Calcium signaling in systemic lupus erythematosus T cells: a treatment target.

Calcium signaling in systemic lupus erythematosus T cells: a treatment target.
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DOI:
10.1002/art.30353
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发表时间:
2011-07
影响因子:
--
通讯作者:
Tsokos, George C.
Tsokos, George C.
中科院分区:
其他
文献类型:
--
作者:
Kyttaris, Vasileios C.;Zhang, Zheng;Kampagianni, Ourania;Tsokos, George C.

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系统性红斑狼疮(SLE)T细胞表现为钙调神经磷酸酶-NFAT途径的高活性。本研究的目的是回答这一途径是否与SLE T细胞功能异常有关,并测试新近发现的钙调神经磷酸酶抑制剂潘生丁在限制SLE相关病理方面的有效性。从SLE患者和正常人外周血中分离T细胞和单个核细胞。从狼疮易感MRL/LPR小鼠和对照MRL/MPJ小鼠的脾和淋巴结中分离出小鼠细胞。在体外用他克莫司、潘生丁或对照组处理细胞。MRL/lpr小鼠每周3次腹腔注射双嘧达莫50 mg/kg,共3周。MRL/LPR T细胞,尤其是CD3+CD4-CD8-在激活和NFATc1水平增加时显示出强劲的钙内流。MRL/LPR T细胞(包括CD4+和CD3+CD4-CD8-细胞)帮助B细胞以钙调神经磷酸酶依赖的方式产生免疫球蛋白。潘生丁可显著抑制T细胞CD15 4的表达、干扰素-γ、IL-17、IL-6的产生以及T细胞依赖性B细胞免疫球蛋白的分泌。双嘧达莫治疗MRL/LPR小鼠可减轻狼疮性肾炎,防止皮肤溃疡的出现。NFAT活化是SLE T细胞活化和产生免疫球蛋白的关键步骤。潘生丁抑制狼疮小鼠的SLE T细胞功能,改善疾病病理。我们建议双嘧达莫可用于SLE患者的治疗方案。
Systemic lupus erythematosus (SLE) T cells display a hyperactive calcineurin-NFAT pathway. The aim of this study is to answer whether this pathway is responsible for the aberrant SLE T cell function and test the effectiveness of the recently recognized calcineurin inhibitor dipyridamole in limiting SLE related pathology. T and mononuclear cells were isolated from the peripheral blood of patients with SLE and healthy individuals. Murine cells were isolated from the spleens and lymph nodes of lupus prone MRL/lpr mice and control MRL/MpJ mice. Cells were treated in vitro with tacrolimus, dipyridamole or control. MRL/lpr mice were injected intraperitoneally with dipyridamole 50 mg/kg three times a week for 3 weeks. MRL/lpr T cells, especially CD3+CD4-CD8- displayed a robust calcium influx upon activation and increased levels of NFATc1. MRL/lpr T cells (both CD4+ and CD3+CD4-CD8- cells) provided help to B cells to produce immunoglobulin in a calcineurin-dependent fashion. Dipyridamole treatment of SLE T cells inhibited significantly the expression of CD154, the production of IFN-γ, IL-17, IL-6, and the T cell dependent B cell immunoglobulin secretion. Treatment of MRL/lpr mice with dipyridamole alleviated lupus nephritis and prevented the appearance of skin ulcers. NFAT activation is a key step in the activation of SLE T cells and the production of immunoglobulin. Dipyridamole inhibits SLE T cell function and improves disease pathology in lupus-prone mice. We propose that dipyridamole can be used in treatment regimens of SLE patients.
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