
Systemic lupus erythematosus (SLE) is a severe autoimmune disease mediated by pathogenic autoantibodies. While complement protein C4 is associated with SLE, its isoforms (C4A and C4B) are not equal in their impact. Despite being 99% homologous, genetic studies identified C4A as more protective than C4B. By generating gene-edited mouse strains expressing either human C4A or C4B and crossing these with the 564lgi lupus strain, we show that, overall, C4A-like 564Igi mice develop less humoral autoimmunity than C4B-like 564Igi mice. This includes a decrease in the number of GCs, autoreactive B cells, autoantibodies, and memory B cells. The higher efficiency of C4A in inducing self-antigen clearance is associated with the follicular exclusion of autoreactive B cells. These results explain how the C4A isoform is protective in lupus and suggest C4A as a possible replacement therapy in lupus.
QH301-705.5, SLE, Apoptosis, Mice, Transgenic, Autoantigens, Article, Complement C4b, Immune Tolerance, Animals, Humans, Lupus Erythematosus, Systemic, Amino Acid Sequence, Biology (General), Autoantibodies, Gene Editing, B-Lymphocytes, Base Sequence, Complement C4a, Complement C4, Mice, Inbred C57BL, Disease Models, Animal, B cell tolerance, Murine model
QH301-705.5, SLE, Apoptosis, Mice, Transgenic, Autoantigens, Article, Complement C4b, Immune Tolerance, Animals, Humans, Lupus Erythematosus, Systemic, Amino Acid Sequence, Biology (General), Autoantibodies, Gene Editing, B-Lymphocytes, Base Sequence, Complement C4a, Complement C4, Mice, Inbred C57BL, Disease Models, Animal, B cell tolerance, Murine model
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