HMGB1 has been recognized as a potential novel diagnostic and prognostic marker in a broad spectrum of diseases, such as sepsis, arthritis, inflammatory bowel diseases, fibrotic diseases, and diabetes (
2-
11). Therefore, an appropriate detection method for HMGB1, particularly in body fluids, is necessary for both clinical diagnosis and scientific research. Conventionally, antibody-based methodologies such as ELISA and electrochemiluminescence immunoassay (ECLIA) are widely and conveniently used for detecting antigens in body fluids. However, certain factors present in body fluids, including IgG, can bind to HMGB1 and interfere with its detection in ELISA assays (
29). Consequently, Western blot analysis remains the most accurate method for detecting HMGB1, although a few ELISA kits are commercially available. Aptamers, characterized by their low molecular weight, rapid tissue penetration, lack of immunogenicity, and affordability, can serve as excellent tools for assessing HMGB1.
In the present study, negative selection was performed with recombinant HMGB1 A box to exclude binding to possible contaminant proteins from the expression system as well as HMGB1 A box. Moreover, since HMGB2 and HMGB3 share 80% and 75% homology with HMGB1, respectively, negative selection was also performed with HMGB2 and HMGB3 to ensure the specificity of the aptamer. After a 15-round SELEX, H-ap25 emerged from the pool with a high affinity for HMGB1 (Kd = 8.20 ± 0.53 nmol/L). As anticipated, H-ap25 exhibited excellent specificity for HMGB1 without detectable affinity for HMGB2 or HMGB3.
The utilization of H-ap25 in detecting HMGB1 was preliminarily evaluated. ELISA using H-ap25 produced a perfect standard curve with rHMGB1 concentrations below 64 nmol/L and reliably detected HMGB1 at concentrations as low as 4 nmol/L. In South-Western blot and aptamer-based histochemical staining, H-ap25 demonstrated comparable results to anti-HMGB1 antibodies in detecting both human and mouse HMGB1. With further modifications of the aptamer sequence and the determination procedure, H-ap25-based detection systems might be developed into practical measurement methods for clinical and research applications.
We aimed to identify a DNA aptamer that not only recognizes HMGB1 but also antagonizes the bioactivity of extracellular HMGB1. This is why rhHMGB1 B box, rather than the full length of rhHMGB1, was chosen as the target in SELEX. Contrary to our expectations, the results of the neutralizing experiment demonstrated that H-ap25 promoted rather than inhibited the rhHMGB1-induced inflammatory response in THP-1 cells, indicating that H-ap25 enhances the pro-inflammatory ability of HMGB1. It has been reported that HMGB1 secreted by activated macrophages or released by necrotic cells has a strong pro-inflammatory effect, while finely purified recombinant HMGB1 has only weak bioactivity, highlighting the importance of synergistic factors beyond the redox status of HMGB1 (
9,
30-
32). Extracellular HMGB1 retains the ability to bind to various types of DNA, including host genomic, mitochondrial, and microbial DNA, which can reinforce HMGB1's activation of the innate immune response (
33-
35). We speculate that the ssDNA library and HMGB1 may have undergone nonspecific binding, potentially resulting in the enhancement of HMGB1 activity in the in vitro experiment. Moreover, CpG-rich DNA is a strong enhancer of HMGB1-mediated activation of TLR9 and RAGE (
33,
34). H-ap25, like almost all reported aptamers, is rich in C and G, which confers a stable higher-order structure to aptamers. It is reasonable that H-ap25, mimicking oligodeoxynucleotides containing CpG motifs (CpG-ODN) and having a high affinity for HMGB1, has a stronger pro-inflammatory effect on HMGB1 than the ssDNA library. These results suggest that H-ap25 can also serve as an enhancer of HMGB1 in research.
In conclusion, H-ap25 demonstrates high affinity and specific recognition of HMGB1, with a Kd of 8.20 ± 0.53 nmol/L. Across various assays, including South-Western blot, ELASA, and immunohistochemical staining, H-ap25 exhibits promising utility in HMGB1 detection. Furthermore, compared to random ssDNA sequences (ssDNA library), H-ap25 displays enhanced potency in activating the TLR9/NF-κB pathway following its binding to HMGB1. These findings show the potential of H-ap25 as a versatile tool for both HMGB1 detection and modulation.