LRP2 antibodies are autoantibodies that bind to epitopes on the LRP2 protein, a 600 kDa transmembrane glycoprotein expressed in proximal renal tubules, thyroid cells, and the central nervous system . The major antigenic regions include:
N-terminal LDL receptor class A (LA) repeats (amino acids 1–450), recognized by 90% of autoimmune-associated LRP2 antibodies
LA26–32 domains (amino acids 451–1,100), reactive in 50% of cases
C-terminal cytoplasmic tail (amino acids 4,447–4,655), used for immunohistochemical detection
LRP2 antibodies define a distinct form of autoimmune tubulointerstitial nephritis called anti-LRP2 nephropathy (previously ABBA disease). Key clinical features from a 10-patient cohort :
| Parameter | Findings (%) |
|---|---|
| Proteinuria | 100 |
| Hematuria | 80 |
| Renal insufficiency | 70 |
| IgG4-dominant staining | 60 |
| TBM immune deposits | 100 |
This condition mimics Heymann nephritis in rats, where LRP2 (originally called gp330) is the primary autoantigen . Confocal microscopy demonstrates colocalization of LRP2 and IgG in tubular basement membrane (TBM) deposits, with 100% specificity for anti-LRP2 nephropathy versus other TBM diseases .
LRP2 antibodies are detected through:
| Method | Sensitivity | Specificity | Key Finding |
|---|---|---|---|
| Western blot (LA1–7) | 90% | 100% | 45 kDa band |
| Immunoprecipitation | 100% | 100% | 517 kDa target |
| Kidney immunohistochemistry | 100% | 100% | Granular TBM staining |
Essential: IgG/LRP2 colocalization in TBM deposits
In renal cell carcinoma (KIRC/KIRP) and breast cancer (BRCA), LRP2 antibodies serve as:
Differentiation markers: Low LRP2 expression correlates with tumor dedifferentiation (p=1.6×10<sup>−16</sup>)
Prognostic indicators:
Current evidence supports:
LRP2, also known as megalin or gp330, is a large transmembrane protein (522 kDa) belonging to the low-density lipoprotein receptor family. It functions as a multi-ligand endocytic receptor critical for the reabsorption of numerous molecules in the proximal tubule of the kidney and other tissues. Research significance stems from its involvement in kidney disease, Donnai-Barrow syndrome (DBS), and potential roles in Alzheimer's disease pathogenesis. The protein has a large amino-terminal extracellular domain, a single transmembrane domain, and a short carboxy-terminal cytoplasmic tail. Its extracellular domain binds diverse macromolecules including albumin, apolipoproteins B and E, and lipoprotein lipase .
LRP2 antibodies are employed in multiple research applications, with different optimization requirements for each:
| Application | Common Dilutions | Key Considerations |
|---|---|---|
| Western Blot (WB) | 1:2000-1:10000 | Protein appears at ~522 kDa or ~280 kDa (proteolytic fragment) |
| Immunohistochemistry (IHC) | 1:4000-1:16000 | Antigen retrieval with TE buffer pH 9.0 often recommended |
| Immunofluorescence (IF) | 1:50-1:500 | Works well on paraffin-embedded tissues |
| Flow Cytometry (FCM) | Variable | Used to detect surface expression |
| ELISA | Variable | Detects soluble forms in biological fluids |
These applications have been validated across human, mouse, and rat samples, with cross-reactivity varying by specific antibody clone .
Most LRP2 antibodies require storage at -20°C for long-term stability. The typical storage buffer consists of PBS (pH 7.2-7.4) with 0.02% sodium azide and 50% glycerol. These conditions prevent freeze-thaw damage while maintaining antibody functionality. Antibodies are generally stable for one year after shipment when stored properly. For smaller volume antibodies (typically 20μl sizes), manufacturers often include 0.1% BSA in the formulation to prevent protein loss through adsorption to container walls. Aliquoting is not typically necessary for -20°C storage when glycerol is present, but is recommended when antibodies are stored for extended periods .
