Ka Shuk-Man, Cheng Chao-Wen, Shui Hao-Ai, Wu Wen-Mein, Chang Deh-Ming, Lin Yu-Chu, Chen Ann
Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Cheng-Gung Road, Taipei 114, Taiwan, ROC.
Arthritis Res Ther. 2007;9(4):R67. doi: 10.1186/ar2226.
Infectious antigens may be triggers for the exacerbation of systemic lupus erythematosus. The underlying mechanism causing acceleration and exacerbation of lupus nephritis (LN) is largely unknown. Bacterial lipopolysaccharide (LPS) is capable of inducing an accelerated model of LN in NZB/W mice, featuring diffuse proliferation of glomerular resident cells. We hypothesized that mesangial cells (MCs) from LN subjects are more responsive to LPS than normal subjects. Cultured primary NZB/W and DBA/W (nonautoimmune disease-prone strain with MHC class II molecules identical to those of NZB/W) MCs were used. Monocyte chemoattractant protein-1 (MCP-1) and osteopontin (OPN) expressions either in the baseline (normal culture) condition or in the presence of LPS were evaluated by real-time PCR, ELISA, or western blot analysis. NF-kappaB was detected by ELISA, electrophoresis mobility-shift assay, and immunofluorescence. First, either in the baseline condition or in the presence of LPS, NZB/W MCs produced significantly higher levels of MCP-1 and OPN than the DBA/W MC controls. Second, NZB/W MCs expressed significantly higher levels of Toll-like receptor 4, myeloid differentiation factor 88, and NF-kappaB than the DBA/W MC controls, both receiving exactly the same LPS treatment. In conclusion, NZB/W MCs are significantly more sensitive than their normal control DBA/W MCs in producing both MCP-1 and OPN. With LPS treatment, the significantly elevated levels of both chemokines produced by NZB/W MCs are more likely due to a significantly greater activation of the Toll-like receptor 4-myeloid differentiation factor 88-associated NF-kappaB pathway. The observed abnormal molecular events provide an intrarenal pathogenic pathway involved in an accelerated type of LN, which is potentially infection triggered.
感染性抗原可能是系统性红斑狼疮病情加重的触发因素。狼疮性肾炎(LN)病情加速和加重的潜在机制在很大程度上尚不清楚。细菌脂多糖(LPS)能够在NZB/W小鼠中诱导出LN的加速模型,其特征为肾小球固有细胞的弥漫性增殖。我们推测,LN患者的系膜细胞(MCs)对LPS的反应比正常受试者更敏感。使用培养的原代NZB/W和DBA/W(与NZB/W具有相同II类主要组织相容性复合体分子的非自身免疫病易感品系)MCs。通过实时PCR、ELISA或蛋白质印迹分析评估在基线(正常培养)条件下或存在LPS时单核细胞趋化蛋白-1(MCP-1)和骨桥蛋白(OPN)的表达。通过ELISA、电泳迁移率变动分析和免疫荧光检测核因子κB(NF-κB)。首先,在基线条件下或存在LPS时,NZB/W MCs产生的MCP-1和OPN水平显著高于DBA/W MCs对照。其次,在接受完全相同的LPS处理时,NZB/W MCs表达的Toll样受体4、髓样分化因子88和NF-κB水平显著高于DBA/W MCs对照。总之,NZB/W MCs在产生MCP-1和OPN方面比其正常对照DBA/W MCs明显更敏感。经LPS处理后,NZB/W MCs产生的两种趋化因子水平显著升高更可能是由于Toll样受体4-髓样分化因子88相关的NF-κB途径显著激活。观察到的异常分子事件提供了一条参与LN加速型的肾内致病途径,这可能是由感染触发的。