Licht R, Jacobs C W, Tax W J, Berden J H
Division of Nephrology, University Medical Centre Nijmegen, The Netherlands.
Lupus. 2001;10(2):102-7. doi: 10.1191/096120301672276558.
Antibodies against nucleosomes are a hallmark of systemic lupus erythematosus (SLE). Nucleosomes are uniquely formed during apoptosis, through cleavage of chromatin by nucleases. Increased exposure of nucleosomes to the immune system could play a role in the induction of the autoimmune repertoire in SLE. To determine whether there exists a constitutive defect in the clearance of apoptotic cells, resident peritoneal macrophages from pre-morbid SLE-prone MRL and New Zealand (NZ) mice were analysed for their efficacy to phagocytose apoptotic cells in vitro. Although differences in phagocytic efficacy of up to 50% between different strains of mice were found, these were not related to SLE development. To evaluate whether macrophages from SLE-prone mice are more susceptible to phagocytic 'exhaustion', resident peritoneal macrophages were challenged by 20 h of additional culture in the presence of apoptotic cells. In both lupus and control strains this led to an increased capacity to phagocytose fresh apoptotic cells (increase between 15 and 92%). As a control, macrophages from all strains were also exposed to 20 h of additional culture without apoptotic cells. Under this condition resident peritoneal macrophages from all SLE-prone strains, and of the SLE-parental strain NZB, displayed a significant decrease in their efficacy to phagocytose apoptotic cells (decrease between 16 and 55%). Together, these findings do not support the hypothesis that a constitutive defect in the clearance of apoptotic cells, as evaluated by testing resident peritoneal macrophages, plays an important role in the induction of SLE.
抗核小体抗体是系统性红斑狼疮(SLE)的一个标志。核小体是在细胞凋亡过程中通过核酸酶切割染色质而独特形成的。核小体对免疫系统的暴露增加可能在SLE自身免疫库的诱导中起作用。为了确定在凋亡细胞清除方面是否存在先天性缺陷,对发病前易患SLE的MRL和新西兰(NZ)小鼠的腹腔驻留巨噬细胞进行体外吞噬凋亡细胞的效能分析。尽管发现不同品系小鼠之间的吞噬效能差异高达50%,但这些差异与SLE的发展无关。为了评估易患SLE小鼠的巨噬细胞是否更容易发生吞噬“耗竭”,在凋亡细胞存在的情况下对腹腔驻留巨噬细胞进行20小时的额外培养。在狼疮品系和对照品系中,这都导致吞噬新鲜凋亡细胞的能力增加(增加15%至92%)。作为对照,所有品系的巨噬细胞也在无凋亡细胞的情况下进行20小时的额外培养。在这种条件下,所有易患SLE品系以及SLE亲本品系NZB的腹腔驻留巨噬细胞吞噬凋亡细胞的效能均显著降低(降低16%至55%)。总之,这些发现不支持这样的假说,即通过检测腹腔驻留巨噬细胞评估的凋亡细胞清除方面的先天性缺陷在SLE的诱导中起重要作用。