PLoS ONE · 2012 · 28 citations · 44 references
Life SciencesImmunologyPathologyAutoimmunityInflammationInnate ImmunityInflammatory SignalingRenal DiseaseRenal ImmunopathologyRenal InflammationSystemic Lupus ErythematosusToll-like ReceptorsChromatin FragmentationChromatin Remodeling ComplexesImmune-mediated NephritisImmunopathology Of Renal DiseasePro-inflammatory Mediator ProductionProtein Expression LevelsProtein Expression ProfilingSystemic Lupus Erythematosus Models
Recent studies demonstrate that transformation of mild lupus nephritis into end-stage disease is imposed by silencing of renal DNaseI gene expression in (NZBxNZW)F1 mice. Down-regulation of DNaseI results in reduced chromatin fragmentation, and in deposition of extracellular chromatin-IgG complexes in glomerular basement membranes in individuals that produce IgG anti-chromatin antibodies. The main focus of the present study is to describe the biological consequences of renal DNaseI shut-down and reduced chromatin fragmentation with a particular focus on whether exposed large chromatin fragments activate Toll like receptors and the necrosis-related Clec4e receptor in murine and human lupus nephritis. Furthermore, analyses where performed to determine if matrix metalloproteases are up-regulated as a consequence of chromatin-mediated Toll like receptors/Clec4e stimulation. Mouse and human mRNA expression levels of DNaseI, Toll like receptors 7-9, Clec4e, pro-inflammatory cytokines and MMP2/MMP9 were determined and compared with in situ protein expression profiles and clinical data. We demonstrate that exposure of chromatin significantly up-regulate Toll like receptors and Clec4e in mice, and also but less pronounced in patients with lupus nephritis treated with immunosuppresants. In conclusion, silencing of renal DNaseI gene expression initiates a cascade of inflammatory signals leading to progression of both murine and human lupus nephritis. Principal component analyses biplot of data from murine and human lupus nephrits demonstrate the importance of DNaseI gene shut down for progression of the organ disease.
44
The 1982 revised criteria for the classification of systemic lupus erythematosus
Eng M. Tan, Alan S. Cohen, James F. Fries et al. · Arthritis & Rheumatism · 1982 · 14.6K citations
Melinda Fitzgerald, Ian P. Hayward, Anita C. Thomas et al. · 1995 · 2.6K citations
Anisur Rahman, David Isenberg · New England Journal of Medicine · 2008 · 1.6K citations
Features of systemic lupus erythematosus in Dnase1-deficient mice
Markus Napirei, Holger Karsunky, Branko Zevnik et al. · Nature Genetics · 2000 · 781 citations
Medicine, Immunology, Pathology +11