Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The . gov means it’s official. Federal government websites often end in VSports app下载. gov or . mil. Before sharing sensitive information, make sure you’re on a federal government site. .

Https

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely V体育官网. .

Review
. 2011 Sep 27;7(12):691-9.
doi: 10.1038/nrrheum.2011.132.

Neutrophils in the pathogenesis and manifestations of SLE

Affiliations
Review

Neutrophils in the pathogenesis and manifestations of SLE

Mariana J Kaplan (V体育平台登录). Nat Rev Rheumatol. .

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease of unclear etiology that affects mostly women of childbearing age. Profound abnormalities in both innate and adaptive immunity triggered by genetic and environmental factors are well documented to play an important part in the pathogenesis of SLE. Nonetheless, the role of neutrophils--the most abundant immune cell type--in the pathology of this disease has been unclear VSports手机版. Over the past decade, compelling evidence has emerged that implicates neutrophils in the initiation and perpetuation of SLE and also in the resultant organ damage frequently observed in patients with this disease. SLE-derived low-density granulocytes (LDGs) induce vascular damage and synthesize increased amounts of type I interferons and, as such, could play a prominent part in the pathogenesis of SLE. Furthermore, increased cell death and enhanced extracellular trap formation observed in SLE-derived neutrophils might have key roles in the induction of autoimmunity and the development of organ damage in patients with SLE. Together, these events could have significant deleterious effects and promote aberrant immune responses in this disease. This Review highlights the role of neutrophils in the pathogenesis of SLE, with a particular focus on the putative deleterious effects of LDGs and neutrophil extracellular trap formation. .

PubMed Disclaimer

Figures

Figure 1
Figure 1
Identification of LDGs in SLE-derived PBMC fractions. PBMCs isolated from healthy controls (top panels) or patients with SLE (bottom panels) were stained for markers of the monocyte or granulocyte lineages and analyzed by flow cytometry. Gates that contained predominantly lymphocytes, monocytes, and granulocytes were established in dual-log scattergrams (left-hand panels). Granulocytes (blue) and monocytes (pink) are distinguished on the basis of CD14, CD15, CD86 and MHC class II expression. Monocytes express high levels of CD14 and are positive for CD86 and MHC class II, whereas CD15 is weak or absent. Granulocytes in the PBMC fraction express high levels of CD15, low levels of CD14 and are negative for CD86 and MHC class II. Abbreviations: FITC, fluorescein isothiocyanate; FSC, forward scatter; LDGs, low-density granulocytes; PBMCs, peripheral blood mononuclear cells; PE, phycoerythrin; SLE, systemic lupus erythematosus; SSC, side scatter. Permission to reproduce this figure was obtained from The American Association of Immunologists, Inc. © Denny, M. F. et al.J. Immunol. 184, 3284–3297 (2010).
Figure 2
Figure 2
Circulating SLE-derived LDGs undergo increased NETosis. Representative images of control neutrophils, SLE-derived neutrophils and SLE-derived LDGs isolated from peripheral blood and analyzed at baseline (T0) or after 2 hours (T2) stimulation with DMSO or PMA. Panels show merged immunofluorescence images of NETs. Neutrophil elastase is shown in green. DNA was labeled with Hoechst 33342 and is shown in blue. Original magnification was ×40. Abbreviations: DMSO, dimethyl sulfoxide; LDGs, low-density granulocytes; NETs, neutrophil extracellular traps; PMA, phorbol 12-myristate 13-acetate; SLE, systemic lupus erythematosus. Permission to reproduce this figure was obtained from The American Association of Immunologists, Inc. © Villanueva, E. et al.J. Immunol. 187, 538–552 (2011).
Figure 3
Figure 3
Role of neutrophils and LDGs in the pathogenesis of SLE and associated organ damage. Upon exposure to micro-organisms, damaged cell products, immune complexes and other as yet unidentified stimuli, neutrophils and LDGs undergo NETosis. NETs externalize bactericidal immunostimulatory peptides such as LL-37, autoantigens including dsDNA, and inflammatory cytokines such as IL-17. LL-37-DNA complexes stimulate pDCs to synthesize IFN-α and might also promote B-cell stimulation and the development of antibodies against antimicrobial peptides. In addition, upon stimulation with G-CSF and/or via induction of dsRNA helicase signaling, neutrophils and LDGs display augmented synthesis of type I IFNs. Increased levels of type I IFNs promote differentiation of mDCs as well as dysregulation of B lymphocytes and T lymphocytes and synthesis of autoantibodies. LDGs also promote endothelial cell death through a NET-mediated effect. Furthermore, increased levels of type I IFNs have a detrimental effect on bone marrow EPCs and on circulating angiogenic cells, leading to aberrant vascular repair. As such, LDGs might have a dual effect on the vasculature by enhancing damage and inhibiting repair. Abbreviations: dsDNA, double stranded DNA; dsRNA, double stranded RNA; EPCs, endothelial progenitor cells; Fcγ RIIα, Low affinity immunoglobulin-γ Fc region receptor II-α, G-CSF, granulocyte-colony stimulating factor; G-CSF-R, G-CSF receptor; IFNR, interferon receptor; LDGs, low-density granulocytes; mDC, myeloid dendritic cell; NET, neutrophil extracellular trap; pDC, plasmacytoid dendritic cell; SLE, systemic lupus erythematosus; TLR, Toll-like receptor.

References

    1. Crispin JC, Kyttaris VC, Terhorst C, Tsokos GC. T cells as therapeutic targets in SLE. Nat. Rev. Rheumatol. 2010;6:317–325. - V体育ios版 - PMC - PubMed
    1. Dorner T, Jacobi AM, Lee J, Lipsky PE. Abnormalities of B cell subsets in patients with systemic lupus erythematosus. J. Immunol. Methods. 2011;363:187–197. - PubMed
    1. Denny MF, et al. Accelerated macrophage apoptosis induces autoantibody formation and organ damage in systemic lupus erythematosus. J. Immunol. 2006;176:2095–2104. - PubMed
    1. Denny MF, et al. Interferon-α promotes abnormal vasculogenesis in lupus: a potential pathway for premature atherosclerosis. Blood. 2007;110:2907–2915. - PMC - PubMed
    1. Denny MF, et al. A distinct subset of proinflammatory neutrophils isolated from patients with systemic lupus erythematosus induces vascular damage and synthesizes type I IFNs. J. Immunol. 2010;184:3284–3297. - PMC - PubMed