Shanghai Institute of Rheumatology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Shenzhen Futian Hospital for Rheumatic Diseases, Shenzhen, China.
Arthritis Rheumatol. 2020 Dec;72(12):2106-2117. doi: 10.1002/art.41419. Epub 2020 Oct 25.
Type I interferons (IFNs) are critical in the development of systemic lupus erythematosus (SLE). Metabolic abnormalities cause dysregulation of multiple immune cells, but the metabolic regulation of type I IFN production is not well clarified in SLE. We undertook this study to define amino acid metabolism features in SLE and to explore the function of disease-relevant metabolites in the control of plasmacytoid dendritic cell (pDC)-mediated type I IFN production and the progression of SLE.
Metabolomic profiling of the serum from SLE patients and healthy controls was performed by mass spectrometry. The effects of SLE-related metabolites on type I IFN production were explored in human and mouse pDCs. The reactive oxygen species (ROS) levels of pDCs from wild-type and Ncf1 mice were measured by flow cytometry. Mechanisms were investigated by RNA sequencing and immunoblotting. In vivo effects of SLE-relevant metabolites were systemically analyzed in B6.Cg-Sle1 Yaa/DcrJ mice.
Taurine was higher in the serum from SLE patients compared to healthy controls (P < 0.001) and rheumatoid arthritis patients (P < 0.001). Taurine content was positively correlated with disease activity and the expression of IFN signature genes. The addition of taurine facilitated IFN regulatory factor 7 phosphorylation and enhanced type I IFN production by reducing the ROS levels in pDCs in a neutrophil cytosolic factor 1-dependent manner. Taurine supplementation promoted expression of type I IFN-induced genes, activated lymphocytes, and increased autoantibodies and proteinuria, leading to more serious nephritis.
Taurine metabolism is involved in the development of SLE by enhancing pDC-mediated type I IFN production. Targeted inhibition of taurine or implementation of a taurine-restricted diet has therapeutic potential in SLE.
I 型干扰素(IFN)在系统性红斑狼疮(SLE)的发展中至关重要。代谢异常导致多种免疫细胞失调,但 SLE 中 I 型 IFN 产生的代谢调节尚不清楚。我们进行这项研究是为了确定 SLE 中的氨基酸代谢特征,并探讨疾病相关代谢物在控制浆细胞样树突状细胞(pDC)介导的 I 型 IFN 产生和 SLE 进展中的作用。
通过质谱法对 SLE 患者和健康对照者的血清进行代谢组学分析。在人和小鼠 pDC 中探索与 SLE 相关的代谢物对 I 型 IFN 产生的影响。通过流式细胞术测量野生型和 Ncf1 小鼠 pDC 的活性氧(ROS)水平。通过 RNA 测序和免疫印迹法研究机制。在 B6.Cg-Sle1 Yaa/DcrJ 小鼠中系统分析 SLE 相关代谢物的体内作用。
与健康对照者(P < 0.001)和类风湿关节炎患者(P < 0.001)相比,SLE 患者血清中的牛磺酸含量较高。牛磺酸含量与疾病活动度和 IFN 特征基因的表达呈正相关。牛磺酸的添加通过减少中性粒细胞胞质因子 1 依赖性 pDC 中的 ROS 水平促进 IFN 调节因子 7 磷酸化,并增强 I 型 IFN 的产生。牛磺酸补充剂促进 I 型 IFN 诱导基因的表达,激活淋巴细胞,并增加自身抗体和蛋白尿,导致更严重的肾炎。
牛磺酸代谢通过增强 pDC 介导的 I 型 IFN 产生参与 SLE 的发生。靶向抑制牛磺酸或实施牛磺酸限制饮食具有治疗 SLE 的潜力。