Abstract

Infectious antigens may be triggers for the exacerbation of systemic lupus erythematosus. The underlying mechanism causing acceleration and exacerbation of lupus nephritis (LN) is largely unknown. Bacterial lipopolysaccharide (LPS) is capable of inducing an accelerated model of LN in NZB/W mice, featuring diffuse proliferation of glomerular resident cells. We hypothesized that mesangial cells (MCs) from LN subjects are more responsive to LPS than normal subjects. Cultured primary NZB/W and DBA/W (nonautoimmune disease-prone strain with MHC class II molecules identical to those of NZB/W) MCs were used. Monocyte chemoattractant protein-1 (MCP-1) and osteopontin (OPN) expressions either in the baseline (normal culture) condition or in the presence of LPS were evaluated by real-time PCR, ELISA, or western blot analysis. NF-κB was detected by ELISA, electrophoresis mobility-shift assay, and immunofluorescence. First, either in the baseline condition or in the presence of LPS, NZB/W MCs produced significantly higher levels of MCP-1 and OPN than the DBA/W MC controls. Second, NZB/W MCs expressed significantly higher levels of Toll-like receptor 4, myeloid differentiation factor 88, and NF-κB than the DBA/W MC controls, both receiving exactly the same LPS treatment. In conclusion, NZB/W MCs are significantly more sensitive than their normal control DBA/W MCs in producing both MCP-1 and OPN. With LPS treatment, the significantly elevated levels of both chemokines produced by NZB/W MCs are more likely due to a significantly greater activation of the Toll-like receptor 4-myeloid differentiation factor 88-associated NF-κB pathway. The observed abnormal molecular events provide an intrarenal pathogenic pathway involved in an accelerated type of LN, which is potentially infection triggered.

Highlights

  • Lupus nephritis (LN) is a major complication of systemic lupus erythematosus and is associated with high rates of morbidity and mortality

  • We demonstrated that NZB/W mesangial cells (MCs) produce significantly more chemokines than DBA/W MCs [24], both in the baseline condition and in response to LPS stimulation

  • Results mRNA expression of monocyte chemoattractant protein-1 (MCP-1) and osteopontin in the baseline condition Under the baseline condition, to determine whether the NZB/W MCs are 'hyperreactive' to chemokine production, the cells were plated in 20% FBS for 0–12 hours, and the levels of the chemokine transcripts were measured at the various time points

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Summary

Introduction

Lupus nephritis (LN) is a major complication of systemic lupus erythematosus and is associated with high rates of morbidity and mortality. Clinical signs of renal involvement appear in only 50–80% of patients, the disease involves the kidney in almost all patients from whom sufficient tissue can be obtained for analysis [1]. Both renal and extrarenal events are involved in the pathogenesis of the disease. Bacterial and viral infections may serve as environmental triggers for the development or exacerbation of systemic lupus erythematosus in genetically predisposed individuals. When exposed to bacterial lipopolysaccharide (LPS), NZB/W mice promptly developed an accelerated diffuse proliferative nephritis [3,4], clinically and pathologically mimicking the transformation of renal lesion

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