Abstract:Dema et al. show evidence that deficiency of IgE delays lupuslike disease development and severity, as demonstrated by reduced autoantibody production and amelioration of organ pathologies. Loss of IgE causes a striking decrease in innate immune cell infiltration in secondary lymphoid organs and decreased activation of T cells and basophils.
“…Specific autoantibody isotypes are present in different diseases, with IgA antibodies present in antiphospholipid syndrome and IgE autoantibodies present in SLE (82)(83)(84). IgM and IgG autoantibodies are the most abundant.…”
“…Specific autoantibody isotypes are present in different diseases, with IgA antibodies present in antiphospholipid syndrome and IgE autoantibodies present in SLE (82)(83)(84). IgM and IgG autoantibodies are the most abundant.…”
“…Indeed, both total IgM and MDA-LDL-specific IgM are inversely associated with cardiovascular disease complications in individuals of the AngloScandinavian Cardiac Outcomes Trial. 29 Interestingly, recent work indicates that IgE promote lupus like autoimmunity in mice 30 and that the presence of autoreactive IgE positively associates with disease activity in systemic lupus erythematosus (SLE) patients. 31 Notably, lupus-prone mice lacking sIgM develop enhanced autoimmune pathology compared with their controls.…”
Section: A] Newman-keuls [B] Unpaired T Test and [C-e] Unpaired T Tmentioning
Rationale:
Deficiency of secreted IgM (
sIgM
−/−
) accelerates atherosclerosis in
Ldlr
−/−
mice. Several atheroprotective effects of increased levels of IgM antibodies have been suggested, including preventing inflammation induced by oxidized low-density lipoprotein and promoting apoptotic cell clearance. However, the mechanisms by which the lack of sIgM promotes lesion formation remain unknown.
Objective:
To identify the mechanisms by which sIgM deficiency accelerates atherosclerosis in mice.
Methods and Results:
We here show that both
sIgM
−/−
and
Ldlr
−/−
sIgM
−/−
mice develop increased plasma IgE titers because of impaired generation of B cells expressing the low-affinity IgE receptor CD23, which mediates the clearance of IgE antibodies. We further report that
Ldlr
−/−
sIgM
−/−
mice exhibit increased numbers of activated mast cells and neutrophils in the perivascular area of atherosclerotic plaques. Treatment with an anti-IgE–neutralizing antibody fully reversed vascular inflammation and accelerated atherosclerotic lesion formation in cholesterol-fed
Ldlr
−/−
sIgM
−/−
mice.
Conclusions:
Thus, our data identify a previously unsuspected mechanism by which sIgM deficiency aggravates atherosclerosis.
“…Growing evidences suggest that the pathogenic role of IgE antibodies is not restricted only to allergy but they might have a role in other inflammatory and autoimmune conditions as well [3,4]. The presence of IgE autoantibodies to dsDNA has been reported previously in several lupus patients [5][6][7]. Recent report in mice has shown that dsDNA-specific IgE (dsDNA-IgE) plays a significant role in the progression of lupus-like disease.…”
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