Izui S
Department of Pathology, University of Geneva, Switzerland.
Nihon Jinzo Gakkai Shi. 1995 Nov;37(11):610-5.
Genetic analysis of systemic lupus erythematosus (SLE) in several lupus-prone mice has revealed that multiple, unlinked genes are required for the expression of various autoimmune manifestations, and that several, quite distinct genetic backgrounds are compatible with this disease. Although the nature of these genetic components has not been fully defined, it is becoming clear that certain genes such as the major histocompatibility complex class II genes and the genes regulating apoptosis apparently play a major role in the development of autoimmune responses characteristic in SLE. Analysis of the nephritogenic potential of monoclonal autoantibodies underlines the importance of qualitative features of autoantibodies in the pathogenesis of lupus nephritis. Strikingly, "wire-loop" glomerular lesions characteristic in human lupus nephritis can be induced by the direct localization of murine IgG3 antibodies with cryoglobulin activity without the involvement of immune complex formation. The remarkable correlation of IgG3 production with the development and acceleration of murine lupus nephritis, in association with enhanced activation of the TH1 subset which can lead to an increase in IgG3 production, is highly significant. The production process of more pathogenic autoantibodies appears to be genetically regulated. Further identification of the genetic defects present in lupus-prone mice, but lacking in mice with non-autoimmune backgrounds, is of paramount importance for the understanding of the immunopathogenetic mechanism of lupus nephritis and for the development of new therapeutic approaches for SLE.
对几种狼疮易感小鼠的系统性红斑狼疮(SLE)进行基因分析发现,多种不连锁的基因参与各种自身免疫表现的表达,且几种截然不同的遗传背景都与该疾病相关。尽管这些遗传成分的性质尚未完全明确,但越来越清楚的是,某些基因,如主要组织相容性复合体II类基因和调节细胞凋亡的基因,显然在SLE典型的自身免疫反应发展中起主要作用。对单克隆自身抗体致肾炎潜力的分析强调了自身抗体的定性特征在狼疮性肾炎发病机制中的重要性。引人注目的是,具有冷球蛋白活性的鼠IgG3抗体直接定位可诱导出人类狼疮性肾炎特有的“铁丝圈”肾小球病变,而无需免疫复合物形成。IgG3产生与鼠狼疮性肾炎的发展和加速显著相关,同时TH1亚群的激活增强,这可能导致IgG3产生增加,这一点非常重要。致病性更强的自身抗体的产生过程似乎受基因调控。进一步鉴定狼疮易感小鼠存在但非自身免疫背景小鼠缺乏的遗传缺陷,对于理解狼疮性肾炎的免疫发病机制以及开发SLE的新治疗方法至关重要。
Nihon Jinzo Gakkai Shi. 1995-11
Ann Med Interne (Paris). 1996
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