Malmegrim Kelen C R, Pruijn Ger J M, van Venrooij Walther J
Department of Biochemistry, Nijmegen Center of Molecular Life Sciences, University of Nijmegen, Nijmegen, The Netherlands.
Isr Med Assoc J. 2002 Sep;4(9):706-12.
Recent studies have implicated the dying cell as a potential reservoir of modified autoantigens that may initiate and drive systemic autoimmunity in susceptible hosts. The uridine-rich small nuclear ribonucleoprotein complex is a common target for autoantibodies present in the serum of patients with systemic lupus erythematosus and SLE-overlap syndromes. Four modifications occurring in this complex during apoptosis have been described to date: the caspase-mediated cleavage of the U1-70K protein, the U1 RNA and the Sm-F protein, and the association with hyperphosphorylated SR proteins. In addition, the U1 snRNP complex has been shown to translocate from its normal subcellular localization to apoptotic bodies near the surface of cells undergoing apoptosis. This redistribution might facilitate exposure of the modified components of the U1 snRNP complex to the immune system when the clearance of apoptotic cell remnants is somehow disturbed. The modifications in the U1 snRNP components during apoptosis might represent the initial epitopes to which an immune response is generated and may be the trigger for the production of autoantibodies to this complex in patients with SLE or SLE-overlap syndromes. Therefore, it can be hypothesized that the exposure of elevated levels of apoptotically modified U1 snRNP to the immune system of a genetically susceptible individual might lead to the breaking of immunologic tolerance towards the U1 snRNP complex.
最近的研究表明,濒死细胞可能是修饰自身抗原的潜在储存库,这些抗原可能在易感宿主中引发并驱动系统性自身免疫。富含尿苷的小核核糖核蛋白复合体是系统性红斑狼疮患者和系统性红斑狼疮重叠综合征患者血清中自身抗体的常见靶标。迄今为止,已描述了该复合体在细胞凋亡过程中发生的四种修饰:半胱天冬酶介导的U1 - 70K蛋白、U1 RNA和Sm - F蛋白的裂解,以及与过度磷酸化的SR蛋白的结合。此外,U1 snRNP复合体已被证明从其正常的亚细胞定位转移到正在经历凋亡的细胞表面附近的凋亡小体中。当凋亡细胞残余物的清除受到某种干扰时,这种重新分布可能有助于U1 snRNP复合体的修饰成分暴露于免疫系统。细胞凋亡过程中U1 snRNP成分的修饰可能代表了引发免疫反应的初始表位,并且可能是系统性红斑狼疮或系统性红斑狼疮重叠综合征患者针对该复合体产生自身抗体的触发因素。因此,可以推测,在遗传易感个体中,高水平的凋亡修饰U1 snRNP暴露于免疫系统可能导致对U1 snRNP复合体的免疫耐受被打破。