Stohl William, Jacob Noam, Quinn William J, Cancro Michael P, Gao Huaxin, Putterman Chaim, Gao Xiaoni, Pricop Luminita, Koss Michael N
Department of Medicine, Division of Rheumatology, University of Southern California Keck School of Medicine, Los Angeles, CA 90033, USA.
J Immunol. 2008 Jul 1;181(1):833-41. doi: 10.4049/jimmunol.181.1.833.
In otherwise non-autoimmune-prone C57BL/6 (B6) mice rendered genetically deficient in CD152 (CTLA-4), polyclonal hypergammaglobulinemia with increased levels of systemic lupus erythematosus (SLE)-associated IgG autoantibodies, glomerular IgG and C3 deposition, and interstitial nephritis all developed by 3-5 wk of age. Remarkably, superimposing genetic deficiency of BAFF (B cell-activating factor belonging to the TNF family) onto CD152 deficiency did not substantially attenuate humoral autoimmunity and immunopathology in these mice, despite the resulting marked reduction in B-lineage cells. Although superimposing a BAFF transgene (resulting in constitutive BAFF overexpression) onto CD152-deficient mice did lead to increases in B-lineage cells and serum levels of certain SLE-associated IgG autoantibodies, renal immunopathology remained largely unaffected. Taken together, these results demonstrate that global T cell dysregulation, even in an otherwise non-autoimmune-prone host, can promote systemic humoral autoimmunity and immunopathology in a BAFF-independent manner. Moreover, supraphysiologic expression of BAFF in the setting of ongoing autoimmunity does not necessarily lead to greater immunopathology. These findings may help explain the limited clinical efficacy appreciated to date of BAFF antagonists in human SLE.
在原本不易发生自身免疫的C57BL/6(B6)小鼠中,若使其CD152(细胞毒性T淋巴细胞相关抗原4)基因缺陷,到3 - 5周龄时会出现多克隆高球蛋白血症,伴有系统性红斑狼疮(SLE)相关IgG自身抗体水平升高、肾小球IgG和C3沉积以及间质性肾炎。值得注意的是,在CD152缺陷的基础上叠加BAFF(肿瘤坏死因子家族的B细胞激活因子)基因缺陷,尽管会使B系细胞显著减少,但这些小鼠的体液自身免疫和免疫病理学并未得到实质性缓解。虽然在CD152缺陷小鼠中叠加BAFF转基因(导致BAFF组成型过表达)确实会使B系细胞增加以及某些SLE相关IgG自身抗体的血清水平升高,但肾脏免疫病理学基本未受影响。综上所述,这些结果表明,即使在原本不易发生自身免疫的宿主中,全身性T细胞失调也能以不依赖BAFF的方式促进全身性体液自身免疫和免疫病理学。此外,在自身免疫持续存在的情况下,BAFF的超生理表达不一定会导致更严重的免疫病理学。这些发现可能有助于解释迄今为止BAFF拮抗剂在人类SLE中有限的临床疗效。