Furukawa F, Ohshio G, Imamura S
Department of Dermatology, Faculty of Medicine, Kyoto University, Japan.
Arch Dermatol Res. 1993;285(1-2):20-6. doi: 10.1007/BF00370818.
The deposition of immunoglobulin (Ig) at the dermo-epidermal junction (DEJ) of the skin, frequently observed in autoimmune mouse strains, is similar to that seen in patients with systemic lupus erythematosus (SLE). MRL/Mp-lpr/lpr (MRL/lpr) mice have an autosomal recessive mutant gene, lpr, which produces massive T-cell proliferation and accelerates the onset of autoimmune diseases. MRL/Mp- +/+ (MRL/n) mice lack the lpr gene, and do not develop autoimmune disease during the first year after birth under pathogen-free conditions. To verify the mechanisms of subepidermal Ig deposition in the skin of LE, we designed an experiment in which we could induce Ig deposition in the control MRL/n mice. Intraperitoneal injection of lymphoproliferative cells of aged MRL/lpr mice induced splenomegaly and splenic granulomatous angitis in the control MRL/n mice. Lipopolysaccharide (LPS), a polyclonal B-cell activator, induced slight splenomegaly and relatively high levels of serum Ig. Dermatopathological investigation revealed mild lymphocyte infiltration without positive Ig deposition at the DEJ of MRL/n mice treated with proliferative T cells. Injection of both proliferative T cells and LPS induced 50% positivity of subepidermal Ig deposition, and high levels of serum immunoglobulins and anti-double stranded DNA (anti-dsDNA) antibodies. These changes were not observed in MRL/n mice injected with thymocytes of newborn MRL/lpr mice. Skin lesions and lupus nephritis were not demonstrated in any of the mice tested. This study suggest that both the mild inflammatory reaction and the presence of anti-dsDNA antibodies are required for the induction Ig deposition at the DEJ in the skin of LE patients.
免疫球蛋白(Ig)在皮肤真皮-表皮交界处(DEJ)的沉积在自身免疫性小鼠品系中经常可见,这与系统性红斑狼疮(SLE)患者的情况相似。MRL/Mp-lpr/lpr(MRL/lpr)小鼠有一个常染色体隐性突变基因lpr,它会导致大量T细胞增殖并加速自身免疫性疾病的发病。MRL/Mp- +/+(MRL/n)小鼠缺乏lpr基因,在无病原体条件下出生后的第一年内不会发生自身免疫性疾病。为了验证LE患者皮肤表皮下Ig沉积的机制,我们设计了一个实验,在对照MRL/n小鼠中诱导Ig沉积。腹腔注射老龄MRL/lpr小鼠的淋巴细胞增殖细胞可诱导对照MRL/n小鼠出现脾肿大和脾肉芽肿性血管炎。脂多糖(LPS)是一种多克隆B细胞激活剂,可诱导轻微脾肿大和相对较高水平的血清Ig。皮肤病理学研究显示,在用增殖性T细胞处理的MRL/n小鼠的DEJ处,有轻度淋巴细胞浸润,但Ig沉积为阴性。同时注射增殖性T细胞和LPS可诱导50%的表皮下Ig沉积阳性,以及高水平的血清免疫球蛋白和抗双链DNA(抗dsDNA)抗体。在注射新生MRL/lpr小鼠胸腺细胞的MRL/n小鼠中未观察到这些变化。在任何测试小鼠中均未发现皮肤病变和狼疮性肾炎。这项研究表明,轻度炎症反应和抗dsDNA抗体的存在都是诱导LE患者皮肤DEJ处Ig沉积所必需的。