Wu Tianfu, Qin Xiangmei, Kurepa Zoran, Kumar Kirthi Raman, Liu Kui, Kanta Hasna, Zhou Xin J, Satterthwaite Anne B, Davis Laurie S, Mohan Chandra
Division of Rheumatology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390-8884, USA.
J Clin Invest. 2007 Aug;117(8):2186-96. doi: 10.1172/JCI30398.
Though B cells play key roles in lupus pathogenesis, the molecular circuitry and its dysregulation in these cells as disease evolves remain poorly understood. To address this, a comprehensive scan of multiple signaling axes using multiplexed Western blotting was undertaken in several different murine lupus strains. PI3K/AKT/mTOR (mTOR, mammalian target of rapamycin), MEK1/Erk1/2, p38, NF-kappaB, multiple Bcl-2 family members, and cell-cycle molecules were observed to be hyperexpressed in lupus B cells in an age-dependent and lupus susceptibility gene-dose-dependent manner. Therapeutic targeting of the AKT/mTOR axis using a rapamycin (sirolimus) derivative ameliorated the serological, cellular, and pathological phenotypes associated with lupus. Surprisingly, the targeting of this axis was associated with the crippling of several other signaling axes. These studies reveal that lupus pathogenesis is contingent upon the activation of an elaborate network of signaling cascades that is shared among genetically distinct mouse models and raise hope that targeting pivotal nodes in these networks may offer therapeutic benefit.
尽管B细胞在狼疮发病机制中发挥关键作用,但随着疾病进展,这些细胞中的分子信号通路及其失调情况仍知之甚少。为了解决这一问题,研究人员在几种不同的小鼠狼疮模型中,使用多重蛋白质印迹法对多个信号轴进行了全面扫描。结果发现,PI3K/AKT/mTOR(mTOR,雷帕霉素的哺乳动物靶点)、MEK1/Erk1/2、p38、NF-κB、多个Bcl-2家族成员以及细胞周期分子在狼疮B细胞中以年龄依赖性和狼疮易感性基因剂量依赖性方式过度表达。使用雷帕霉素(西罗莫司)衍生物对AKT/mTOR轴进行治疗性靶向可改善与狼疮相关的血清学、细胞和病理表型。令人惊讶的是,靶向该轴与其他几个信号轴的受损有关。这些研究表明,狼疮发病机制取决于一个复杂的信号级联网络的激活,该网络在基因不同的小鼠模型中是共享的,并带来了希望,即靶向这些网络中的关键节点可能会带来治疗益处。