luDus erythematosus (SLE) has been i n v e s t i g a t e d -o n t h e b a $ i s of c l i n i c a l and l a b o r a t o r y a b n o r m a l i t i e s found i n many known v i r a l i n f e c t i o n s . The t u b u l o r e t i c u l a r s t r u c t u r e s seen i n SLE r e n a l d i s e a s e a r e n o t a s p e c i f i c v i r a l o r s u b v i r a l s t r u c t u r e , b u t a r e a s s o c i a t e d with many types o f v i r u s i n f e c t i o n s .A n t i b o d y t i t e r s t o many v i r u s e s a r e e l e v a t e d i n SLE sera, appearing t o r e f l e c t p o l yc l o n a l B c e l l h y p e r a c t i v i t y r a t h e r t h a n responses t o s p e c i f i c v i r u s e s .Immunofluorescence and v i r u s i s o l at i o n s t u d i e s i n SLE have been negative, i n d i c a t i n g t h a t any r o l e f o r v i r u s e s i n the pathogenesis o f SLE i s complex.The r e t r o v i r u s e s , which were i n i t i a l l y i s ol a t e d from lymphomas o f mice and o t h e r species, p r o v i d e a u s e f u l model f o r a n a l y s i s o f complex v i r u s i n f e ct i o n s . The r e t r o v i r u s genome i s found i n a l l normal mice, b u t i s u s u a l l y expressed as low l e v e l s o f v i r a l s t r u c t u r a l p r o t e i n s , r a t h e r t h a n i n f e c t i o u s v i r u s . New Zealand mice w i t h f e a t u r e s o f SLE show spontaneous expression o f h i g h l e v e l s o f i n f e c t i o u s x e n o t r o p i c r e t r o v i r u s , u n l i k e most o t h e r mouse s t r a i n s . The p r esence o f i n f e c t
i o u s v i r u s i s n o t c o r r e l a t e d w i t h autoimmunity i n h y b r i d s o f New Zealand mice, b u t h i g h l e v e l s o f immune complexes c o n t a i n i n g t h e r e t r o v i r a l s t r u c t u r a l p r o t e i n gp70 a r e a s s o c i a t e d w i t h autoimmune n e p h r i t i s . E x t e n s i v e s t u d i e s i n SLE have n o t r e v e a l e d a unique human r e t r o v i r u s i n notmal o r diseased i nd i v i d u a l s . S t u d i e s o f r e t r o v i r u s e s have p r o v i d e d i m p o r t a n t i n s i g h t s i n t o mammalian c e l l u l a r r e g u l a t o r y mechanisms, i n c l u d i n g t h e r e l a t i o n o f t h e m a j o r h i s t oc o m p a t i b i l i t y complex t o disease, h o s t g e n e t i c c o n t r o l o f v i r u s i n f e c t i o n s and e x p r e s s i o n o f v i r u s p r o t e i n s and v i r u s i n t h e absence o f disease.F u r t h e r b a s i c research r e g a r d i n g h o s t r e g u l a t o r y mechanisms i n i n f e ct i o u s processes may c o n t r i b u t e t o progress r e g a r d i n g a p o s s i b l e v i r a l f u n c t i o n i n t h e pathogenesis o f SLE.From the Department o f Medicine a t Vanderbilt University Medical Center, Nashville, Tennessee. This study was supported i n p a r t by Grants AM22071 and the Maury County Lupus Fund.Requests f o r r e p r i n t s should be addressed t o Theodore
A p o s s i b l e r o l e f o r v i r u s e s i n SLE has l o n g been regarded as an a t t...