2008
DOI: 10.1177/0961203308089990
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Apoptosis in the pathogenesis of systemic lupus erythematosus

Abstract: Systemic lupus erythematosus (SLE) is a prototype inflammatory autoimmune disease resulting from autoimmune responses against nuclear autoantigens. During apoptosis many lupus autoantigens congregate inside the cells and are susceptible to modifications. Modified nuclear constituents are considered foreign and dangerous. Therefore, apoptotic cells have to has to be efficiently removed to avoid the accumulation of apoptotic debris and the subsequently development of autoimmune responses. Hence, apoptosis and cl… Show more

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Cited by 187 publications
(144 citation statements)
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“…The inability to properly remove AB has been associated with the development of autoimmune responses to nuclear antigens, such as dsDNA (12)(13)(14)(15). However, because TIM-4 deficiency only affected clearance of AB by cells in the peritoneal cavity and not in the spleen, it was not clear whether TIM-4 deficiency would result in the development of autoantibodies associated with defective AB clearance.…”
Section: Tim-4-deficient Peritoneal Macrophages and B-1 Cells Cannot mentioning
confidence: 93%
“…The inability to properly remove AB has been associated with the development of autoimmune responses to nuclear antigens, such as dsDNA (12)(13)(14)(15). However, because TIM-4 deficiency only affected clearance of AB by cells in the peritoneal cavity and not in the spleen, it was not clear whether TIM-4 deficiency would result in the development of autoantibodies associated with defective AB clearance.…”
Section: Tim-4-deficient Peritoneal Macrophages and B-1 Cells Cannot mentioning
confidence: 93%
“…SLE is a prototype type III hypersensitivity reaction in which immune complex depositions of chromatin and antichromatin autoantibodies cause a wide spectrum of clinical symptoms such as fever, rashes, photosensitivity, joint and muscle pain, pericarditis and nephritis. It is widely thought that abnormalities in apoptosis play an important role in SLE autoimmunization (reviewed in [1]). Apoptosis is a highly organized and immunologically silent cell death pathway that plays an important role in tissue homeostasis.…”
Section: Introductionmentioning
confidence: 99%
“…Because ANCAs in SLE are, in most cases, not directed to PR3 (35-37), a role for mPR3 expression on neutrophil activation by ANCAs cannot be substantiated. Otherwise, neutrophils do play a role in the pathogenesis of SLE, by interacting with immune complexes or by inducing or exacerbating autoimmune responses when these cells accumulate in an apoptotic state (38). Indeed, accelerated apoptosis of neutrophils and decreased uptake of apoptotic neutrophils has been observed in SLE (39,40).…”
mentioning
confidence: 99%