Seery J P, Carroll J M, Cattell V, Watt F M
Keratinocyte Laboratory, Imperial Cancer Research Fund, London WC2A 3PX, United Kingdom.
J Exp Med. 1997 Nov 3;186(9):1451-9. doi: 10.1084/jem.186.9.1451.
Systemic lupus erythematosus (SLE) is a potentially fatal non-organ-specific autoimmune disease that predominantly affects women. Features of the disease include inflammatory skin lesions and widespread organ damage caused by deposition of anti-dsDNA autoantibodies. The mechanism and site of production of these autoantibodies is unknown, but there is evidence that interferon (IFN) gamma plays a key role. We have used the involucrin promoter to overexpress IFN-gamma in the suprabasal layers of transgenic mouse epidermis. There was no evidence of organ-specific autoimmunity, but transgenic animals produced autoantibodies against dsDNA and histones. Autoantibody levels in female mice were significantly higher than in male transgenic mice. Furthermore, there was IgG deposition in the glomeruli of all female mice and histological evidence of severe proliferative glomerulonephritis in a proportion of these animals. Our findings are consistent with a central role for the skin immune system, acting under the influence of IFN-gamma, in the pathogenesis of SLE.
系统性红斑狼疮(SLE)是一种潜在致命的非器官特异性自身免疫性疾病,主要影响女性。该疾病的特征包括炎症性皮肤病变以及由抗双链DNA自身抗体沉积导致的广泛器官损害。这些自身抗体的产生机制和部位尚不清楚,但有证据表明干扰素(IFN)γ起关键作用。我们利用内披蛋白启动子在转基因小鼠表皮的基底层上方过度表达IFN-γ。没有器官特异性自身免疫的证据,但转基因动物产生了针对双链DNA和组蛋白的自身抗体。雌性小鼠的自身抗体水平显著高于雄性转基因小鼠。此外,所有雌性小鼠的肾小球中均有IgG沉积,并且在其中一部分动物中有严重增殖性肾小球肾炎的组织学证据。我们的研究结果与皮肤免疫系统在IFN-γ影响下起核心作用参与SLE发病机制相符。