Abstract Natural autoantibodies (NAAs) arise naturally without exogenous Ag stimulation. They constitute a substantial proportion of the normal Ab repertoire. They are mainly of the IgM class, unmutated, and typically polyreactive. It remains controversial whether NAA contribute to or protect from autoimmune diseases. Using site-directed transgenic mice expressing a prototypic NAA, named ppc1-5, we found that the expression of NAA in the autoimmune MRL-lpr mice protect from autoimmune manifestations. To demonstrate that the protection is, at least in part, via the secreted NAA per se, we administered purified ppc1-5 IgM to the wt MRL-lpr mice. We observed substantial reduction in proteinuria and kidney IC deposition, and prolonged survival in mice injected with ppc1-5 IgM as compared to those that received either PBS or control IgM. The ppc1-5 IgM injected mice had decreased levels of anti-Hep2 ANA and anti-dsDNA of the IgG3 subclass, although the total IgM and IgG levels did not alter significantly. We demonstrated that the ppc1-5 NAA, but not the control IgM, bound to apoptotic cells with a high capacity. Examination of cytokine production showed that the administration of ppc1-5 NAA significantly reduced the production of IFNgamma and IL-10 by CD4+ T cells. Taken together, our data demonstrate that the low-affinity, self-reactive NAAs can protect from lupus nephritis, and suggest that they may do so by promoting removal of apoptotic cells, and by regulating T-cell function.
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