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10.1186/s13075-017-1258-4

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suck abstract from ncbi


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pmid28274252      Arthritis+Res+Ther 2017 ; 19 (ä): ä
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  • Elevated serum autoantibodies against co-inhibitory PD-1 facilitate T cell proliferation and correlate with disease activity in new-onset systemic lupus erythematosus patients #MMPMID28274252
  • Shi H; Ye J; Teng J; Yin Y; Hu Q; Wu X; Liu H; Cheng X; Su Y; Liu M; Gu J; Lu T; Chen H; Zheng H; Sun Y; Yang C
  • Arthritis Res Ther 2017[]; 19 (ä): ä PMID28274252show ga
  • Background: Programmed cell death protein 1 (PD-1) plays an important role in immune response regulation as a co-inhibitory signal during T cell activation. However, there is little known about the serum autoantibody profile of PD-1 in systemic lupus erythematosus (SLE), a disease characterized by the breakdown of immune tolerance to self-antigens and an excessive production of autoantibodies. Thus, we aim to investigate the serum levels and function of anti-PD-1 in patients with new-onset SLE. Methods: Serum levels of anti-PD-1 IgG and IgM isotypes were detected in new-onset SLE patients (n?=?90), rheumatoid arthritis (n?=?50), primary Sjogren?s syndrome (n?=?50), ankylosing spondylitis (n?=?25), and healthy controls (HC) (n?=?80) using an enzyme-linked immunosorbent assay (ELISA). The correlation of anti-PD-1 with clinical characteristics and laboratory parameters of patients with new-onset SLE was analyzed. The effects of purified anti-PD-1 IgG from SLE patients on T cell proliferation were measured using flow cytometry. Results: The data revealed increased levels of anti-PD-1 IgG, but not IgM, especially in new-onset SLE patients, and the positive rate of anti-PD-1 IgG was 30 (33.3%). The level of anti-PD-1 IgG was closely associated with malar rash (OR?=?15.773), arthritis (OR?=?22.937), serositis (OR?=?16.008), hematological (OR?=?35.187), renal (OR?=?8.306), and neurological involvement (OR?=?37.282). Moreover, the serum levels of anti-PD-1 IgG were positively correlated with the SLE disease activity index (SLEDAI) score (r?=?0.296, p?=?0.0046) and the erythrocyte sedimentation rate (ESR) (r?=?0.2446, p?=?0.0201). In vitro examination showed that purified anti-PD-1 IgG obtained from SLE patients enhanced T cell proliferation when co-cultured with dendritic cells (DCs). Conclusions: The current study indicates, for the first time, that the serum levels of co-inhibitor autoantibodies against PD-1 are elevated in new-onset SLE patients and are associated with disease activity in SLE. Autoantibodies against PD-1, facilitating T cell proliferation, revealed a new insight into the function of negative regulation signals involved in the pathogenesis of SLE. Electronic supplementary material: The online version of this article (doi:10.1186/s13075-017-1258-4) contains supplementary material, which is available to authorized users.
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