嗜碱性粒细胞和辅助性 T 细胞 2 环境可促进狼疮肾炎的发展。

Basophils and the T helper 2 environment can promote the development of lupus nephritis.

机构信息

Laboratory of Molecular Immunogenetics, National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, Maryland, USA.

出版信息

Nat Med. 2010 Jun;16(6):701-7. doi: 10.1038/nm.2159. Epub 2010 May 30.

Abstract

In systemic lupus erythematosus (SLE), self-reactive antibodies can target the kidney (lupus nephritis), leading to functional failure and possible mortality. We report that activation of basophils by autoreactive IgE causes their homing to lymph nodes, promoting T helper type 2 (T(H)2) cell differentiation and enhancing the production of self-reactive antibodies that cause lupus-like nephritis in mice lacking the Src family protein tyrosine kinase Lyn (Lyn(-/-) mice). Individuals with SLE also have elevated serum IgE, self-reactive IgEs and activated basophils that express CD62 ligand (CD62L) and the major histocompatibility complex (MHC) class II molecule human leukocyte antigen-DR (HLA-DR), parameters that are associated with increased disease activity and active lupus nephritis. Basophils were also present in the lymph nodes and spleen of subjects with SLE. Thus, in Lyn(-/-) mice, basophils and IgE autoantibodies amplify autoantibody production that leads to lupus nephritis, and in individuals with SLE IgE autoantibodies and activated basophils are factors associated with disease activity and nephritis.

摘要

在系统性红斑狼疮(SLE)中,自身反应性抗体可以靶向肾脏(狼疮性肾炎),导致功能衰竭和可能的死亡。我们报告称,自身反应性 IgE 激活嗜碱性粒细胞会导致其归巢到淋巴结,促进辅助性 T 细胞 2(T(H)2)细胞分化,并增强产生自身反应性抗体的能力,从而导致缺乏Src 家族蛋白酪氨酸激酶 Lyn(Lyn(-/-) 小鼠)的小鼠发生狼疮样肾炎。SLE 患者还具有升高的血清 IgE、自身反应性 IgE 和表达 CD62 配体(CD62L)和主要组织相容性复合体(MHC)II 类分子人类白细胞抗原-DR(HLA-DR)的活化嗜碱性粒细胞,这些参数与疾病活动度增加和活动性狼疮肾炎相关。SLE 患者的淋巴结和脾脏中也存在嗜碱性粒细胞。因此,在 Lyn(-/-) 小鼠中,嗜碱性粒细胞和 IgE 自身抗体放大了导致狼疮肾炎的自身抗体产生,而在 SLE 患者中,IgE 自身抗体和活化的嗜碱性粒细胞是与疾病活动度和肾炎相关的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6870/2909583/eb813b81e68e/nihms-199347-f0001.jpg

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