For rigorous experimental design, the following controls are recommended:
Positive tissue controls: Kidney tissue (human, mouse, rat) shows strong expression, particularly in proximal tubules
Negative controls: Tissue known to lack LRP2 expression, or use of isotype-matched irrelevant antibodies
Knockout/knockdown validation: Several LRP2 antibodies have been validated in KO/KD systems as indicated in publications
Peptide competition assay: Pre-incubation with the immunogenic peptide should abolish specific staining
Multiple antibody verification: Using antibodies recognizing different epitopes provides stronger evidence of specificity
The selection of epitope-specific antibodies is crucial for studying particular disease mechanisms, as different epitopes on LRP2 are implicated in various pathologies:
N-terminal domain antibodies: Nine of ten anti-LRP2 nephropathy patient sera specifically recognized the N-terminal set of seven LA repeats from LRP2, making antibodies to this region valuable for studying autoimmune mechanisms .
C-terminal antibodies: Useful for studying endocytosis mechanisms as the C-terminal cytoplasmic region interacts with endocytic machinery.
Domain-specific targeting:
LA1-7 (N-terminal): Implicated in autoimmune disease
LA8-15: Associated with ligand binding
LA16-25: Additional autoepitopes in rheumatoid arthritis
LA26-32: Contains autoepitopes in multiple conditions
Researchers should select antibodies targeting specific domains based on the disease mechanism being studied. For example, in anti-LRP2 nephropathy research, antibodies to F3, F4, F5, and F6 fragments are particularly relevant as the presence of autoantibodies to these regions correlates with proteinuria in rheumatoid arthritis patients .
LRP2 presents a common challenge in Western blotting where the observed molecular weight (~280-330 kDa) often differs from the predicted weight (522 kDa). This discrepancy can be addressed through several methodological approaches:
Protein extraction optimization:
Use of specialized lysis buffers containing protease inhibitor cocktails to prevent fragmentation
Gentle extraction methods at 4°C to minimize proteolysis
Inclusion of N-ethylmaleimide to prevent artifactual disulfide bond formation
Electrophoresis conditions:
Low percentage (3-5%) polyacrylamide gels for better resolution of high molecular weight proteins
Gradient gels (3-8%) to improve separation
Extended running times at lower voltages to allow complete migration of large proteins
Alternative analytical approaches:
Mass spectrometry analysis to confirm protein identity and determine fragmentation patterns
Native gel electrophoresis to preserve protein integrity
Immunoprecipitation followed by Western blotting to enrich target protein
The 280-330 kDa bands frequently observed represent proteolytic fragments of the large glycoprotein, a phenomenon previously documented in the literature where LRP2 was initially known as gp330 due to its migration at approximately 330 kDa position .
Recent cryo-electron microscopy studies have revealed that LRP2 undergoes significant pH-dependent conformational changes that are crucial for its function in ligand binding at the cell surface (neutral pH) versus ligand shedding in the endosome (acidic pH) . These conformational changes have important implications for antibody-based experiments:
Buffer considerations for immunoprecipitation:
At pH 7.4: LRP2 adopts an "open" conformation favorable for ligand binding
At pH 5.5-6.0: LRP2 adopts a "closed" conformation associated with ligand release
Epitope accessibility variations:
Certain epitopes may be masked or exposed depending on pH conditions
Conformational antibodies may show pH-dependent binding patterns
Live cell imaging considerations:
Antibodies recognizing pH-sensitive epitopes may show differential binding during endocytosis
Dual labeling with pH-insensitive antibodies recommended for tracking studies
Experimental design recommendations:
Include pH controls in binding experiments
Consider pH effects when interpreting negative results
Test antibody binding efficiency at both neutral and acidic pH conditions
For endocytosis studies, select antibodies recognizing pH-stable epitopes
These pH-dependent conformational changes are governed by pH-sensitive sites at both homodimer and intra-protomer interfaces, which should be considered when analyzing antibody binding data in different subcellular compartments .
