Induction of inflammatory and immune responses by HMGB1–nucleosome complexes: implications for the pathogenesis of SLE

Journal of Experimental Medicine - Tập 205 Số 13 - Trang 3007-3018 - 2008
Vilma Urbonaviciute1, Barbara G. Fürnrohr1, Silke Frey1, Luis E. Muñoz2, Petra Heyder1, Francesco De Marchis3, Marco E. Bianchi3, Martine Gilleron4, Hermann Wagner4, Angelo A. Manfredi3, Joachim R. Kalden2, Georg Schett2, Patrizia Rovere‐Querini3, Martin Herrmann2, Reinhard Voll1,2
11Interdisciplinary Center of Clinical Research (IZKF), Research Group N2, Nikolaus Fiebiger Center of Molecular Medicine,
22Department of Internal Medicine 3, Rheumatology and Immunology, University Hospital Erlangen, University of Erlangen-Nuremberg, 91054 Erlangen, Germany
33Istituto Scientifico San Raffaele and Università Vita-Salute San Raffaele, 20132 Milano, Italy
44Institute of Medical Microbiology, Immunology and Hygiene, Technical University of Munich, 80333 Munich, Germany

Tóm tắt

Autoantibodies against double-stranded DNA (dsDNA) and nucleosomes represent a hallmark of systemic lupus erythematosus (SLE). However, the mechanisms involved in breaking the immunological tolerance against these poorly immunogenic nuclear components are not fully understood. Impaired phagocytosis of apoptotic cells with consecutive release of nuclear antigens may contribute to the immune pathogenesis. The architectural chromosomal protein and proinflammatory mediator high mobility group box protein 1 (HMGB1) is tightly attached to the chromatin of apoptotic cells. We demonstrate that HMGB1 remains bound to nucleosomes released from late apoptotic cells in vitro. HMGB1–nucleosome complexes were also detected in plasma from SLE patients. HMGB1-containing nucleosomes from apoptotic cells induced secretion of interleukin (IL) 1β, IL-6, IL-10, and tumor necrosis factor (TNF) α and expression of costimulatory molecules in macrophages and dendritic cells (DC), respectively. Neither HMGB1-free nucleosomes from viable cells nor nucleosomes from apoptotic cells lacking HMGB1 induced cytokine production or DC activation. HMGB1-containing nucleosomes from apoptotic cells induced anti-dsDNA and antihistone IgG responses in a Toll-like receptor (TLR) 2–dependent manner, whereas nucleosomes from living cells did not. In conclusion, HMGB1–nucleosome complexes activate antigen presenting cells and, thereby, may crucially contribute to the pathogenesis of SLE via breaking the immunological tolerance against nucleosomes/dsDNA.

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