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10.1038/s41598-017-01894-y

http://scihub22266oqcxt.onion/10.1038/s41598-017-01894-y
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suck abstract from ncbi


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pmid28584258
      Sci+Rep 2017 ; 7 (1 ): 2775
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  • Cathepsin S inhibition combines control of systemic and peripheral pathomechanisms of autoimmune tissue injury #MMPMID28584258
  • Tato M ; Kumar SV ; Liu Y ; Mulay SR ; Moll S ; Popper B ; Eberhard JN ; Thomasova D ; Rufer AC ; Gruner S ; Haap W ; Hartmann G ; Anders HJ
  • Sci Rep 2017[Jun]; 7 (1 ): 2775 PMID28584258 show ga
  • Cathepsin(Cat)-S processing of the invariant chain-MHC-II complex inside antigen presenting cells is a central pathomechanism of autoimmune-diseases. Additionally, Cat-S is released by activated-myeloid cells and was recently described to activate protease-activated-receptor-(PAR)-2 in extracellular compartments. We hypothesized that Cat-S blockade targets both mechanisms and elicits synergistic therapeutic effects on autoimmune tissue injury. MRL-(Fas)lpr mice with spontaneous autoimmune tissue injury were treated with different doses of Cat-S inhibitor RO5459072, mycophenolate mofetil or vehicle. Further, female MRL-(Fas)lpr mice were injected with recombinant Cat-S with/without concomitant Cat-S or PAR-2 blockade. Cat-S blockade dose-dependently reversed aberrant systemic autoimmunity, e.g. plasma cytokines, activation of myeloid cells and hypergammaglobulinemia. Especially IgG autoantibody production was suppressed. Of note (MHC-II-independent) IgM were unaffected by Cat-S blockade while they were suppressed by MMF. Cat-S blockade dose-dependently suppressed immune-complex glomerulonephritis together with a profound and early effect on proteinuria, which was not shared by MMF. In fact, intravenous Cat-S injection induced severe glomerular endothelial injury and albuminuria, which was entirely prevented by Cat-S or PAR-2 blockade. In-vitro studies confirm that Cat-S induces endothelial activation and injury via PAR-2. Therapeutic Cat-S blockade suppresses systemic and peripheral pathomechanisms of autoimmune tissue injury, hence, Cat-S is a promising therapeutic target in lupus nephritis.
  • |Animals [MESH]
  • |Autoimmune Diseases/drug therapy/*etiology/*pathology [MESH]
  • |Autoimmunity/*drug effects [MESH]
  • |Cathepsins/adverse effects/*antagonists & inhibitors [MESH]
  • |Disease Models, Animal [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Endothelial Cells/drug effects/metabolism [MESH]
  • |Enzyme Inhibitors/pharmacokinetics/*pharmacology [MESH]
  • |Female [MESH]
  • |Kidney Glomerulus/drug effects/metabolism/pathology [MESH]
  • |Lupus Nephritis/drug therapy/etiology/metabolism/pathology [MESH]
  • |Mice [MESH]
  • |Mice, Inbred MRL lpr [MESH]
  • |Monocytes/drug effects/immunology/metabolism [MESH]
  • |Neutrophils/drug effects/immunology/metabolism [MESH]


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