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Selective APRIL Blockade Delays Systemic Lupus Erythematosus in Mouse

Authors: Huard, Bertrand; Tran, Lan; Benkhoucha, Mahdia; Manzin-Lorenzi, Céline; Santiago-Raber, Marie-Laure;

Selective APRIL Blockade Delays Systemic Lupus Erythematosus in Mouse

Abstract

SLE pathogenesis is complex, but it is now widely accepted that autoantibodies play a key role in the process by forming excessive immune complexes; their deposits within tissues leading to inflammation and functional damages. A proliferation inducing ligand (APRIL) is a member of the tumor necrosis factor (TNF) superfamily mediating antibody-producing plasma cell (PC)-survival that may be involved in the duration of pathogenic autoantibodies in lupus. We found significant increases of APRIL at the mRNA and protein levels in bone marrow but not spleen cells from NZB/W lupus mice, as compared to control mice. Selective antibody-mediated APRIL blockade delays disease development in this model by preventing proteinuria, kidney lesions, and mortality. Notably, this was achieved by decreasing anti-DNA and anti-chromatin autoantibody levels, without any perturbation of B- and T-cell homeostasis. Thus, anti-APRIL treatment may constitute an alternative therapy in SLE highly specific to PCs compared to other B-cell targeting therapies tested in this disease, and likely to be associated with less adverse effects than any anti-inflammatory and immunosuppressant agents previously used.

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Keywords

RNA, Messenger/genetics, Male, Tumor Necrosis Factor-alpha/genetics/metabolism, Science, Blotting, Western, Tumor Necrosis Factor Ligand Superfamily Member 13, 616.07, Real-Time Polymerase Chain Reaction, Mice, Animals, Lupus Erythematosus, Systemic, RNA, Messenger, Autoantibodies, Mice, Knockout, Antibodies, Antinuclear/blood, Mice, Inbred NZB, Tumor Necrosis Factor-alpha, Q, R, Antibodies, Monoclonal, Flow Cytometry, Antibodies, Monoclonal/pharmacology, Mice, Inbred C57BL, Lupus Erythematosus, Systemic/immunology/metabolism/prevention & control, Antibodies, Antinuclear, Medicine, Female, Autoantibodies/blood, Spleen/immunology/metabolism/pathology, Tumor Necrosis Factor Ligand Superfamily Member 13/antagonists & inhibitors/physiology, Spleen, Research Article, ddc: ddc:616.07

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
36
Top 10%
Top 10%
Top 10%
Green
gold