Persistent expression of autoantibodies in SLE patients in remission

J Exp Med. 2006 Oct 2;203(10):2255-61. doi: 10.1084/jem.20061446. Epub 2006 Sep 11.

Abstract

A majority of the antibodies expressed by nascent B cells in healthy humans are self-reactive, but most of these antibodies are removed from the repertoire during B cell development. In contrast, untreated systemic lupus erythematosus (SLE) patients fail to remove many of the self-reactive and polyreactive antibodies from the naive repertoire. Here, we report that SLE patients in clinical remission continue to produce elevated numbers of self-reactive and polyreactive antibodies in the mature naive B cell compartment, but the number of B cells expressing these antibodies is lower than in patients with active disease. Our finding that abnormal levels of self-reactive mature naive B cells persist in the majority of patients in clinical remission suggests that early checkpoint abnormalities are an integral feature of SLE.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Autoantibodies / immunology*
  • B-Lymphocytes / immunology*
  • Child
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Fluorescent Antibody Technique, Indirect
  • Genes, Immunoglobulin / genetics
  • Humans
  • Lupus Erythematosus, Systemic / immunology*
  • Male
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Autoantibodies