Nacionales Dina C, Kelly Kindra M, Lee Pui Y, Zhuang Haoyang, Li Yi, Weinstein Jason S, Sobel Eric, Kuroda Yoshiki, Akaogi Jun, Satoh Minoru, Reeves Westley H
Division of Rheumatology and Clinical Immunology, University of Florida, PO Box 100221, Gainesville, FL 32610-0221, USA.
Am J Pathol. 2006 Apr;168(4):1227-40. doi: 10.2353/ajpath.2006.050125.
Lymphoid neogenesis is associated with antibody-mediated autoimmune diseases such as Sjogren's syndrome and rheumatoid arthritis. Although systemic lupus erythematosus is the prototypical B-cell-mediated autoimmune disease, the role of lymphoid neogenesis in its pathogenesis is unknown. Intraperitoneal injection of 2,6,10,14-tetramethyl-pentadecane (TMPD, pristane) or mineral oil causes lipogranuloma formation in mice, but only TMPD-treated mice develop lupus. We report that lipogranulomas are a form of lymphoid neogenesis. Immunoperoxidase staining of lipogranulomas revealed B cells, CD4(+) T cells, and dendritic cells and in some cases organization into T- and B-cell zones. Lipogranulomas also expressed the lymphoid chemokines CCL21, CCL19, CXCL13, CXCL12, and CCL22. Expression of the type I interferon (IFN-I)-inducible genes Mx1, IRF7, IP-10, and ISG-15 was greatly increased in TMPD- versus mineral oil-induced lipogranulomas. Dendritic cells from TMPD lipogranulomas underwent activation/maturation with high CD86 and interleukin-12 expression. Magnetic bead depletion of dendritic cells markedly diminished IFN-inducible gene (Mx1) expression. We conclude that TMPD-induced lupus is associated with the formation of ectopic lymphoid tissue containing activated dendritic cells producing IFN-I and interleukin-12. In view of the increased IFN-I production in systemic lupus erythematosus, these studies suggest that IFN-I from ectopic lymphoid tissue could play a role in the pathogenesis of experimental lupus in mice.
淋巴样新生与抗体介导的自身免疫性疾病相关,如干燥综合征和类风湿关节炎。虽然系统性红斑狼疮是典型的B细胞介导的自身免疫性疾病,但淋巴样新生在其发病机制中的作用尚不清楚。腹腔注射2,6,10,14-四甲基十五烷(TMPD, pristane)或矿物油可导致小鼠形成脂性肉芽肿,但只有经TMPD处理的小鼠会发生狼疮。我们报告脂性肉芽肿是一种淋巴样新生形式。脂性肉芽肿的免疫过氧化物酶染色显示有B细胞、CD4(+) T细胞和树突状细胞,在某些情况下还组织形成T细胞区和B细胞区。脂性肉芽肿还表达淋巴趋化因子CCL21、CCL19、CXCL13、CXCL12和CCL22。与矿物油诱导的脂性肉芽肿相比,I型干扰素(IFN-I)诱导基因Mx1、IRF7、IP-10和ISG-15在TMPD诱导的脂性肉芽肿中的表达显著增加。来自TMPD脂性肉芽肿的树突状细胞以高CD86和白细胞介素-12表达进行激活/成熟。树突状细胞的磁珠耗竭显著降低了IFN诱导基因(Mx1)的表达。我们得出结论,TMPD诱导的狼疮与含有产生IFN-I和白细胞介素-12的活化树突状细胞的异位淋巴组织的形成有关。鉴于系统性红斑狼疮中IFN-I产生增加,这些研究表明异位淋巴组织中的IFN-I可能在小鼠实验性狼疮的发病机制中起作用。