In clinical research involving anti-LRP2 nephropathy or autoimmune conditions, distinguishing between endogenous autoantibodies and research antibodies is methodologically challenging but crucial:
Isotype-specific secondary antibodies:
Human autoantibodies are often IgG4 subclass in anti-LRP2 nephropathy
Most research antibodies are rabbit or mouse-derived
Use species-specific secondary antibodies for differential detection
Epitope mapping strategies:
Patient autoantibodies typically recognize the N-terminal domain (LA1-7)
Map the specific binding regions using recombinant LRP2 fragments
Compare reactivity patterns between patient samples and research antibodies
Validated detection protocols:
For clinical samples: Pre-absorption against irrelevant antigens to reduce background
Western blotting using recombinant LRP2 fragments (LA1-7, LA8-15, LA16-25, and LA26-32)
Competitive binding assays to assess epitope overlap
Differentiation table for result interpretation:
| Parameter | Patient Autoantibodies | Research Antibodies |
|---|---|---|
| Species origin | Human | Rabbit, mouse, rat |
| Common isotypes | IgG4, IgG1 | Depends on immunization protocol |
| Primary epitopes | N-terminal (LA1-7) | Varies by clone/product |
| Detection method | Anti-human IgG | Anti-rabbit/mouse IgG |
| Cross-reactivity | Often to multiple epitopes | Usually more specific |
This approach is particularly important when studying anti-LRP2 nephropathy, which affects approximately 1.3% of elderly patients with kidney disease and may be associated with B-cell lymphoproliferative disorders .
Detecting LRP2 across different kidney structures presents technical challenges due to varying expression levels (high in proximal tubules, lower in podocytes). A comprehensive optimization protocol includes:
Antigen retrieval optimization:
Test both heat-induced epitope retrieval methods:
TE buffer (pH 9.0) - often superior for LRP2
Citrate buffer (pH 6.0) - alternative option
Optimize retrieval duration (15-30 minutes)
Primary antibody strategy:
For comprehensive detection: Use antibodies targeting conserved epitopes
For structure-specific analysis: Select domain-specific antibodies
Consider antibody cocktails for maximum sensitivity
Signal amplification methods:
Polymer-based detection systems for routine IHC
Tyramide signal amplification for low-expression regions (glomeruli)
Quantum dot labeling for multi-epitope visualization
Tissue-specific considerations:
Use sequential sections to compare staining patterns
Include both normal and pathological samples
Implement proper positive controls (kidney tissue) and negative controls
Visualization optimization:
Confocal microscopy for co-localization studies
Digital quantification using normalized reference standards
Counter-staining with structure-specific markers (WT-1 for podocytes)
This approach acknowledges the controversial nature of podocyte LRP2 expression while providing reliable detection methods. Recent evidence suggests human podocytes do express LRP2, though at lower levels than proximal tubular cells, which explains the segmental pattern of deposits seen in anti-LRP2 nephropathy .
LRP2's large size (522 kDa) and susceptibility to proteolysis require specialized extraction methods:
Recommended extraction buffer composition:
Base buffer: 50 mM Tris-HCl (pH 7.4), 150 mM NaCl
Detergents: 1% NP-40 or 0.5% Triton X-100
Protease inhibitors: Complete cocktail plus 5 mM EDTA, 5 mM EGTA
Phosphatase inhibitors: 10 mM NaF, 1 mM Na3VO4
Additional protectants: 1 mM PMSF, 10 mM N-ethylmaleimide
Extraction procedure optimization:
Maintain samples at 4°C throughout processing
Use gentle mechanical disruption (Dounce homogenizer)
Limit sonication to brief pulses to avoid protein degradation
Centrifuge at 14,000g for 15 minutes to remove debris
Sample preparation for electrophoresis:
Avoid boiling samples (incubate at 37°C for 30 minutes instead)
Use reducing conditions (5% β-mercaptoethanol)
Load adequate protein (50-100 μg total protein per lane)
Use low percentage (3-5%) or gradient gels for separation
These methods significantly improve detection of full-length LRP2 while minimizing proteolytic fragments that complicate result interpretation .
