TY - JOUR
T1 - DOCK8-expressing T follicular helper cells newly generated beyond self-organized criticality cause systemic lupus erythematosus
AU - Shiozawa, Shunichi
AU - Tsumiyama, Ken
AU - Miyazaki, Yumi
AU - Uto, Kenichi
AU - Sakurai, Keiichi
AU - Nakashima, Toshie
AU - Matsuyama, Hiroko
AU - Doi, Ai
AU - Tarui, Miho
AU - Izumikawa, Manabu
AU - Kimura, Mai
AU - Fujita, Yuko
AU - Satonaka, Chisako
AU - Horiuchi, Takahiko
AU - Matsubara, Tsukasa
AU - Oribe, Motohiro
AU - Yamane, Takashi
AU - Kagawa, Hidetoshi
AU - Li, Quan Zhen
AU - Mizuno, Keiko
AU - Mukai, Yohei
AU - Murakami, Kazuhiro
AU - Enya, Takuji
AU - Tsukimoto, Shota
AU - Hakata, Yoshiyuki
AU - Miyazawa, Masaaki
AU - Shiozawa, Kazuko
N1 - Funding Information:
This study was supported by the grant of the Institute for Rheumatic Diseases , and the grant-in-aid 25515003 , 17659301 , 13204059 , 11557026 , 12204074 , 13204059 , and the Global Center of Excellence (COE) Program grant to S.S. and 18K06933 to K.T. of the Ministry of Education, Culture, Sports, Science and Technology of Japan ; the New Industry Research Organization grant 0003 to S.S.; the grant of the Contract Development Program of Japan Science and Technology Organization to S.S.
Funding Information:
We thank Prof. Yoshinori Fukui, Medical Institute of Bioregulation, Kyushu University for kindly providing DOCK8 −/− mice, Prof. Nancy J. Olsen, Penn State M.S. Hershey Medical Center, for kindly arranging autoantibody microarray, Prof. Takashi Sawai, Sendai Open Hospital, and Dr. Hiroshi Ishii, Oita Red Cross Hospital, for patients' samples under written consent, Dr. Marc Lamphier for English edition, and Mitsufumi Uemura, Institute for Rheumatic Disease and Aperat, for graphic art-works. This study was supported by the grant of the Institute for Rheumatic Diseases, and the grant-in-aid 25515003, 17659301, 13204059, 11557026, 12204074, 13204059, and the Global Center of Excellence (COE) Program grant to S.S. and 18K06933 to K.T. of the Ministry of Education, Culture, Sports, Science and Technology of Japan; the New Industry Research Organization grant 0003 to S.S.; the grant of the Contract Development Program of Japan Science and Technology Organization to S.S. Conceptualization, S.S.; Methodology, S.S.; Investigation, S.S. K.T. Y.M. K.U. K.S. T.N. H.M. A.D. M.T. M.I. M.K. Y.F. C.S. Q-Z.L. K.M. Y.M. T.E. S.T. Y.H. and M.M.; Resources, S.S. T.H. T.M. M.O. T.Y. H.K. K.M. and K.S.; Writing, S.S.; Project Administration, S.S.; Funding Acquisition, S.S. and K.T. The authors declare no competing interests.
Publisher Copyright:
© 2021 The Author(s)
PY - 2022/1/21
Y1 - 2022/1/21
N2 - Pathogens including autoantigens all failed to induce systemic lupus erythematosus (SLE). We, instead, studied the integrity of host's immune response that recognized pathogen. By stimulating TCR with an antigen repeatedly to levels that surpass host's steady-state response, self-organized criticality, SLE was induced in mice normally not prone to autoimmunity, wherein T follicular helper (Tfh) cells expressing the guanine nucleotide exchange factor DOCK8 on the cell surface were newly generated. DOCK8+Tfh cells passed through TCR re-revision and induced varieties of autoantibody and lupus lesions. They existed in splenic red pulp and peripheral blood of active lupus patients, which subsequently declined after therapy. Autoantibodies and disease were healed by anti-DOCK8 antibody in the mice including SLE-model (NZBxNZW) F1 mice. Thus, DOCK8+Tfh cells generated after repeated TCR stimulation by immunogenic form of pathogen, either exogenous or endogenous, in combination with HLA to levels that surpass system's self-organized criticality, cause SLE.
AB - Pathogens including autoantigens all failed to induce systemic lupus erythematosus (SLE). We, instead, studied the integrity of host's immune response that recognized pathogen. By stimulating TCR with an antigen repeatedly to levels that surpass host's steady-state response, self-organized criticality, SLE was induced in mice normally not prone to autoimmunity, wherein T follicular helper (Tfh) cells expressing the guanine nucleotide exchange factor DOCK8 on the cell surface were newly generated. DOCK8+Tfh cells passed through TCR re-revision and induced varieties of autoantibody and lupus lesions. They existed in splenic red pulp and peripheral blood of active lupus patients, which subsequently declined after therapy. Autoantibodies and disease were healed by anti-DOCK8 antibody in the mice including SLE-model (NZBxNZW) F1 mice. Thus, DOCK8+Tfh cells generated after repeated TCR stimulation by immunogenic form of pathogen, either exogenous or endogenous, in combination with HLA to levels that surpass system's self-organized criticality, cause SLE.
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U2 - 10.1016/j.isci.2021.103537
DO - 10.1016/j.isci.2021.103537
M3 - Article
AN - SCOPUS:85121278673
SN - 2589-0042
VL - 25
JO - iScience
JF - iScience
IS - 1
M1 - 103537
ER -