Wade N S, Stevenson B G, Dunlap D S, Major A S
Department of Pathology, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
Lupus. 2010 Jan;19(1):34-42. doi: 10.1177/0961203309345785. Epub 2009 Oct 22.
Cardiovascular disease risk is increased in individuals suffering from systemic lupus erythematosus. Understanding the mechanism(s) of systemic lupus erythematosus-accelerated atherosclerosis is critical for the development of effective therapies. Our laboratory previously demonstrated that radiation chimeras of systemic lupus erythematosus-susceptible B6.Sle1.2.3 and low density lipoprotein receptor (LDLr)(-/-) mice have augmented atherosclerosis, which is associated with increased T-cell burden and activation in the lesion. The goals of this study were to further define specific immune mechanisms that mediate accelerated atherosclerosis and to determine whether the gene interval Sle3, which is linked to lupus-associated T-cell dysregulation, was sufficient to modulate atherogenesis. We transferred B6.Sle3 or C57Bl/6-derived bone marrow cells into lethally irradiated LDLr( -/-) mice (hereafter referred to as LDLr.Sle3 and LDLr.B6, respectively). Sixteen weeks after transplantation, the mice were placed on a western-type diet for 8 weeks. Our analyses revealed that LDLr.Sle3 mice had increased auto-antibody production against double-stranded DNA and cardiolipin compared with LDLr.B6 controls. We also found an increase in atherosclerosis-associated oxLDL antibodies. Antibody isotypes and serum cytokine analysis suggested that the humoral immune response in LDLr.Sle3 mice was skewed toward a Th2 phenotype. This finding is consistent with lupus-associated immune dysregulation. Additionally, LDLr.Sle3 mice had decreased serum cholesterol and triglyceride levels. However, there was no difference in lesion area or cellular composition of lesions between the two groups. These data demonstrate that, despite no change in lesion area, transfer of Sle3-associated T-cell dysregulation alone to LDLr-deficient mice is sufficient to decrease serum cholesterol and to exacerbate humoral immune responses that are frequently associated with atherosclerosis.
患有系统性红斑狼疮的个体患心血管疾病的风险会增加。了解系统性红斑狼疮加速动脉粥样硬化的机制对于开发有效的治疗方法至关重要。我们实验室之前证明,系统性红斑狼疮易感的B6.Sle1.2.3和低密度脂蛋白受体(LDLr)基因敲除小鼠的辐射嵌合体有加重的动脉粥样硬化,这与病变中T细胞负担增加和活化有关。本研究的目的是进一步确定介导加速动脉粥样硬化的特定免疫机制,并确定与狼疮相关的T细胞失调相关的基因区间Sle3是否足以调节动脉粥样硬化的发生。我们将B6.Sle3或C57Bl/6来源的骨髓细胞移植到经致死剂量照射的LDLr基因敲除小鼠(以下分别称为LDLr.Sle3和LDLr.B6)体内。移植16周后,将小鼠置于西式饮食8周。我们的分析显示,与LDLr.B6对照组相比,LDLr.Sle3小鼠针对双链DNA和心磷脂的自身抗体产生增加。我们还发现动脉粥样硬化相关的氧化型低密度脂蛋白抗体增加。抗体亚型和血清细胞因子分析表明,LDLr.Sle3小鼠的体液免疫反应倾向于Th2表型。这一发现与狼疮相关的免疫失调一致。此外,LDLr.Sle3小鼠的血清胆固醇和甘油三酯水平降低。然而,两组之间的病变面积或病变的细胞组成没有差异。这些数据表明,尽管病变面积没有变化,但仅将与Sle3相关的T细胞失调转移到LDLr缺陷小鼠体内就足以降低血清胆固醇,并加剧通常与动脉粥样硬化相关的体液免疫反应。