Stohl William, Jacob Noam, Guo Shunhua, Morel Laurence
Division of Rheumatology, University of Southern California Keck School of Medicine, Los Angeles, CA 90033, USA.
Arthritis Rheum. 2010 Aug;62(8):2432-42. doi: 10.1002/art.27502.
To determine whether overexpression of BAFF can promote systemic lupus erythematosus (SLE)-like autoimmunity in mice that are otherwise autoimmune-resistant.
We used class II major histocompatibility complex (MHC)-deficient C57BL/6 (B6) mice as a model of resistance to SLE and Sles1-bearing B6 mice as a model of resistance to the autoantibody-promoting capacity of the Sle1 region. We generated BAFF-transgenic (Tg) counterparts to these respective mice and evaluated lymphocyte phenotype, serologic autoimmunity, renal immunopathology, and clinical disease in the BAFF-Tg and non-Tg mouse sets.
Although constitutive BAFF overexpression did not lead to B cell expansion in class II MHC-deficient B6 mice, it did lead to increased serum IgG autoantibody levels. Nevertheless, renal immunopathology was limited, and clinical disease did not develop. In B6 and B6.Sle1 mice, constitutive BAFF overexpression led to increased numbers of B cells and CD4+ memory cells, as well as increased serum IgG and IgA autoantibody levels. Renal immunopathology was modestly greater in BAFF-Tg mice than in their non-Tg counterparts, but again, clinical disease did not develop. Introduction of the Sles1 region into B6.Sle1.Baff mice abrogated the BAFF-driven increase in CD4+ memory cells and the Sle1-driven, but not the BAFF-driven, increase in serum IgG antichromatin levels. Renal immunopathology was substantially ameliorated.
Although constitutive BAFF overexpression in otherwise autoimmune-resistant mice led to humoral autoimmunity, meaningful renal immunopathology and clinical disease did not develop. This raises the possibility that BAFF overexpression, even when present, may not necessarily drive disease in some SLE patients. This may help explain the heterogeneity of the clinical response to BAFF antagonists in human SLE.
确定B淋巴细胞刺激因子(BAFF)的过表达是否能在原本具有自身免疫抗性的小鼠中促进系统性红斑狼疮(SLE)样自身免疫。
我们使用II类主要组织相容性复合体(MHC)缺陷的C57BL/6(B6)小鼠作为对SLE有抗性的模型,以及携带Sles1的B6小鼠作为对Sle1区域促进自身抗体产生能力有抗性的模型。我们构建了这些小鼠各自的BAFF转基因(Tg)对应物,并评估了BAFF-Tg和非Tg小鼠组中的淋巴细胞表型、血清学自身免疫、肾脏免疫病理学和临床疾病。
尽管组成型BAFF过表达未导致II类MHC缺陷的B6小鼠中的B细胞扩增,但确实导致血清IgG自身抗体水平升高。然而,肾脏免疫病理学表现有限,且未出现临床疾病。在B6和B6.Sle1小鼠中,组成型BAFF过表达导致B细胞和CD4+记忆细胞数量增加,以及血清IgG和IgA自身抗体水平升高。BAFF-Tg小鼠的肾脏免疫病理学表现比其非Tg对应物略重,但同样未出现临床疾病。将Sles1区域导入B6.Sle1.Baff小鼠可消除BAFF驱动的CD4+记忆细胞增加以及Sle1驱动而非BAFF驱动的血清IgG抗染色质水平升高。肾脏免疫病理学得到显著改善。
尽管在原本具有自身免疫抗性的小鼠中组成型BAFF过表达导致了体液性自身免疫,但未出现有意义的肾脏免疫病理学改变和临床疾病。这增加了一种可能性,即即使存在BAFF过表达,在某些SLE患者中也不一定会引发疾病。这可能有助于解释人类SLE中对BAFF拮抗剂临床反应的异质性。