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Journal article

Generation of human monoclonal autoantibodies from rare myelin oligodendrocyte glycoprotein-specific patient-derived B cells using an optofluidic-based platform

Abstract:

Background: Monoclonal antibodies (mAbs) are powerful tools for elucidating disease mechanisms. Capturing heterogeneity of patient responses—including clonality, somatic mutations, isotypes, and pathogenic potential—requires building large libraries of mAbs using high-throughput approaches. However, current techniques for identifying and isolating patient-derived mAbs targeting conformational epitopes on membrane proteins remain labor-intensive and inefficient.

Objective: Evaluate a high-throughput antibody discovery pipeline to generate patient B cell-derived mAbs against myelin oligodendrocyte glycoprotein (MOG), a transmembrane autoantigen targeted in MOG antibody-associated disease (MOGAD).

Methods: An optofluidic-based workflow incorporated mammalian display of human MOG (hMOG) in a live cell-based assay (CBA) format. B-cell receptor sequences from individual hMOG-binding B cells were cloned and expressed to generate mAbs from three patients. The hMOG binding specificity of these mAbs was validated in off-platform hMOG-CBAs.

Results: Validated hMOG-specific antibody-secreting cells in one patient represented 0.02% of all single B cells screened. From these low-frequency populations, one patient-B-cell-derived IgG mAb was successfully generated and validated. This human IgG mAb, characterized by a high frequency of Vregion somatic mutations (5-12.2%), bound hMOG at concentrations as low as 1 ng/mL.

Discussion: This workflow enables rapid discovery of rare, patient-derived mAbs targeting conformational epitopes on membrane antigens, offering a scalable approach for dissecting autoantibody repertoires.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1212/NXI.0000000000200577

Authors

More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Clinical Neurosciences
Oxford college:
Corpus Christi College
Role:
Author
ORCID:
0000-0002-7667-9748
et al.


More from this funder
Funder identifier:
https://ror.org/029chgv08
Grant:
104079/Z/14/Z
More from this funder
Funder identifier:
https://ror.org/03x94j517
Grant:
MR/V007173/1


Publisher:
Lippincott, Williams & Wilkins
Journal:
Neurology, Neuroimmunology and Neuroinflammation More from this journal
Volume:
13
Issue:
3
Article number:
e200577
Publication date:
2026-04-29
Acceptance date:
2026-02-12
DOI:
EISSN:
2332-7812


Language:
English
Keywords:
Pubs id:
2370122
Local pid:
pubs:2370122
Deposit date:
2026-02-11
ARK identifier:

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