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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.