A protective role for innate immunity in systemic lupus erythematosus

被引:121
作者
Carroll, MC [1 ]
机构
[1] Harvard Univ, Sch Med, CBR Inst Biomed Res Inc, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
D O I
10.1038/nri1456
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Clinical and genetic studies in humans and animal models indicate a crucial protective role for the complement system in systemic lupus erythematosus (SLE). This presents a paradox because the complement system is considered to be an important mediator of the inflammation that is observed in patients with SLE. One current view is that complement provides protection by facilitating the rapid removal of apoptotic debris to circumvent an autoimmune response. In this Opinion article, I discuss an alternative model in which complement - together with other components of the innate immune system - participates in the 'presentation' of SLE-inducing self-antigens to developing B cells. In this way, the complement system and innate immunity protect against responses to SLE ( self) antigens by enhancing the elimination of self-reactive lymphocytes.
引用
收藏
页码:825 / 831
页数:7
相关论文
共 77 条
[1]  
AGNELLO V, 1978, ARTHRITIS RHEUM, V21, P146
[2]   STRUCTURE AND FUNCTION OF THE COMPLEMENT RECEPTORS, CR-1 (CD35) AND CR-2 (CD21) [J].
AHEARN, JM ;
FEARON, DT .
ADVANCES IN IMMUNOLOGY, 1989, 46 :183-219
[3]   Disruption of the Cr2 locus results in a reduction in B-1a cells and in an impaired B cell response to T-dependent antigen [J].
Ahearn, JM ;
Fischer, MB ;
Croix, D ;
Goerg, S ;
Ma, MH ;
Xia, JR ;
Zhou, XN ;
Howard, RG ;
Rothstein, TL ;
Carroll, MC .
IMMUNITY, 1996, 4 (03) :251-262
[4]   B lymphocyte memory:: Role of stromal cell complement and FcγRIIB receptors [J].
Barrington, RA ;
Pozdnyakova, O ;
Zafari, MR ;
Benjamin, CD ;
Carroll, MC .
JOURNAL OF EXPERIMENTAL MEDICINE, 2002, 196 (09) :1189-1199
[5]   Serum amyloid P component controls chromatin degradation and prevents antinuclear autoimmunity [J].
Bickerstaff, MCM ;
Botto, M ;
Hutchinson, WL ;
Herbert, J ;
Tennent, GA ;
Bybee, A ;
Mitchell, DA ;
Cook, HT ;
Butler, PJG ;
Walport, MJ ;
Pepys, MB .
NATURE MEDICINE, 1999, 5 (06) :694-697
[6]   Cr2, a candidate gene in the murine Sle1c lupus susceptibility locus, encodes a dysfunctional protein [J].
Boackle, SA ;
Holers, VM ;
Chen, XJ ;
Szakonyi, G ;
Karp, DR ;
Wakeland, EK ;
Morel, L .
IMMUNITY, 2001, 15 (05) :775-785
[7]   Accelerated development of IgG autoantibodies and autoimmune disease in the absence of secreted IgM [J].
Boes, M ;
Schmidt, T ;
Linkemann, K ;
Beaudette, BC ;
Marshak-Rothstein, A ;
Chen, JZ .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2000, 97 (03) :1184-1189
[8]  
Boes M, 1998, J IMMUNOL, V160, P4776
[9]  
Bordet J. G. O., 1901, ANN I PASTEUR, P289
[10]   Amyloid deposition is delayed in mice with targeted deletion of the serum amyloid P component gene [J].
Botto, M ;
Hawkins, PN ;
Bickerstaff, MCM ;
Herbert, J ;
Bygrave, AE ;
McBride, A ;
Hutchinson, WL ;
Tennent, GA ;
Walport, MJ ;
Pepys, MB .
NATURE MEDICINE, 1997, 3 (08) :855-859