Establishing specificity in LRP2 immunostaining is essential given the protein's wide distribution and molecular complexity:
Essential controls for specificity validation:
Peptide competition: Pre-incubation with immunizing peptide should abolish staining
Knockout/knockdown tissues: Complete absence or reduction of signal
Multiple antibody approach: Concordant results with antibodies to different epitopes
Isotype controls: Matched irrelevant antibodies to assess non-specific binding
Technical measures to reduce background:
Optimal blocking (5% BSA or 10% normal serum from secondary antibody species)
Inclusion of 0.1-0.3% Triton X-100 for membrane permeabilization
Endogenous peroxidase blocking (3% H₂O₂ for 10 minutes)
Endogenous biotin blocking if avidin-biotin detection systems are used
Pattern recognition for result interpretation:
Specific LRP2 staining: Brush border of proximal tubules (strong), podocytes (weaker, segmental)
Non-specific patterns: Diffuse cytoplasmic staining, nuclear staining, or staining in tissues known to lack LRP2
Quantitative assessment of specificity:
Signal-to-noise ratio measurements
Comparison with established reference standards
Correlation with mRNA expression data
Western blot validation of antibody specificity
The most convincing evidence comes from showing that the antibody recognizes the same pattern as seen in human anti-LRP2 nephropathy, where LRP2 colocalizes with IgG in tubular immune deposits but not in control specimens .
Comprehensive validation of new LRP2 antibodies should follow a multi-step approach:
Epitope characterization:
Epitope mapping using overlapping peptide arrays
Competition assays with established antibodies
Structural prediction of epitope accessibility
Cross-reactivity assessment across species (human, mouse, rat)
Biochemical validation:
Western blot against recombinant LRP2 fragments
Immunoprecipitation followed by mass spectrometry
ELISA using purified LRP2 protein
Surface plasmon resonance for binding kinetics
Cellular validation:
Immunocytochemistry on cells with known LRP2 expression
Flow cytometry on kidney-derived cell lines
siRNA/CRISPR knockdown to confirm specificity
Comparison with mRNA expression (qPCR, in situ hybridization)
Tissue validation matrix:
| Validation Method | Expected Result | Critical Controls |
|---|---|---|
| Kidney IHC | Strong proximal tubule staining | Non-immune IgG, peptide competition |
| LRP2-KO tissue | No signal | Wild-type comparator |
| Western blot | ~522 kDa (full) or ~280-330 kDa (fragment) | Recombinant protein, kidney lysate |
| Multi-antibody concordance | Similar pattern with different epitope antibodies | Epitope-mapped antibodies |
Functional validation:
Antibody effect on LRP2-dependent endocytosis
Ability to recognize native vs. denatured protein
pH-dependent binding characteristics
Cross-reactivity with related LDL receptor family members
This systematic approach ensures antibodies are suitable for their intended applications and minimizes potential false-positive or false-negative results in research settings .
Investigating LRP2's role in autoimmune kidney diseases requires a multifaceted experimental approach:
Patient sample analysis:
Serum screening for anti-LRP2 autoantibodies using recombinant fragments
Epitope mapping to identify pathogenic autoantibody targets
Isotype and subclass determination (IgG4 predominance in anti-LRP2 nephropathy)
Correlation of autoantibody titers with clinical parameters (proteinuria, renal function)
Tissue examination protocols:
Immunofluorescence co-localization of LRP2 with immune deposits
Dual staining for LRP2 and IgG in kidney biopsies
Electron microscopy to characterize deposit ultrastructure
Laser capture microdissection of affected areas for molecular analysis
Functional studies:
In vitro assessment of autoantibody effects on LRP2-mediated endocytosis
Cell culture models using patient-derived autoantibodies
Complement activation assays to evaluate immune complex pathogenicity
Protein reabsorption assays to measure functional impairment
Animal models:
Passive transfer of patient-derived antibodies
Active immunization with LRP2 fragments to induce autoimmunity
Transgenic models expressing human LRP2
Therapeutic intervention studies
Relationship to other conditions:
Screening for LRP2 autoantibodies in rheumatoid arthritis (87% prevalence)
Assessment in B-cell lymphoproliferative disorders
Evaluation in elderly patients with unexplained proteinuria
This comprehensive approach has revealed that anti-LRP2 nephropathy may be underdiagnosed, affecting approximately 1.3% of elderly patients with kidney disease and potentially associated with B-cell lymphoproliferative disorders .
