2005
DOI: 10.1016/j.it.2005.08.013
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SLE: translating lessons from model systems to human disease

Abstract: Systemic lupus erythematosus (SLE, lupus) results from immune-mediated damage to multiple organs. Its pathogenesis should be viewed as a series of steps, beginning with impaired immune regulation that permits self-reactive T-B-cell activation, which results in the production of autoantibodies. Activated T and B cells then infiltrate tissues, which along with autoantibody and immune complex deposition, triggering local events that ultimately cause organ damage. Although improved understanding of early autoimmun… Show more

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Cited by 53 publications
(47 citation statements)
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“…Aberrant regulation of the adaptive immune response results in the production of autoantibodies that are the hallmark of both organspecific and systemic autoimmune diseases such as SLE and rheumatoid arthritis (25,26). Costimulation plays an important role in the Ag-driven immune response that lead to potentially pathogenic isotype-switched, high affinity Abs (1,11).…”
Section: Discussionmentioning
confidence: 99%
“…Aberrant regulation of the adaptive immune response results in the production of autoantibodies that are the hallmark of both organspecific and systemic autoimmune diseases such as SLE and rheumatoid arthritis (25,26). Costimulation plays an important role in the Ag-driven immune response that lead to potentially pathogenic isotype-switched, high affinity Abs (1,11).…”
Section: Discussionmentioning
confidence: 99%
“…In some cases, autoantibodies are directed to a cell-surface receptor, such as the acetylcholine receptor in myasthenia gravis or the thyroid stimulating hormone receptor in Grave's disease (Kohn and Harii, 2003;Vincent, 2002). Antibodies can also form immune complexes with circulating autoantigens, which accumulate in the kidneys and joint synovium in patients with SLE and RA (Davidson and Aranow, 2006;Dorner et al, 2004;Rahman and Isenberg, 2008;Singh, 2005). Other autoantibodies bind to circulating cells such as platelets or erythrocytes, triggering complement-mediated lysis or phagocytosis by Fc-receptor bearing cells (Elson and Barker, 2000).…”
Section: Autoantibody Production By B Cellsmentioning
confidence: 99%
“…The p300 gene does not map to a known SLE susceptibility or suppressor locus in humans or mice. However, SLE is a highly heterogeneous disease, and mice with reduced p300 AT activity may model a subgroup of human SLE whose genetic basis cannot be revealed by linkage analysis (50,51). Alternatively, analogous to the situation in cancer, reduced protein acetylation may be a common downstream event in human SLE, regardless of the primary genetic defect.…”
Section: Discussionmentioning
confidence: 99%