Division of Rheumatology and Clinical Immunology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Department of Immunology, School of Medicine, Complutense University of Madrid, Madrid, Spain.
Rheumatology (Oxford). 2020 Aug 1;59(8):2146-2155. doi: 10.1093/rheumatology/keaa094.
Lymphopenia is a frequent clinical manifestation and risk factor for infections in SLE, but the underlying mechanisms are not fully understood. We previously identified novel roles for the RNA-binding protein serine arginine-rich splicing factor 1 (SRSF1) in the control of genes involved in signalling and cytokine production in human T cells. SRSF1 is decreased in T cells from patients with SLE and associates with severe disease. Because SRSF1 controls the expression of apoptosis-related genes, we hypothesized that SRSF1 controls T cell homeostasis and, when reduced, leads to lymphopenia.
We evaluated SRSF1 expression in T cells from SLE patients by immunoblots and analysed its correlation with clinical parameters. T cell conditional Srsf1 knockout mice were used to evaluate lymphoid cells and apoptosis by flow cytometry. Quantitative PCR and immunoblots were used to assess Bcl-xL mRNA and protein expression. SRSF1 overexpression was performed by transient transfections by electroporation.
We found that low SRSF1 levels correlated with lymphopenia in SLE patients. Selective deletion of Srsf1 in T cells in mice led to T cell lymphopenia, with increased apoptosis and decreased expression of the anti-apoptotic Bcl-xL. Lower SRSF1 expression correlated with low Bcl-xL levels in T cells and lower Bcl-xL levels associated with lymphopenia in SLE patients. Importantly, overexpression of SRSF1 rescued survival of T cells from patients with SLE.
Our studies uncovered a previously unrecognized role for SRSF1 in the control of T cell homeostasis and its reduced expression as a molecular defect that contributes to lymphopenia in systemic autoimmunity.
淋巴细胞减少症是 SLE 患者常见的临床表现和感染风险因素,但发病机制尚不完全清楚。我们之前发现 RNA 结合蛋白丝氨酸/精氨酸丰富剪接因子 1(SRSF1)在控制人类 T 细胞信号转导和细胞因子产生相关基因方面具有新的作用。SRSF1 在 SLE 患者的 T 细胞中减少,与严重疾病相关。由于 SRSF1 控制凋亡相关基因的表达,我们假设 SRSF1 控制 T 细胞的稳态,当 SRSF1 减少时会导致淋巴细胞减少症。
我们通过免疫印迹法评估 SLE 患者 T 细胞中的 SRSF1 表达,并分析其与临床参数的相关性。使用 T 细胞条件性 Srsf1 敲除小鼠通过流式细胞术评估淋巴细胞和凋亡。使用定量 PCR 和免疫印迹法评估 Bcl-xL mRNA 和蛋白表达。通过电穿孔进行瞬时转染以过表达 SRSF1。
我们发现 SLE 患者中 SRSF1 水平降低与淋巴细胞减少症相关。在小鼠中选择性地在 T 细胞中敲除 Srsf1 导致 T 细胞淋巴细胞减少症,凋亡增加,抗凋亡 Bcl-xL 表达降低。较低的 SRSF1 表达与 T 细胞中 Bcl-xL 水平降低相关,SLE 患者中 Bcl-xL 水平降低与淋巴细胞减少症相关。重要的是,SRSF1 的过表达挽救了 SLE 患者 T 细胞的存活。
我们的研究揭示了 SRSF1 在控制 T 细胞稳态中的先前未被认识的作用,以及其表达降低作为导致自身免疫性疾病中淋巴细胞减少症的分子缺陷。