Mohan C, Adams S, Stanik V, Datta S K
Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts 02111.
J Exp Med. 1993 May 1;177(5):1367-81. doi: 10.1084/jem.177.5.1367.
Only a fraction (12%) of 268 "autoreactive" T cell clones derived from lupus-prone mice can selectively induce the production of pathogenic anti-DNA autoantibodies in vitro and accelerate the development of lupus nephritis when transferred in vivo. The CDR3 loops of T cell receptor beta chains expressed by these pathogenic T helper (Th) clones contain a recurrent motif of anionic residues suggesting that they are selected by autoantigens with cationic residues. Herein, we found that approximately 50% of these pathogenic Th clones were specific for nucleosomal antigens, but none of them responded to cationic idiopeptides shared by variable regions of pathogenic anti-DNA autoantibodies. Nucleosomes did not stimulate the T cells as a nonspecific mitogen or superantigen. Only the pathogenic Th cells of lupus responded to nucleosomal antigens that were processed and presented via the major histocompatibility class II pathway. Although the presentation of purified mononucleosomes to the Th clones could be blocked by inhibitors of endosomal proteases, neither of the two components of the nucleosomes--free DNA or histones by themselves--could stimulate the Th clones. Thus critical peptide epitopes for the Th cells were probably protected during uptake and processing of the nucleosome particle as a whole. The nucleosome-specific Th clones preferentially augmented the production of IgG autoantibodies to histone-DNA complex in vitro. In vivo, nucleosome-specific, CD4+ T cells were not detectable in normal mice, but they were found in the spleens of lupus-prone mice as early as 1 mo of age, long before other autoimmune manifestations. Immunization of young, preautoimmune lupus mice with nucleosomes augmented the production of autoantibodies and markedly accelerated the development of severe glomerulonephritis. Previously, crude preparations containing nucleosomes were shown by others to have polyclonal mitogenic activity for B cells from normal as well as lupus mice. Identification here of pure mononucleosome as a lupus-specific immunogen for the Th cells that selectively help the pathogenic anti-DNA autoantibody producing B cells of lupus could lead to the design of specific therapy against this pathogenic autoimmune response.
在源自狼疮易感小鼠的268个“自身反应性”T细胞克隆中,只有一小部分(12%)能够在体外选择性诱导致病性抗DNA自身抗体的产生,并在体内转移时加速狼疮性肾炎的发展。这些致病性辅助性T(Th)细胞克隆所表达的T细胞受体β链的互补决定区3(CDR3)环含有一个反复出现的阴离子残基基序,这表明它们是由带有阳离子残基的自身抗原选择出来的。在此,我们发现这些致病性Th细胞克隆中约50%对核小体抗原具有特异性,但它们对致病性抗DNA自身抗体可变区共有的阳离子独特型肽均无反应。核小体不会作为非特异性有丝分裂原或超抗原刺激T细胞。只有狼疮的致病性Th细胞对通过主要组织相容性复合体II类途径加工和呈递的核小体抗原产生反应。虽然向Th细胞克隆呈递纯化的单核小体可被内体蛋白酶抑制剂阻断,但核小体的两个组分——游离DNA或组蛋白本身——均不能刺激Th细胞克隆。因此,Th细胞的关键肽表位可能在整个核小体颗粒的摄取和加工过程中受到保护。核小体特异性Th细胞克隆在体外优先增强针对组蛋白-DNA复合物的IgG自身抗体的产生。在体内,正常小鼠中未检测到核小体特异性CD4⁺ T细胞,但在狼疮易感小鼠的脾脏中早在1月龄时就可发现,远早于其他自身免疫表现。用核小体免疫年轻的自身免疫前狼疮小鼠可增强自身抗体的产生,并显著加速严重肾小球肾炎的发展。此前,其他人已表明含有核小体的粗制品对正常小鼠和狼疮小鼠的B细胞具有多克隆有丝分裂活性。在此鉴定出纯单核小体是狼疮特异性免疫原,可选择性辅助产生致病性抗DNA自身抗体的狼疮B细胞,这可能会带来针对这种致病性自身免疫反应的特异性治疗方案的设计。