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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Autoimmun
2015 ; 60
(ä): 40-50
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TNF-like weak inducer of apoptosis promotes blood brain barrier disruption and
increases neuronal cell death in MRL/lpr mice
#MMPMID25911200
Wen J
; Doerner J
; Weidenheim K
; Xia Y
; Stock A
; Michaelson JS
; Baruch K
; Deczkowska A
; Gulinello M
; Schwartz M
; Burkly LC
; Putterman C
J Autoimmun
2015[Jun]; 60
(ä): 40-50
PMID25911200
show ga
Neuropsychiatric disease is one of the most common manifestations of human
systemic lupus erythematosus, but the mechanisms remain poorly understood. In
human brain microvascular endothelial cells in vitro, TNF-like weak inducer of
apoptosis (TWEAK) decreases tight junction ZO-1 expression and increases the
permeability of monolayer cell cultures. Furthermore, knockout (KO) of the TWEAK
receptor, Fn14, in the MRL/lpr lupus mouse strain markedly attenuates
neuropsychiatric disease, as demonstrated by significant reductions in
depressive-like behavior and improved cognitive function. The purpose of the
present study was to determine the mechanisms by which TWEAK signaling is
instrumental in the pathogenesis of neuropsychiatric lupus (NPSLE). Evaluating
brain sections of MRL/lpr Fn14WT and Fn14KO mice, we found that Fn14KO mice
displayed significantly decreased cellular infiltrates in the choroid plexus. To
evaluate the integrity of the blood brain barrier (BBB) in MRL/lpr mice, Western
blot for fibronectin, qPCR for iNOS, and immunohistochemical staining for
VCAM-1/ICAM-1 were performed. We found preserved BBB permeability in MRL/lpr
Fn14KO mice, attributable to reduced brain expression of VCAM-1/ICAM-1 and iNOS.
Additionally, administration of Fc-TWEAK intravenously directly increased the
leakage of a tracer (dextran-FITC) into brain tissue. Furthermore, MRL/lpr Fn14KO
mice displayed reduced antibody (IgG) and complement (C3, C6, and C4a) deposition
in the brain. Finally, we found that MRL/lpr Fn14KO mice manifested reduced
neuron degeneration and hippocampal gliosis. Our studies indicate that TWEAK/Fn14
interactions play an important role in the pathogenesis of NPSLE by increasing
the accumulation of inflammatory cells in the choroid plexus, disrupting BBB
integrity, and increasing neuronal damage, suggesting a novel target for therapy
in this disease.