Suppr超能文献

多种作用机制介导静脉注射免疫球蛋白治疗获得性大疱性表皮松解症的疗效。

Multiple Modes of Action Mediate the Therapeutic Effect of Intravenous IgG in Experimental Epidermolysis Bullosa Acquisita.

机构信息

Lübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany.

Lübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany; Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

出版信息

J Invest Dermatol. 2022 Jun;142(6):1552-1564.e8. doi: 10.1016/j.jid.2021.08.448. Epub 2021 Nov 15.

Abstract

Substitution of IgG in antibody deficiency or application of high-dose intravenous IgG in patients with autoimmunity is a well-established treatment. However, data on the mode of action of intravenous IgG are controversial and may differ for distinct diseases. In this study, we investigated the impact and molecular mechanism of high-dose IgG (hd-IgG) treatment in murine autoantibody‒induced skin inflammation, namely, epidermolysis bullosa acquisita. Epidermolysis bullosa acquisita is caused by antibodies directed against type VII collagen and is mediated by complement activation, the release of ROS, and proteases by myeloid cells. In murine experimental epidermolysis bullosa acquisita, the disease can be induced by injection of anti‒type VII collagen IgG. In this study, we substantiate that treatment with hd-IgG improves clinical disease manifestation. Mechanistically, hd-IgG reduced the amount of anti‒type VII collagen in the skin and sera, which is indicative of an FcRn-dependent mode of action. Furthermore, in a nonreceptor-mediated fashion, hd-IgG showed antioxidative properties by scavenging extracellular ROS. Hd-IgG also impaired complement activation and served as a substrate for proteases, both key events during epidermolysis bullosa acquisita pathogenesis. Collectively, the nonreceptor-mediated anti-inflammatory properties of hd-IgG may explain the therapeutic benefit of intravenous IgG treatment in skin autoimmunity.

摘要

在抗体缺乏症中替代 IgG 或在自身免疫患者中应用大剂量静脉注射 IgG 是一种成熟的治疗方法。然而,关于静脉注射 IgG 的作用机制的数据存在争议,并且可能因不同的疾病而有所不同。在这项研究中,我们研究了高剂量 IgG(hd-IgG)治疗在自身抗体诱导的皮肤炎症(即获得性大疱性表皮松解症)中的作用及其分子机制。获得性大疱性表皮松解症是由针对 VII 型胶原的抗体引起的,由补体激活、髓样细胞释放 ROS 和蛋白酶介导。在实验性获得性大疱性表皮松解症的小鼠模型中,可通过注射抗 VII 型胶原 IgG 来诱导疾病。在这项研究中,我们证实 hd-IgG 可改善临床疾病表现。从机制上讲,hd-IgG 减少了皮肤和血清中的抗 VII 型胶原含量,这表明其作用机制依赖于 FcRn。此外,hd-IgG 以非受体介导的方式通过清除细胞外 ROS 表现出抗氧化特性。hd-IgG 还可抑制补体激活并作为蛋白酶的底物,这两者都是获得性大疱性表皮松解症发病机制中的关键事件。总的来说,hd-IgG 的非受体介导的抗炎特性可能解释了静脉注射 IgG 治疗皮肤自身免疫的治疗益处。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验