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10.4049/jimmunol.1601687

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C5360548!5360548 !28219887
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suck abstract from ncbi


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pmid28219887
      J+Immunol 2017 ; 198 (7 ): 2578-2588
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  • Disruption of Pathogenic Cellular Networks by IL-21 Blockade Leads to Disease Amelioration in Murine Lupus #MMPMID28219887
  • Choi JY ; Seth A ; Kashgarian M ; Terrillon S ; Fung E ; Huang L ; Wang LC ; Craft J
  • J Immunol 2017[Apr]; 198 (7 ): 2578-2588 PMID28219887 show ga
  • Systemic lupus erythematosus (lupus) is characterized by autoantibody-mediated organ injury. Follicular Th (Tfh) cells orchestrate physiological germinal center (GC) B cell responses, whereas in lupus they promote aberrant GC responses with autoreactive memory B cell development and plasma cell-derived autoantibody production. IL-21, a Tfh cell-derived cytokine, provides instructional cues for GC B cell maturation, with disruption of IL-21 signaling representing a potential therapeutic strategy for autoantibody-driven diseases such as systemic lupus erythematosus. We used blockade of IL-21 to dissect the mechanisms by which this cytokine promotes autoimmunity in murine lupus. Treatment of lupus-prone B6.Sle1.Yaa mice with an anti-IL-21 blocking Ab reduced titers of autoantibodies, delayed progression of glomerulonephritis and diminished renal-infiltrating Tfh and Th1 cells, and improved overall survival. Therapy inhibited excessive accumulation of Tfh cells coexpressing IL-21 and IFN-?, and suppressed their production of the latter cytokine, albeit while not affecting their frequency. Anti-IL-21 treatment also led to a reduction in GC B cells, CD138(hi) plasmablasts, IFN-?-dependent IgG2c production, and autoantibodies, indicating that Tfh cell-derived IL-21 is critical for pathological B cell cues in lupus. Normalization of GC responses was, in part, caused by uncoupling of Tfh-B cell interactions, as evidenced by reduced expression of CD40L on Tfh cells and reduced B cell proliferation in treated mice. Our work provides mechanistic insight into the contribution of IL-21 to the pathogenesis of murine lupus, while revealing the importance of T-B cellular cross-talk in mediating autoimmunity, demonstrating that its interruption impacts both cell types leading to disease amelioration.
  • |Animals [MESH]
  • |Autoimmunity/immunology [MESH]
  • |B-Lymphocytes/*immunology [MESH]
  • |Disease Models, Animal [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Enzyme-Linked Immunospot Assay [MESH]
  • |Flow Cytometry [MESH]
  • |Interleukin-21 [MESH]
  • |Interleukins/*immunology [MESH]
  • |Lupus Erythematosus, Systemic/*immunology [MESH]
  • |Male [MESH]
  • |Mice [MESH]
  • |Mice, Mutant Strains [MESH]
  • |Receptor Cross-Talk/*immunology [MESH]


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