Neurotoxic autoantibodies mediate congenital cortical impairment of offspring in maternal lupus.

Neurotoxic autoantibodies mediate congenital cortical impairment of offspring in maternal lupus.
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DOI:
10.1038/nm.1892
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发表时间:
2009-01
期刊:
影响因子:
82.9
通讯作者:
--
中科院分区:
医学1区
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--
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系统性红斑狼疮(SLE)是一种由自身抗体(AABS)介导的、好发于育龄妇女的自身免疫性疾病。由于SLE母亲的后代表现出高频率的学习障碍,我们假设母亲转移的结合DNA和N-甲基-D-天冬氨酸受体(NMDAR)的AABS可能在胎儿大脑发育过程中发挥致病作用。在这里,我们描述了一种母体系统性红斑狼疮小鼠模型,在该模型中,怀孕的母鼠在整个妊娠过程中都携带有DNA特异的、NMDAR特异的AABS。母体循环中这些AABS的高滴度会导致胎儿大脑的组织学异常,并随后导致成年后代的认知障碍。这些数据支持这样一种范式,即在宫内暴露于神经毒性AABS会导致大脑发育异常,并产生长期后果。这一范例可能适用于多发性先天性神经精神障碍。
Systemic lupus erythematosus (SLE) is an autoimmune disease mediated by autoantibodies (AAbs) and preferentially affecting women of childbearing age. Since the offspring of mothers with SLE exhibit a high frequency of learning disorders, we hypothesized that maternally transferred AAbs that bind DNA and the N-methyl-D-aspartate receptor (NMDAR) could play a pathogenic role during fetal brain development. Here we describe a maternal SLE murine model wherein pregnant dams harbored DNA-specific, NMDAR-specific AAbs throughout gestation. High titers of these AAbs in maternal circulation led to histological abnormalities in fetal brain and subsequent cognitive impairments in adult offspring. These data support a paradigm in which in utero exposure to neurotoxic AAbs causes abnormal brain development with long-term consequences. This paradigm may apply to multiple congenital neuropsychiatric disorders.
双链DNA(DSDNA)的肽替代物免疫可诱导自身抗体的产生和肾脏免疫球蛋白沉积。
DOI: 10.1084/jem.188.1.29
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