Background:The A580V human pIgR polymorphism is associated with IgA nephropathy and nasopharyngeal carcinoma. Results: A580V mutation reduces pIgR/pIgA transcytosis and seemingly pIgR cleavage and release from the apical surface. Conclusion: The A580V polymorphism regulates pIgR and IgA-pIgR complex transcytosis across cells. Significance: Defects in pIgR trafficking and processing may underlie the pathogenesis of IgA nephropathy and nasopharyngeal carcinoma.Polymeric IgA (pIgA) is transcytosed by the pIgA receptor (pIgR) across mucosal epithelial cells. After transcytosis to the apical surface, the extracellular, ligand-binding portion of the pIgR is proteolytically cleaved. A missense mutation in human pIgR, A580V, is associated with IgA nephropathy and nasopharyngeal carcinoma. We report that this mutation reduces the rate of transcytosis of pIgR and pIgA, and seemingly the rate of pIgR cleavage. We propose that the defects in pIgR trafficking caused by the A580V mutation may underlie the pathogenesis of both diseases.The polymeric immunoglobulin receptor (pIgR) 5 is a singlespanning transmembrane protein expressed on many epithelial cells lining mucosal surfaces (1-3). At the basolateral (BL) cell surface, the pIgR binds its ligand, polymeric IgA (pIgA). The pIgA can in turn be bound to its antigen. The pIgR-pIgA complex is endocytosed and transcytosed through a series of endocytic vesicles to the apical (AP) surface. There, the extracellular, ligand binding domain of pIgR is proteolytically cleaved and released together with the pIgA into external secretions. This cleaved fragment of pIgR is termed secretory component (SC).A missense mutation (pIgR-A580V) in the extracellular region of human pIgR is associated with increased risk of IgA nephropathy (IgAN) in Japan (4). IgAN is the main cause of primary glomerulonephritis worldwide, especially in east Asia; 20 -40% of patients progress to end stage renal failure (5). The pIgR-A580V mutation has also been associated in two studies with increased risk of nasopharyngeal carcinoma (NPC) in Thai and southern Chinese populations, where NPC is a leading form of cancer (6 -8). This result is intriguing, because EpsteinBarr virus (EBV), the causative agent of NPC, can enter epithelial cells via binding to the pIgR of pIgA antibodies directed against EBV (9, 10).
EXPERIMENTAL PROCEDURES
Plasmids, Viral Production and Transduction, and CellCulture-Human pIgR in pcDNA3.1 was kindly provided by C. Kaetzel (University of Kentucky). The A580V point mutation was made by QuikChange mutagenesis (Stratagene). pIgR (WT and A580V) coding sequence was transferred to pLZRS-MS/ IRES-GFP retroviral vector (A. Reynolds, Vanderbilt University), giving expression of hpIgR and GFP under IRES control. Viral production and transduction were performed as described (11), with some modifications. pLZRS vectors were transfected into 293-GPG packaging cells (O. Weiner, University of California San Francisco). The following day, fresh medium was added, and viral supernatants collected 3 days ...