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10.1172/jci.insight.90111

http://scihub22266oqcxt.onion/10.1172/jci.insight.90111
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suck abstract from ncbi


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pmid28405610
      JCI+Insight 2017 ; 2 (7 ): e90111
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  • Btk-specific inhibition blocks pathogenic plasma cell signatures and myeloid cell-associated damage in IFN?-driven lupus nephritis #MMPMID28405610
  • Katewa A ; Wang Y ; Hackney JA ; Huang T ; Suto E ; Ramamoorthi N ; Austin CD ; Bremer M ; Chen JZ ; Crawford JJ ; Currie KS ; Blomgren P ; DeVoss J ; DiPaolo JA ; Hau J ; Johnson A ; Lesch J ; DeForge LE ; Lin Z ; Liimatta M ; Lubach JW ; McVay S ; Modrusan Z ; Nguyen A ; Poon C ; Wang J ; Liu L ; Lee WP ; Wong H ; Young WB ; Townsend MJ ; Reif K
  • JCI Insight 2017[Apr]; 2 (7 ): e90111 PMID28405610 show ga
  • Systemic lupus erythematosus (SLE) is often associated with exaggerated B cell activation promoting plasma cell generation, immune-complex deposition in the kidney, renal infiltration of myeloid cells, and glomerular nephritis. Type-I IFNs amplify these autoimmune processes and promote severe disease. Bruton's tyrosine kinase (Btk) inhibitors are considered novel therapies for SLE. We describe the characterization of a highly selective reversible Btk inhibitor, G-744. G-744 is efficacious, and superior to blocking BAFF and Syk, in ameliorating severe lupus nephritis in both spontaneous and IFN?-accelerated lupus in NZB/W_F1 mice in therapeutic regimens. Selective Btk inhibition ablated plasmablast generation, reduced autoantibodies, and - similar to cyclophosphamide - improved renal pathology in IFN?-accelerated lupus. Employing global transcriptional profiling of spleen and kidney coupled with cross-species human modular repertoire analyses, we identify similarities in the inflammatory process between mice and humans, and we demonstrate that G-744 reduced gene expression signatures essential for splenic B cell terminal differentiation, particularly the secretory pathway, as well as renal transcriptional profiles coupled with myeloid cell-mediated pathology and glomerular plus tubulointerstitial disease in human glomerulonephritis patients. These findings reveal the mechanism through which a selective Btk inhibitor blocks murine autoimmune kidney disease, highlighting pathway activity that may translate to human SLE.
  • |Agammaglobulinaemia Tyrosine Kinase/*antagonists & inhibitors/metabolism [MESH]
  • |Animals [MESH]
  • |Autoantibodies/immunology [MESH]
  • |B-Lymphocytes/drug effects/*immunology [MESH]
  • |Cell Proliferation/drug effects [MESH]
  • |Disease Models, Animal [MESH]
  • |Female [MESH]
  • |Gene Expression/drug effects [MESH]
  • |Humans [MESH]
  • |Interferon-alpha/immunology [MESH]
  • |Kidney/immunology/pathology [MESH]
  • |Lupus Nephritis/*immunology/metabolism [MESH]
  • |Lymphocyte Activation/drug effects [MESH]
  • |Mice [MESH]
  • |Mice, Inbred NZB [MESH]
  • |Myeloid Cells/*metabolism [MESH]


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