Nucleic acid specific Toll-like receptors in lupus nephritis

Nucleic acid specific Toll-like receptors in lupus nephritis

Beschreibung

vor 18 Jahren
Nucleic acids that occur free or as immune complexes may trigger
immune activation leading to aggravation of diseases with
autoimmune predisposition. TLR3 and TLR 9 represent receptors that
signal for viral and bacterial nucleic acids respectively. pI:C
RNA, a synthetic double stranded RNA with identical properties to
that viral origin activates TLR3 led to aggravation of lupus
nephritis, a form of immune complex glomerulonephritis, in
pre-existing lupus in MRLlpr/lpr mice. Exposure to pI:C RNA (a
structural analogue of viral dsRNA) can aggravate lupus nephritis
through TLR3 on antigen-presenting cells and glomerular mesangial
cells. pI:C RNA–induced cytokine and chemokine production
represents a major mechanism in this context. Likewise, CpG DNA a
classical activator for TLR-9 led to disease aggravation in this
mouse model albeit, through mechanisms that shared some commonality
as well as differences to that observed with pI:C RNA. Apparently,
pathogen associated immunomodulation relates to the
cell-type-specific expression pattern of the respective
pattern-recognition receptor. dsRNA-induced disease activity is
independent of B cell activation and humoral antichromatin immunity
in experimental SLE and therefore differs from CpG-DNA–induced
autoimmunity. These findings contribute to the understanding of
pathogen-associated modulation of autoimmunity but may also be
involved in the pathogenesis of other types of inflammatory kidney
diseases, e.g., flares of IgA nephropathy, renal manifestations of
chronic hepatitis C virus infection, and renal vasculitis. Further,
besides signifying the role of foreign and self-DNA as a pathogenic
factor in autoimmune disease activity in lupus, this detailed study
reveals, that certain synthetic G-rich nucleic acids may
potentially block nucleic acid specific TLR functions and thus
prove beneficial in arresting disease activity during progressive
systemic lupus. One such G-rich DNA employed in this study has
proven to be beneficial and suppressed systemic lupus in MRLlpr/lpr
mouse model. Thus, modulating the CpG-DNA - TLR9 pathway may offer
new opportunities for the understanding and treatment of lupus.

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