Removal of dying cells and systemic lupus erythematosus.

Abstract:

:Systemic lupus erythematosus (SLE) is a very heterogeneous systemic autoimmune disease, in which autoantibody synthesis against nuclear constituents is the main immunological characteristic. These autoantibodies underwent affinity maturation and isotype switching. Additionally, T-cell tolerance against nuclear autoantigens should be affected in these autoimmune patients. Nuclear material derived from apoptotic and/or necrotic cells may serve as an important source of autoantigens. However, dead and dying cells as well as cellular debris are rapidly removed from tissues by phagocytes without eliciting inflammation or immune responses under healthy conditions. During apoptosis nuclear components are strongly modified through enzymatic reactions. If these cells are not timely cleared, those autoantigens may be released, taken up, and presented by dendritic cells in tissues or presented by follicular dendritic cells in lymph nodes to T and B cells, respectively. This could be a mechanism for breaking the peripheral self-tolerance. In this article we focus on the deficient clearance of apoptotic cells in SLE patients and its importance in development of this autoimmune disease.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Grossmayer GE,Munoz LE,Gaipl US,Franz S,Sheriff A,Voll RE,Kalden JR,Herrmann M

doi

10.1007/s10165-005-0430-x

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

383-90

issue

6

eissn

1439-7595

issn

1439-7609

journal_volume

15

pub_type

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    更新日期:2001-12-01 00:00:00

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    更新日期:2008-01-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究

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