Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Durham VA Medical Center, Durham, NC, USA.
Eur J Immunol. 2018 Mar;48(3):492-497. doi: 10.1002/eji.201747287. Epub 2018 Jan 19.
Systemic lupus erythematosus is a debilitating autoimmune disease in which autoantibodies and autoreactive T cells destroy kidneys and other organs. Disease is clinically and genetically heterogeneous, suggesting that underlying mechanisms vary between patients. We previously used an autoantibody transgenic mouse reporter system to examine the effect of different autoimmune backgrounds on B-cell tolerance, failure of which is a fundamental defect in lupus. We identified a defect consistent with reversible anergy induced by endotoxin stimulation of B cells from Ig transgenic New Zealand Black (NZB) mice. Herein we report that the tolerance defect is revealed by TLR7 and TLR9 as well as TLR4 ligands, with additive effect, and is partially reversed by Mek inhibition. Gene expression analysis reveals significant differences in transcription of multiple TLR pathway genes and ptpn22 in stimulated NZB compared to B6 B cells. Additionally, the defect is detected in Ig transgenic NZB F1 hybrid strains (NZBxNZW)F1 and (B6xNZB)F1. These results implicate an inherited defect wherein NZB anergic B cells maintain coordinated TLR/BCR signaling that permits autoantibody production. Agents targeting these pathways may have therapeutic benefit in the subset of lupus patients that manifest similar defects in B-cell regulation.
系统性红斑狼疮是一种使人虚弱的自身免疫性疾病,其中自身抗体和自身反应性 T 细胞会破坏肾脏和其他器官。该病在临床上和遗传上存在异质性,这表明患者之间的潜在机制存在差异。我们之前使用自身抗体转基因小鼠报告系统来研究不同自身免疫背景对 B 细胞耐受的影响,而这种耐受的失败是狼疮的一个基本缺陷。我们发现了一种与内毒素刺激 Ig 转基因新西兰黑色(NZB)小鼠 B 细胞引起的可逆失能相一致的缺陷。在此,我们报告称,TLR7 和 TLR9 以及 TLR4 配体可引发耐受缺陷,具有叠加效应,而 Mek 抑制可部分逆转该缺陷。基因表达分析显示,与 B6 B 细胞相比,受刺激的 NZB 中的多个 TLR 通路基因和 ptpn22 的转录存在显著差异。此外,该缺陷可在 Ig 转基因 NZB F1 杂交品系(NZBxNZW)F1 和(B6xNZB)F1 中检测到。这些结果表明存在一种遗传缺陷,其中 NZB 失能 B 细胞维持协调的 TLR/BCR 信号,从而允许产生自身抗体。针对这些途径的药物可能对表现出类似 B 细胞调节缺陷的狼疮患者亚组具有治疗益处。