Systemic Lupus Erythematosus
Anti–tumor necrosis factor α treatment of interferon-α–induced murine lupus nephritis reduces the renal macrophage response but does not alter glomerular immune complex formation
Article first published online: 27 SEP 2012
Copyright © 2012 by the American College of Rheumatology
Arthritis & Rheumatism
Volume 64, Issue 10, pages 3399–3408, October 2012
How to Cite
Bethunaickan, R., Sahu, R., Liu, Z., Tang, Y. T., Huang, W., Edegbe, O., Tao, H., Ramanujam, M., Madaio, M. P. and Davidson, A. (2012), Anti–tumor necrosis factor α treatment of interferon-α–induced murine lupus nephritis reduces the renal macrophage response but does not alter glomerular immune complex formation. Arthritis & Rheumatism, 64: 3399–3408. doi: 10.1002/art.34553
- Issue published online: 27 SEP 2012
- Article first published online: 27 SEP 2012
- Accepted manuscript online: 5 JUN 2012 10:41AM EST
- Manuscript Accepted: 17 MAY 2012
- Manuscript Received: 1 NOV 2011
- NIH. Grant Numbers: R03-AR-054909, DK-085241-01
- Lupus Research Institute
To analyze the mechanism for the therapeutic effects of tumor necrosis factor α (TNFα) inhibition in a murine model of systemic lupus erythematosus.
We used the (NZB × NZW)F1 (NZB/NZW) mouse model of interferon-α–induced lupus nephritis and treated mice with TNF receptor type II (TNFRII) Ig after TNFα expression was detected in the kidneys. Autoantibodies were measured by enzyme-linked immunosorbent assay (ELISA), and autoantibody- forming cells were determined using an enzyme-linked immunospot assay. Activation of splenocytes was analyzed by flow cytometry. Kidneys were harvested and analyzed using flow cytometry, immunohistochemistry, ELISA, Western blotting, and real-time polymerase chain reaction.
TNFRII Ig treatment stabilized nephritis and markedly prolonged survival. Autoantibody production and systemic immune activation were not inhibited, but the renal response to glomerular immune complex deposition was attenuated. This was associated with decreases in renal production of chemokines, renal endothelial cell activation, interstitial F4/80high macrophage accumulation, tubular damage, and oxidative stress. In contrast, perivascular lymphoid aggregates containing B cells, T cells, and dendritic cells accumulated unabated.
Our data suggest that TNFα is a critical cytokine that amplifies the response of the nephron to immune complex deposition, but that it has less influence on the response of the systemic vasculature to inflammation.