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Published Online
on October 14, 2004

Arteriosclerosis, Thrombosis, and Vascular Biology. 2004
Published online before print October 14, 2004, doi: 10.1161/01.ATV.0000147407.17137.02
A more recent version of this article appeared on December 1, 2004
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Submitted on July 6, 2004
Accepted on September 24, 2004

Ultrasensitive Confocal Fluorescence Microscopy of C-Reactive Protein Interacting With Fc{gamma}RIIa

Dimitar E. Manolov ; Carlheinz Röcker ; Vinzenz Hombach ; G. Ulrich Nienhaus *; and Jan Torzewski

From the Departments of Internal Medicine II-Cardiology (D.E.M., V.H., J.T.) and Biophysics (C.R., G.U.N.), University of Ulm, Germany; and the Department of Physics (G.U.N.), University of Illinois at Urbana-Champaign, Urbana, Ill.

* To whom correspondence should be addressed. E-mail: uli{at}uiuc.edu.

Background--C-Reactive protein (CRP) is an acute phase protein with a suggested pathogenic role in cardiovascular disease. Previous reports proposed that the low-affinity IgG receptor Fc{gamma}RIIa is the major receptor for CRP. However, these reports were met with criticism because the use of anti-CRP antibodies in the detection of CRP binding to Fc{gamma}RIIa may have caused false-positive results.

Methods and Results--To resolve this controversy, we used ultrasensitive fluorescence microscopy to study the association, dissociation, and equilibrium of CRP binding to Fc{gamma}RIIa. CRP indeed binds to Fc{gamma}RIIa, with low association rates and dissociation rates. Anti-CRP antibodies markedly enhance binding, as is evident from the decrease of the equilibrium dissociation coefficient by 2 orders of magnitude.

Conclusions--Our study demonstrates the virtues of single fluorophore labeling and highlights the pitfalls of immunolabeling in investigating CRP/Fc receptor interactions. Importantly, this article provides the first quantitative characterization of CRP binding to Fc{gamma}RIIa and explains and reconciles the diverse and conflicting data presented in the literature.


Key words: atherosclerosis • inflammation • receptors • ultrasensitive fluorescence microscopy




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