Abstract

Abstract Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disorder that is characterized by production of autoantibodies and immune complex deposition. In the immunopathogenesis of SLE, CD4+ T cells play as critical drivers of B cell dependent autoantibody response, but little is known about the role of CD8+ T cells in the development of SLE. Recent studies have shown that the expansion of memory CD8+ T cells occurs in SLE patients. We have measured the expression of IL-7 receptor alpha (IL-7Ra, CD127) on memory CD8+ T cells in SLE patients, since IL-7 and IL-7R are involved in homeostasis of CD8+ T cells. As previous reported, we found two subsets expressing high and low levels of IL-7Ra on memory CD8+ T cells in SLE patients and healthy controls. In this study, we showed that SLE patients have an increased frequency of IL-7Ralow memory CD8+ T cells compared to healthy controls. This cell subset expresses high levels of cytotoxic molecule perforin with the capacity to damage tissue. Furthermore, the frequency of IL-7Ralow memory CD8+ T cells correlated with disease activity as measured by SLE disease activity index (SLEDAI). Although T cell receptor triggering barely induced IL-7Ralow cell proliferation, the homeostatic cytokine IL-15 substantially induced the proliferation of this cell subset. Our findings suggest a potential role for IL-7Ralow memory CD8+ T cells in the development of SLE.

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