Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
Center for Substance Abuse Research, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
Int J Mol Sci. 2024 Sep 19;25(18):10080. doi: 10.3390/ijms251810080.
Excessive production and response to Type I interferons (IFNs) is a hallmark of systemic lupus erythematosus (SLE). Neuropsychiatric lupus (NPSLE) is a common manifestation of human SLE, with major depression as the most common presentation. Clinical studies have demonstrated that IFNα can cause depressive symptoms. We have shown that the kallikrein-kinin system (KKS) [comprised of kallikreins (Klks) and bradykinins] and angiotensin-converting enzyme inhibitors suppressed Type I IFN responses in dendritic cells from lupus-prone mice and human peripheral blood mononuclear cells. Tissue Klk genes are decreased in patients with lupus, and giving exogenous Klk1 ameliorated kidney pathology in mice. We retro-orbitally administered mouse gene-carrying adenovirus in the Murphy Roths Large lymphoproliferative (MRL/lpr) lupus-prone mice at early disease onset and analyzed immune responses and depressive-like behavior. Klk1 improved depressive-like behavior, suppressed interferon-responsive genes and neuroinflammation, and reduced plasma IFNα levels and proinflammatory cytokines. Klk1 also reduced IFNAR1 and JAK1 protein expression, important upstream molecules in Type I IFN signaling. Klk1 reduced bradykinin B1 receptor expression, which is known to induce proinflammatory response. Together, these findings suggest that Klk1 may be a potential therapeutic candidate to control IFNα production/responses and other inflammatory responses in SLE and NPSLE.
过度产生和对 I 型干扰素(IFN)的反应是红斑狼疮(SLE)的标志。神经精神狼疮(NPSLE)是人类 SLE 的常见表现,以重度抑郁症为最常见表现。临床研究表明 IFNα 可引起抑郁症状。我们已经表明,激肽释放酶-激肽系统(KKS)[由激肽释放酶(Klks)和缓激肽组成]和血管紧张素转换酶抑制剂可抑制狼疮易感小鼠和人外周血单核细胞中的 I 型 IFN 反应。狼疮患者的组织 Klk 基因减少,给予外源性 Klk1 可改善狼疮小鼠的肾脏病理。我们在疾病早期将携带小鼠基因的腺病毒经眼眶后注射到易患狼疮的 Murphy Roths 大型淋巴增生性(MRL/lpr)小鼠中,并分析免疫反应和抑郁样行为。Klk1 改善了抑郁样行为,抑制了干扰素反应基因和神经炎症,降低了血浆 IFNα 水平和促炎细胞因子。Klk1 还降低了 IFNAR1 和 JAK1 蛋白表达,这是 I 型 IFN 信号的重要上游分子。Klk1 降低了缓激肽 B1 受体的表达,已知该受体可诱导促炎反应。综上所述,这些发现表明 Klk1 可能是一种潜在的治疗候选药物,可控制 SLE 和 NPSLE 中的 IFNα 产生/反应和其他炎症反应。
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