LRP2's function in endocytosis requires specialized experimental approaches:
Antibody selection for trafficking studies:
Extracellular domain antibodies: For surface binding and internalization tracking
Intracellular domain antibodies: For cytoplasmic tail interactions
Non-function-blocking antibodies: For passive tracking without interfering with endocytosis
pH-insensitive epitope antibodies: For tracking through acidifying compartments
Live cell imaging considerations:
Direct fluorophore conjugation to minimize size effects
Fab fragments to reduce crosslinking
Pulse-chase protocols for tracking internalization kinetics
Photoactivatable or pH-sensitive fluorophores for compartment-specific visualization
Co-localization studies design:
Markers for different endocytic compartments:
Clathrin: Initial endocytosis
EEA1: Early endosomes
Rab7: Late endosomes
LAMP1: Lysosomes
Rab11: Recycling endosomes
Fixed time-point series to capture trafficking dynamics
Super-resolution microscopy for precise localization
Functional endocytosis assays:
Fluorescently-labeled LRP2 ligands (albumin, apolipoprotein B, vitamin-binding proteins)
Biotinylation-based internalization assays
TIRF microscopy for surface dynamics
Pulse-chase biochemical fractionation
These approaches should account for LRP2's pH-dependent conformational changes, which are critical for its function in ligand binding at the cell surface (pH 7.4) versus ligand shedding in the endosome (pH 5.5-6.0) .
LRP2's emerging role in neurodegenerative diseases, particularly Alzheimer's disease, necessitates specialized research approaches:
CNS-specific expression analysis:
Immunohistochemistry of choroid plexus epithelium (primary CNS expression site)
Single-cell RNA sequencing correlation with protein expression
Comparison between normal and disease-state tissues
Age-dependent expression profiling
Blood-brain barrier studies:
Co-localization with blood-brain barrier markers
Transcytosis assays for Aβ peptides and apoE
In vitro models using brain microvascular endothelial cells
Transport studies with labeled peptides ± LRP2 antibodies
Interaction studies with AD-associated proteins:
Co-immunoprecipitation with:
Amyloid-β peptides (Aβ40, Aβ42)
Apolipoprotein E (particularly apoE4)
Clusterin/apoJ
Tau protein
Proximity ligation assays for in situ interaction detection
Surface plasmon resonance for binding kinetics
Functional analysis protocols:
Receptor-mediated clearance assays with/without blocking antibodies
Transgenic animal models with conditionally modulated LRP2 expression
CSF biomarker correlation with LRP2 function
siRNA knockdown effects on amyloid processing
LRP2 polymorphisms have been associated with Alzheimer's disease susceptibility, and studies show its involvement in clearing Aβ40 and Aβ42 peptides across the blood-brain barrier. Similarly, clusterin/apoJ, which associates with AD in genome-wide association studies, is cleared by LRP2 .
Recent cryo-electron microscopy studies have revealed that LRP2 functions as a homodimer, with important implications for experimental design:
Sample preparation for preserving dimeric structures:
Mild detergents: digitonin (0.1%) or LMNG (0.01%)
Crosslinking approaches: BS3 or DSS crosslinkers at controlled concentrations
Native extraction conditions: physiological pH and ionic strength
Stabilization with receptor-associated proteins
Analytical techniques for dimer detection:
Blue native PAGE for intact complex separation
Size exclusion chromatography with multi-angle light scattering (SEC-MALS)
Chemical crosslinking followed by mass spectrometry (XL-MS)
Single-molecule imaging techniques
Functional distinction assays:
Ligand binding studies with monomeric vs. dimeric preparations
Endocytosis rates comparison between states
pH-dependent conformational change assessment
Mutagenesis of dimer interface residues
Pathogenic variant analysis:
Investigation of LRP2 variants at dimer interfaces
Correlation of dimerization defects with disease phenotypes
Structural modeling of variant effects on assembly
Rescue experiments to restore dimerization
Studies suggest that a subset of LRP2 deleterious missense variants in humans appear to impair homodimer assembly, potentially explaining their pathogenic mechanisms. The conformational transformation of the LRP2 homodimer is governed by pH-sensitive sites at both homodimer and intra-protomer interfaces, which should be considered in experimental designs .
