Abstract

Systemic lupus erythematosus (SLE) is a devastating autoimmune disorder associated with severe organ damage. The abnormality of T cell apoptosis is considered as an important pathogenetic mechanism of SLE. Norcantharidin (NCTD), a derivative of Cantharidin, is an efficacious anti-cancer drug by inhibiting cell proliferation and inducing cell apoptosis. Besides, NCTD has also been proved to protect the function of kidneys, while damaged renal function is the most important predictor of morbidity and mortality in SLE. All these suggest the potential effects of NCTD in SLE treatment. In this study we investigated whether NCTD exerted therapeutic effects in a mouse SLE model. Lupus prone female MRL/lpr mice were treated with NCTD (1, 2 mg·kg−1·d−1, ip) for 8 weeks. We showed that NCTD administration significantly decreased mortality rate, diminished the expression of anti-dsDNA IgG antibody, a diagnostic marker for SLE, as well as restored renal structure and function in MRL/lpr mice. Moreover, NCTD administration dose-dependently inhibited lymphoproliferation and T cell accumulation in the spleens of MRL/lpr mice. We further revealed that NCTD specifically inhibited DN T cell proliferation and Th17 cell differentiation both via blocking activation of signal transducer and activator of transcription 3 (STAT3) signaling pathway. On the other hand, NCTD did not affect T cell apoptosis in MRL/lpr mice. Taken together, our data suggest that NCTD may be as a promising therapeutic drug through targeting T cells for the treatment of SLE.

Highlights

  • Systemic lupus erythematosus (SLE) is a complicated autoimmune disease, manifested by autoantibody accumulation, systemic inflammation and immune complex deposits in multi-organs, especially the kidneys [1]

  • Our results firstly unveiled that NCTD remarkably ameliorated SLE symptom more than lupus nephritis (LN) via blocking signal transducer and activator of transcription 3 (STAT3)-dependent DN T cell accumulation and Th17 cell differentiation

  • We found that NCTD suppressed the progress of SLE, as illustrated by improved survival rate, suppressed autoantibody production, alleviated systemic inflammatory response and relieved LN as well as restored renal structure and functions

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Summary

INTRODUCTION

Systemic lupus erythematosus (SLE) is a complicated autoimmune disease, manifested by autoantibody accumulation, systemic inflammation and immune complex deposits in multi-organs, especially the kidneys [1]. DN T cells promote B cell differentiation, induce the production of autoantibodies as well as the secretion of pro-inflammatory cytokines including IFNγ and IL-17 [14, 15]. It has been proved that the number of IL-17 producing cells and serum IL-17 concentration are positively related to SLE activity in SLE patients [16], making them attractive therapeutic targets for SLE [17]. Female MRL/lpr mice with NCTD or vehicle from 12 weeks to 20 weeks The concentrations of anti-dsDNA (SHIBAYAGI Co. Ltd, Shibukawa, and found that NCTD-treated MRL/lpr mice showed significantly Japan), IFN-γ, IL-17, IL-22, IL-23, IL-4, and IL-10 (Thermo Fisher alleviative lupus-like syndrome including improved survival rate, Scientific, Waltham, MA, USA) in serum were determined with decreased production of autoantibodies, improved kidney function corresponding ELISA kits according to the manufacturer’s instrucand diminished LN. To measure T/B cell percentage, single-cell suspensions of spleens were prepared and stained with PE anti-mouse CD3 and FITC anti-

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