Calvani Nicola, Satoh Minoru, Croker Byron P, Reeves Westley H, Richards Hanno B
Department of Medicine, Division of Rheumatology & Clinical Immunology, University of Florida, Gainesville, Florida, USA.
Kidney Int. 2003 Sep;64(3):897-905. doi: 10.1046/j.1523-1755.2003.00178.x.
There is strong evidence that Th1 cytokines are essential for disease in murine models of lupus. Interleukin-12 (IL-12) is essential for Th1 cell differentiation and induces interferon-gamma (IFN-gamma) production. Paradoxically, it has been suggested that an IL-12 defect drives the pathogenesis of lupus, although its precise role remains unclear. We investigated the role of IL-12 for lupus-like disease induced by pristane. IL-12p35-deficient (-/-) and control (+/+) BALB/c mice were treated with pristane or phosphate-buffered saline (PBS).
Proteinuria was measured and renal pathology evaluated 10 months after treatment. Sera were analyzed for autoantibodies and total immunoglobulin levels. Cytokine expression and production was analyzed.
Pristane induced nephritogenic autoantibodies and renal immunoglobulin and complement deposition in both IL-12 -/- and +/+ mice. However, proliferative pathology and proteinuria were absent in IL-12-/- mice, whereas pristane induced severe nephritis in one third of the +/+ mice. As expected, cytokine balance was skewed toward a Th2 response in pristane-treated IL-12 -/- mice.
These data indicate that renal immune complex deposition can occur in the absence of IL-12p35, but that structural renal damage requires the presence of IL-12p35 or mediators induced by this molecule, such as IFN-gamma. In contrast to the abrogation of nephritogenic autoantibodies by the lack of IFN-gamma, such antibodies are induced by pristane in IL-12p35-deficient mice. Absence of structural renal disease, despite the presence of nephritogenic autoantibodies in pristane-treated IL-12-/- mice, indicates that antibody deposition alone is not sufficient for the development of lupus nephritis in this model.
有强有力的证据表明,在狼疮小鼠模型中,Th1细胞因子对疾病的发生至关重要。白细胞介素-12(IL-12)对Th1细胞分化至关重要,并诱导γ干扰素(IFN-γ)的产生。矛盾的是,尽管其确切作用尚不清楚,但有人提出IL-12缺陷驱动狼疮的发病机制。我们研究了IL-12在由 pristane 诱导的狼疮样疾病中的作用。用 pristane 或磷酸盐缓冲盐水(PBS)处理IL-12p35缺陷型(-/-)和对照(+/+)BALB/c小鼠。
治疗10个月后测量蛋白尿并评估肾脏病理学。分析血清中的自身抗体和总免疫球蛋白水平。分析细胞因子的表达和产生。
Pristane 在 IL-12 -/- 和 +/+ 小鼠中均诱导产生致肾炎自身抗体以及肾脏免疫球蛋白和补体沉积。然而,IL-12 -/- 小鼠中没有增殖性病理学改变和蛋白尿,而 pristane 在三分之一的 +/+ 小鼠中诱导了严重的肾炎。正如预期的那样,在经 pristane 处理的 IL-12 -/- 小鼠中,细胞因子平衡偏向 Th2 反应。
这些数据表明,在没有IL-12p35的情况下可发生肾脏免疫复合物沉积,但肾脏结构损伤需要IL-12p35或该分子诱导的介质(如IFN-γ)的存在。与缺乏IFN-γ导致致肾炎自身抗体消失相反,在IL-12p35缺陷型小鼠中,pristane可诱导此类抗体产生。尽管在经pristane处理的IL-12 -/- 小鼠中存在致肾炎自身抗体,但没有肾脏结构疾病,这表明在该模型中,仅抗体沉积不足以发展为狼疮性肾炎。