Sisirak Vanja, Sally Benjamin, D'Agati Vivette, Martinez-Ortiz Wilnelly, Özçakar Z Birsin, David Joseph, Rashidfarrokhi Ali, Yeste Ada, Panea Casandra, Chida Asiya Seema, Bogunovic Milena, Ivanov Ivaylo I, Quintana Francisco J, Sanz Inaki, Elkon Keith B, Tekin Mustafa, Yalçınkaya Fatoş, Cardozo Timothy J, Clancy Robert M, Buyon Jill P, Reizis Boris
Department of Pathology, New York University School of Medicine, New York, NY 10016, USA.
Department of Pathology, New York University School of Medicine, New York, NY 10016, USA; Department of Microbiology and Immunology, Columbia University Medical Center, New York, NY 10032, USA.
Cell. 2016 Jun 30;166(1):88-101. doi: 10.1016/j.cell.2016.05.034. Epub 2016 Jun 9.
Antibodies to DNA and chromatin drive autoimmunity in systemic lupus erythematosus (SLE). Null mutations and hypomorphic variants of the secreted deoxyribonuclease DNASE1L3 are linked to familial and sporadic SLE, respectively. We report that DNASE1L3-deficient mice rapidly develop autoantibodies to DNA and chromatin, followed by an SLE-like disease. Circulating DNASE1L3 is produced by dendritic cells and macrophages, and its levels inversely correlate with anti-DNA antibody response. DNASE1L3 is uniquely capable of digesting chromatin in microparticles released from apoptotic cells. Accordingly, DNASE1L3-deficient mice and human patients have elevated DNA levels in plasma, particularly in circulating microparticles. Murine and human autoantibody clones and serum antibodies from human SLE patients bind to DNASE1L3-sensitive chromatin on the surface of microparticles. Thus, extracellular microparticle-associated chromatin is a potential self-antigen normally digested by circulating DNASE1L3. The loss of this tolerance mechanism can contribute to SLE, and its restoration may represent a therapeutic opportunity in the disease.
针对DNA和染色质的抗体驱动系统性红斑狼疮(SLE)的自身免疫反应。分泌型脱氧核糖核酸酶DNASE1L3的无效突变和亚效等位基因变体分别与家族性和散发性SLE相关。我们报道,缺乏DNASE1L3的小鼠会迅速产生针对DNA和染色质的自身抗体,随后出现类似SLE的疾病。循环中的DNASE1L3由树突状细胞和巨噬细胞产生,其水平与抗DNA抗体反应呈负相关。DNASE1L3具有独特的能力,能够消化凋亡细胞释放的微粒中的染色质。因此,缺乏DNASE1L3的小鼠和人类患者血浆中的DNA水平升高,尤其是在循环微粒中。来自人类SLE患者的小鼠和人类自身抗体克隆及血清抗体与微粒表面对DNASE1L3敏感的染色质结合。因此,细胞外微粒相关染色质是一种潜在的自身抗原,通常由循环中的DNASE1L3消化。这种耐受机制的丧失可能导致SLE,而恢复该机制可能为该病带来治疗机会。