Targeting transcription factor Stat4 uncovers a role for interleukin-18 in the pathogenesis of severe lupus nephritis in mice

Kidney Int. 2011 Feb;79(4):452-63. doi: 10.1038/ki.2010.438. Epub 2010 Oct 27.

Abstract

Polymorphisms in the transcription factor Stat4 gene have been implicated as risk factors for systemic lupus erythematosus. Although some polymorphisms have a strong association with autoantibodies and nephritis, their impact on pathophysiology is still unknown. To explore this further we used signal transducers and activators of transcription 4 (Stat4) knockout MRL/MpJ-Fas(lpr)/Fas(lpr) (MRL-Fas(lpr)) mice and found that they did not differ in survival or renal function from Stat4-intact MRL-Fas(lpr) mice. Circulating interleukin (IL)-18 levels, however, were elevated in Stat4-deficient compared to Stat4-intact mice, suggesting that this interleukin might contribute to the progression of lupus nephritis independent of Stat4. In a second approach, Stat4 antisense or missense oligonucleotides or vehicle were given to MRL-Fas(lpr) mice with advanced nephritis. Each of these treatments temporarily ameliorated disease, although IL-18 was increased in each setting. Based on these findings, studies using gene transfer to overexpress IL-18 in MRL-Fas(lpr) and IL-12p40/IL-23 knockout MRL-Fas(lpr) mice reveal a critical role for IL-18 in mediating disease. Thus, the Stat4 and IL-12 (an activator of Stat4)-independent factor, IL-18, can drive autoimmune lupus nephritis in MRL-Fas(lpr) mice. Temporarily blocking Stat4 during advanced nephritis ameliorates disease, suggesting a time-dependent compensatory proinflammatory mechanism.

Publication types

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

MeSH terms

  • Animals
  • Base Sequence
  • DNA Primers / genetics
  • Female
  • Gene Knockout Techniques
  • Gene Transfer Techniques
  • Interferon-gamma / biosynthesis
  • Interleukin-12 / metabolism
  • Interleukin-18 / antagonists & inhibitors
  • Interleukin-18 / genetics
  • Interleukin-18 / metabolism*
  • Interleukin-23 / metabolism
  • Kidney / metabolism
  • Kidney / pathology
  • Lupus Nephritis / etiology*
  • Lupus Nephritis / genetics
  • Lupus Nephritis / metabolism
  • Lupus Nephritis / pathology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred MRL lpr
  • Mice, Knockout
  • Oligodeoxyribonucleotides, Antisense / genetics
  • Oligodeoxyribonucleotides, Antisense / pharmacology
  • STAT4 Transcription Factor / antagonists & inhibitors
  • STAT4 Transcription Factor / deficiency*
  • STAT4 Transcription Factor / genetics

Substances

  • DNA Primers
  • Interleukin-18
  • Interleukin-23
  • Oligodeoxyribonucleotides, Antisense
  • STAT4 Transcription Factor
  • Stat4 protein, mouse
  • Interleukin-12
  • Interferon-gamma