4.5 Article

Pathogenic Mechanisms in Lupus Nephritis Nucleosomes Bind Aberrant Laminin β1 With High Affinity and Colocalize in the Electron-Dense Deposits

Journal

ARTHRITIS & RHEUMATOLOGY
Volume 66, Issue 2, Pages 397-406

Publisher

WILEY-BLACKWELL
DOI: 10.1002/art.38250

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Funding

  1. Swedish Research Council
  2. Medical Faculty at Lund University
  3. Swedish National Association Against Rheumatism
  4. Alfred Osterlund Foundation
  5. Crafoord Foundation
  6. Greta and Johan Kock Foundation
  7. King Gustaf V's 80th Birthday Foundation
  8. Swedish Society of Medicine
  9. Lund University Hospital
  10. Euro Diagnostica

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Objective. Apoptotic nucleosomes are structurally and immunologically involved in lupus nephritis. The purpose of this study was to examine the expression and function of laminins and their interactions with nucleosomes in the kidneys of patients with lupus nephritis, using surface plasmon resonance (SPR) analysis. Methods. SPR interaction analysis was used to quantify the strength of laminin-nucleosome interactions. Electron microscopy techniques were used to determine in vivo colocalization of IgG, chromatin, and laminin beta 1, as well as to characterize nucleosomelaminin interactions in vitro. Results. Nucleosomes were found to possess high affinity for laminin beta 1-containing laminins and to have the potential to form stable molecular complexes with these structures. In vivo, laminin beta 1 was aberrantly expressed in the glomerular basement membrane (GMB) of lupus nephritis patients, and in situ, it acted as a nucleosome ligand, selectively colocalizing with nucleosomes within electron-dense deposits (EDDs). Normal adult laminin 11, which contains laminin beta 2, did not bind nucleosomes, and it did not colocalize in vivo with the nucleosomes in the nephritic GBM. In addition, TGF beta 1 was expressed by the glomerular mesangium, glomerular endothelial cells, and by podocytes in patients with lupus nephritis. It was trapped in situ within EDDs by an as-yet-unknown ligand. As was recently described in a transgenic mouse model, paracrine kidney glomerular TGF beta 1 may thereby contribute to the development of glomerulopathy via the induction of laminin beta 1 incorporation in the GBM, whereas systemic blood vessel-derived TGF beta 1 could be trapped during filtration. Conclusion. Our findings of the specific highaffinity binding of nucleosomes to aberrantly expressed laminin beta 1 in the GBM and their colocalization in the GBM may explain important features of the initial steps in the pathogenesis of lupus nephritis, the planted antigen hypothesis.

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