Objective. The cause of B lymphocyte hyperactivity and autoantibody production in systemic lupus erythematosus (SLE) remains unclear. Previously, we identified abnormalities in the level and translocation of signaling molecules in B cells in SLE patients. The present study was undertaken to examine the extent of signaling abnormalities that relate to altered B cell responses in SLE.Methods. B lymphocytes from 88 SLE patients and 72 healthy controls were isolated from blood by negative selection. Protein tyrosine phosphorylation and cellular kinase levels were analyzed by Western blotting, flow cytometry, and a kinome array protocol. Changes in protein phosphorylation were determined in ex vivo B cells and following B cell receptor engagement.Results. Differences in tyrosine phosphorylation in B cells from patients with SLE, compared with matched controls, were demonstrated. Further, the kinome array analysis identified changes in the activation of key kinases, i.e., the activity of phosphatidylinositol 3-kinase, which regulates survival and differentiation, was up-regulated and the activity of Rac and Rho kinases, which regulate the cytoskeleton and migration, was increased. In contrast, the activity of ATR, which regulates the cell cycle, was down-regulated in SLE patients compared with controls. Differences in signaling pathways were seen in all SLE B lymphocyte subsets that manifested phenotypic features of immature, mature, and memory cells.
Conclusion. This study revealed dysregulation in multiple signaling pathways that control key responses in B cells of SLE patients. Data generated in this study provide a molecular basis for further analysis of the altered B lymphocyte responses in SLE.Systemic lupus erythematosus (SLE) has many features of immunologic abnormality, including dysregulated T and B lymphocyte responses and production of autoantibodies (1,2). The etiology of SLE remains unknown, but the available evidence indicates that its pathogenesis involves genetic, hormonal, and environmental factors (3). SLE immunopathology involves almost all immune system compartments, but a major role of B lymphocytes in the disease process has been established (4). B cells produce pathogenic autoantibodies and disease-promoting cytokines and activate autoreactive T cells (4). The therapeutic use of B celltargeted anti-CD20 antibodies has proved to be effective (5), thus strengthening the rationale that B cells play a key role in SLE.How autoreactive B cell responses are triggered, however, remains unclear. It is not known whether the induction of autoreactive B cells is due to intrinsic factors, autoreactive T lymphocytes, or altered self antigens (6-8). Structural and genetic studies of antidouble-stranded DNA (anti-dsDNA) autoantibodies in SLE suggest that they are T lymphocyte driven (9). However, studies in murine lupus suggest that antidsDNA autoantibodies could be produced as a result of