The expression of LRP2 in human podocytes has been controversial, with conflicting results in the literature. A systematic approach to resolving these contradictions includes:
Methodological comparison:
Detection methods used (IHC, IF, WB, PCR, RNA-seq)
Antibody epitopes (N-terminal, C-terminal, internal domains)
Sample preparation techniques (fixation methods, antigen retrieval)
Detection sensitivity (conventional vs. amplification systems)
Species-specific considerations:
Rat: Well-established expression in podocytes (Heymann nephritis model)
Human: Historically reported as negative, but recent evidence supports low-level expression
Mouse: Variable reports depending on detection method
Reconciliation of contradictory data:
Expression level differences: Proximal tubules (high) vs. podocytes (low)
Developmental regulation: Different expression patterns during development
Pathological induction: Upregulation in disease states
Technical sensitivity: Newer methods detect previously undetectable expression
Consensus interpretation:
Human podocytes express LRP2 at lower levels than proximal tubular cells
This explains the segmental pattern of deposits seen in anti-LRP2 nephropathy
Expression may be upregulated in pathological conditions
Detection requires high-sensitivity methods with appropriate controls
This interpretation is supported by recent findings showing LRP2 colocalization with podocyte markers such as WT-1, the presence of LRP2 in segmental immune deposits in the subepithelial space, and its demonstrated role in agalsidase uptake by human podocytes in Fabry disease .
The complexity of LRP2 Western blot patterns requires careful analysis to distinguish true biological variations from technical artifacts:
Methodological approach to differentiation:
Size comparison: Full-length LRP2 (522 kDa) vs. common fragments (280-330 kDa)
Multiple antibody analysis: N-terminal vs. C-terminal antibodies
RNA analysis: RT-PCR with primers spanning potential splice junctions
Mass spectrometry: Peptide coverage mapping across the protein sequence
Proteolytic fragmentation characteristics:
Sample-preparation dependent: More fragments with harsh extraction
Protease inhibitor-sensitive: Reduced with comprehensive inhibitor cocktails
Time and temperature dependent: Increases with storage time and temperature
Yields predictable fragments based on known protease cleavage sites
Alternative isoform indicators:
Consistent appearance regardless of extraction method
Reproducible across multiple samples and experiments
Correlation with mRNA splice variants
Tissue-specific or condition-specific expression patterns
Detection with domain-specific antibodies matches predicted isoform structure
Interpretation framework:
522 kDa band: Intact full-length LRP2
280-330 kDa bands: Either proteolytic fragments or established "gp330" form
Smaller specific bands: Potential alternative isoforms if reproducible
Variable bands: Likely proteolytic artifacts
This analytical approach acknowledges that LRP2 was initially known as gp330 due to its migration at approximately 330 kDa position, representing either a stable proteolytic product or a distinct isoform .
Interpreting LRP2 immunostaining patterns in pathological conditions requires systematic analysis:
Normal vs. pathological pattern comparison:
Normal tissues: Strong brush border staining in proximal tubules, weak/segmental podocyte staining
Anti-LRP2 nephropathy: Granular deposits in tubular basement membrane, podocytes
Other kidney diseases: Variable changes in expression pattern and intensity
Assessment framework for tubular patterns:
Distribution: Proximal vs. distal tubules
Subcellular localization: Brush border, cytoplasmic, basolateral
Pattern: Linear, granular, or diffuse
Intensity: Upregulation or downregulation compared to normal
Glomerular pattern analysis:
Location: Podocytes, mesangium, basement membrane
Distribution: Global vs. segmental
Colocalization: With immune deposits, complement components
Correlation with electron microscopy findings
Disease-specific interpretation guidelines:
Anti-LRP2 nephropathy: Granular TBM and segmental GBM deposits positive for LRP2 and IgG
Proteinuric states: Potential redistribution from brush border to cytoplasm
Tubular injury: Loss of brush border staining
Autoimmune conditions: Colocalization with immune complexes
A critical diagnostic feature of anti-LRP2 nephropathy is the granular tubular basement membrane staining for LRP2, which colocalized with IgG in the immune deposits. This pattern was observed in all ten patients with anti-LRP2 nephropathy but was negative in 40 controls with tubular basement membrane deposits of other causes, demonstrating high sensitivity and specificity .