Hillion Sophie, Garaud Soizic, Devauchelle Valérie, Bordron Anne, Berthou Christian, Youinou Pierre, Jamin Christophe
EA Immunologie et Pathologie, Brest University Medical School, Brest, France.
Immunology. 2007 Nov;122(3):371-80. doi: 10.1111/j.1365-2567.2007.02649.x. Epub 2007 Jul 3.
Defective regulation of secondary immunoglobulin V(D)J gene rearrangement promotes the production of autoantibodies in systemic lupus erythematosus (SLE). It remains unclear, however, whether the regulation of the recombination-activating genes RAG1 and RAG2 is effective in SLE. RAG1 and RAG2 messenger RNA expression was analysed before and after in vitro activation of sorted CD19(+) CD5(-) B cells with anti-immunoglobulin M antibodies, in 20 SLE patients and 17 healthy controls. The expression of CDK2 and p27(Kip1) regulators of the RAG2 protein, were examined. The levels of interleukin-6 (IL-6) and its influence on RAG regulation were also evaluated in vitro. SLE patients had increased frequency of RAG-positive B cells. B-cell receptor (BCR) engagement induced a shift in the frequency of kappa- and lambda-positive cells, associated with a persistence of RAG messenger RNA and the maintenance of RAG2 protein within the nucleus. While expression of the RAG2-negative regulator CDK2 was normal, the positive regulator p27(Kip1) was up-regulated and enhanced by BCR engagement. This effect was the result of the aberrant production of IL-6 by SLE B cells. Furthermore, IL-6 receptor blockade led to a reduction in p27(Kip1) expression, and allowed the translocation of RAG2 from the nucleus to the cytoplasm. Our study indicates that aberrant production of IL-6 contributes to the inability of SLE B cells to terminate RAG protein production. Therefore, we hypothesize that because of constitutive IL-6 signalling in association with BCR engagement, SLE B cells would become prone to secondary immunoglobulin gene rearrangements and autoantibody production.
继发性免疫球蛋白V(D)J基因重排的调控缺陷促进了系统性红斑狼疮(SLE)中自身抗体的产生。然而,重组激活基因RAG1和RAG2的调控在SLE中是否有效仍不清楚。在20例SLE患者和17名健康对照中,分析了用抗免疫球蛋白M抗体体外激活分选的CD19(+) CD5(-) B细胞前后RAG1和RAG2信使RNA的表达。检测了RAG2蛋白的调节因子CDK2和p27(Kip1)的表达。还在体外评估了白细胞介素-6(IL-6)的水平及其对RAG调控的影响。SLE患者中RAG阳性B细胞的频率增加。B细胞受体(BCR)的激活导致κ和λ阳性细胞频率的变化,这与RAG信使RNA的持续存在以及RAG2蛋白在细胞核内的维持有关。虽然RAG2负调节因子CDK2的表达正常,但正调节因子p27(Kip1)上调并因BCR激活而增强。这种效应是SLE B细胞异常产生IL-6的结果。此外,IL-6受体阻断导致p27(Kip1)表达降低,并使RAG2从细胞核转移到细胞质。我们的研究表明,IL-6的异常产生导致SLE B细胞无法终止RAG蛋白的产生。因此,我们推测,由于与BCR激活相关的持续性IL-6信号传导,SLE B细胞易于发生继发性免疫球蛋白基因重排和自身抗体产生。