Department of Nephrology, Xijing Hospital, The Fourth Military Medical University of People's Liberation Army, Xi'an, China.
Outpatient Department, Xi'an Children's Hospital, Xi'an, China.
Am J Physiol Renal Physiol. 2020 May 1;318(5):F1258-F1270. doi: 10.1152/ajprenal.00472.2019. Epub 2020 Apr 6.
B lymphocyte hyperactivity plays a pathogenic role in systemic lupus erythematosus (SLE), and spliced X box-binding protein 1 (XBP1s) has been implicated in B cell maturation and differentiation. We hypothesized that blockade of the XBP1s pathway inhibits the B cell hyperactivity underlying SLE and lupus nephritis (LN) development. In the present study, we systematically evaluated the changes in B cell activation induced by the Xbp1 splicing inhibitor STF083010 in a pristane-induced lupus mouse model. The lupus mouse model was successfully established, as indicated by the presence of LN with markedly increased urine protein levels, renal deposition of Ig, and mesangial cell proliferation. In lupus mice, B cell hyperactivity was confirmed by increased CD40 and B cell-activating factor levels. B cell activation and plasma cell overproduction were determined by increases in CD40-positive and CD138-positive cells in the spleens of lupus mice by flow cytometry and further confirmed by CD45R and Ig light chain staining in the splenic tissues of lupus mice. mRNA and protein expression of XBP1s in B cells was assessed by real-time PCR, Western blot analysis, and immunofluorescence analysis and was increased in lupus mice. In addition, almost all changes were reversed by STF083010 treatment. However, the expression of XBP1s in the kidneys did not change when mice were exposed to pristane and STF083010. Taken together, these findings suggest that expression of XBP1s in B cells plays key roles in SLE and LN development. Blockade of the XBP1s pathway may be a potential strategy for SLE and LN treatment.
B 淋巴细胞过度活跃在系统性红斑狼疮 (SLE) 中起着致病作用,剪接 X 盒结合蛋白 1 (XBP1s) 已被牵连到 B 细胞成熟和分化中。我们假设阻断 XBP1s 通路可抑制 SLE 和狼疮性肾炎 (LN) 发展中 B 细胞过度活跃。在本研究中,我们系统评估了 Xbp1 剪接抑制剂 STF083010 在诱导型狼疮小鼠模型中对 B 细胞激活的影响。狼疮小鼠模型成功建立,表现为 LN 存在,尿蛋白水平明显升高,肾脏 Ig 沉积和系膜细胞增殖。在狼疮小鼠中,通过增加 CD40 和 B 细胞激活因子水平证实了 B 细胞过度活跃。通过流式细胞术检测狼疮小鼠脾脏中 CD40 阳性和 CD138 阳性细胞的增加,进一步通过狼疮小鼠脾脏组织中 CD45R 和 Ig 轻链染色确定 B 细胞激活和浆细胞过度产生。通过实时 PCR、Western blot 分析和免疫荧光分析评估了 B 细胞中 XBP1s 的 mRNA 和蛋白表达,发现狼疮小鼠中 XBP1s 的表达增加。此外,STF083010 治疗几乎逆转了所有变化。然而,当小鼠暴露于 pristane 和 STF083010 时,肾脏中 XBP1s 的表达没有改变。总之,这些发现表明 B 细胞中 XBP1s 的表达在 SLE 和 LN 发展中起着关键作用。阻断 XBP1s 通路可能是 SLE 和 LN 治疗的一种潜在策略。