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SARS-CoV-2 刺突蛋白加重系统性红斑狼疮狼疮肾炎和肺纤维化。

SARS-CoV-2 spike aggravates lupus nephritis and lung fibrosis in systemic lupus erythematosus.

机构信息

Lab of Translational ImmunoMedicine (LaTIM), Catholic Research Institute of Medical Science, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

出版信息

Lupus Sci Med. 2024 Sep 30;11(2):e001104. doi: 10.1136/lupus-2023-001104.


DOI:10.1136/lupus-2023-001104
PMID:39349051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11448135/
Abstract

OBJECTIVE: COVID-19 induces the development of autoimmune diseases, including SLE, which are characterised by inflammation, autoantibodies and thrombosis. However, the effects of COVID-19 on SLE remain unclear. METHODS: We investigated the effects of COVID-19 on SLE development and progression in three animal models. Plasmids encoding SARS-CoV-2 spike protein and ACE2 receptor were injected into R848-induced BALB/C lupus mice, R848-induced IL-1 receptor antagonist knockout (KO) lupus mice and MRL/lpr mice. Serum levels of albumin and autoantibodies, lymphocyte phenotypes and tissue histology were evaluated. RESULTS: In R848-induced BALB/C lupus mice, the SARS-CoV-2 spike protein increased autoantibody and albumin levels compared with vehicle and mock treatments. These mice also exhibited splenomegaly, which was further exacerbated by the spike protein. Flow cytometric analysis revealed elevated T helper 1 cell counts, and histological analysis indicated increased levels of the fibrosis marker protein α-smooth muscle actin. In KO mice, the spike protein induced splenomegaly, severe kidney damage and pronounced lung fibrosis. In the MRL/lpr group, spike protein increased the serum levels of autoantibodies, albumin and the thrombosis marker chemokine (C-X-C motif) ligand 4. CONCLUSION: COVID-19 accelerated the development and progression of lupus by inducing autoantibody production, fibrosis and thrombosis.

摘要

目的:COVID-19 可引发自身免疫性疾病,包括系统性红斑狼疮(SLE),其特征为炎症、自身抗体和血栓形成。然而,COVID-19 对 SLE 的影响仍不清楚。

方法:我们在三种动物模型中研究了 COVID-19 对 SLE 发病和进展的影响。将编码 SARS-CoV-2 刺突蛋白和 ACE2 受体的质粒注入 R848 诱导的 BALB/C 狼疮小鼠、R848 诱导的白细胞介素-1 受体拮抗剂敲除(KO)狼疮小鼠和 MRL/lpr 小鼠中。评估血清白蛋白和自身抗体水平、淋巴细胞表型和组织病理学。

结果:在 R848 诱导的 BALB/C 狼疮小鼠中,与载体和模拟治疗相比,SARS-CoV-2 刺突蛋白增加了自身抗体和白蛋白水平。这些小鼠还表现出脾肿大,而刺突蛋白进一步加重了脾肿大。流式细胞术分析显示 Th1 细胞计数增加,组织学分析表明纤维化标志物α-平滑肌肌动蛋白水平升高。在 KO 小鼠中,刺突蛋白诱导脾肿大、严重的肾脏损伤和明显的肺纤维化。在 MRL/lpr 组中,刺突蛋白增加了自身抗体、白蛋白和血栓形成标志物趋化因子(C-X-C 基序)配体 4 的血清水平。

结论:COVID-19 通过诱导自身抗体产生、纤维化和血栓形成加速了狼疮的发生和发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/23e6fc8bde6a/lupus-11-2-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/8381b965c633/lupus-11-2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/d21d4d7d8649/lupus-11-2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/5a93d345c1d8/lupus-11-2-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/23e6fc8bde6a/lupus-11-2-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/8381b965c633/lupus-11-2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/d21d4d7d8649/lupus-11-2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/5a93d345c1d8/lupus-11-2-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4da8/11448135/23e6fc8bde6a/lupus-11-2-g004.jpg

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SARS-CoV-2 spike aggravates lupus nephritis and lung fibrosis in systemic lupus erythematosus.

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引用本文的文献

[1]
Pathogenesis of Autoimmunity/Systemic Lupus Erythematosus (SLE).

Cells. 2025-7-15

[2]
Integrative bioinformatics analysis reveals STAT1, ORC2, and GTF2B as critical biomarkers in lupus nephritis with Monkeypox virus infection.

Sci Rep. 2025-4-19

本文引用的文献

[1]
Systemic lupus erythematosus after coronavirus disease-2019 (COVID-19) infection: Case-based review.

Egypt Rheumatol. 2022-4

[2]
Severe COVID-19 as a Possible Mediator of Autoimmunity and Sjögren's Syndrome.

Cureus. 2023-2-22

[3]
Autoantibodies against chemokines post-SARS-CoV-2 infection correlate with disease course.

Nat Immunol. 2023-4

[4]
SARS-CoV-2 spike protein promotes inflammatory cytokine activation and aggravates rheumatoid arthritis.

Cell Commun Signal. 2023-3-2

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Case Report: A case of recurrent thrombosis in pediatric antiphospholipid syndrome associated with pediatric onset systemic lupus.

Front Pediatr. 2023-2-3

[6]
Risks of mortality and severe coronavirus disease 19 (COVID-19) outcomes in patients with or without systemic lupus erythematosus.

Lupus Sci Med. 2023-2

[7]
Systematic Literature Review and Meta-analysis of Venous Thromboembolism Events in Systemic Lupus Erythematosus.

Rheumatol Ther. 2023-2

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Post-Coronavirus Disease 2019 Pulmonary Fibrosis: Wait or Needs Intervention.

Tuberc Respir Dis (Seoul). 2022-10

[9]
The interaction between anti-PF4 antibodies and anticoagulants in vaccine-induced thrombotic thrombocytopenia.

Blood. 2022-6-9

[10]
New-onset lupus nephritis associated with COVID-19 infection.

Lupus. 2022-7

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