < 0.001Healthy vs CCP3- P > 0.05Filaggrin 311-315 RXCCP3+ Healthy CCP3-CCP3+ vs Healthy P > 0.05CCP3+ vs CCP3- P < 0.05Healthy vs CCP3- P > 0.05OD ratio15.012.510.015.012.510.0Fig. 2. Multipin ELISA, measuring IgG.OD ratio7.55.02.50.07.55.02.50.0OD ratio6543210Filaggrin 306-324 XXXCCP3+ CCP3- HealthyCCP3+ vs CCP3-CCP3+ vs HealthyCCP3- vs HealthyP < 0.001P < 0.001P > 0.05Filaggrin 311-315 XRCCP3+ CCP3- HealthyFig. 1. Multipin ELISA, measuring IgG plus IgM.Filaggrin 311-315 XRCCP3+ Healthy CCP3-CCP3+ vs Healthy P < 0.05CCP3+ vs CCP3- P < 0.01Healthy vs CCP3- P > 0.05Filaggrin 311-315 XXCCP3+ Healthy CCP3-CCP3+ vs Healthy P < 0.01CCP3+ vs CCP3- P < 0.05Healthy vs CCP3- P > 0.05OD ratio6543210CCP3+ vs CCP3-CCP3+ vs HealthyCCP3- vs HealthyP < 0.001P < 0.001P > 0.05Results and DiscussionFirst, we used conventionalsolid-phase peptidesynthesis, carriedout on „MULTIPINNCP” non-cleavable kit(Mimetopes, Australia).Citrulline containingpeptides and the unmodifiedcounterpartscontaining argininewere synthesized on thepins in order to <strong>com</strong>paretheir respectivereactivities. We usedthese peptides-on-pinsin an indirect ELISAand ACPAs were determinedin the sera of RAand non-RA patientsusing anti-IgG plus IgMsecondary antibodies(Figure 1) and later IgG462

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