Self-dsDNA in the pathogenesis of systemic lupus erythematosus

Y Bai, Y Tong, Y Liu, H Hu - Clinical & Experimental …, 2018 - academic.oup.com
Y Bai, Y Tong, Y Liu, H Hu
Clinical & Experimental Immunology, 2018academic.oup.com
Systemic lupus erythematosus (SLE) is a systemic and poly-aetiological autoimmune
disease characterized by the production of antibodies to autologous double-stranded DNA
(dsDNA) which serve as diagnostic and prognostic markers. The defective clearance of
apoptotic material, together with neutrophil extracellular traps (NETs), provides abundant
chromatin or self-dsDNA to trigger the production of anti-dsDNA antibodies, although the
mechanisms remain to be elucidated. In SLE patients, the immune complex (IC) of dsDNA …
Summary
Systemic lupus erythematosus (SLE) is a systemic and poly-aetiological autoimmune disease characterized by the production of antibodies to autologous double-stranded DNA (dsDNA) which serve as diagnostic and prognostic markers. The defective clearance of apoptotic material, together with neutrophil extracellular traps (NETs), provides abundant chromatin or self-dsDNA to trigger the production of anti-dsDNA antibodies, although the mechanisms remain to be elucidated. In SLE patients, the immune complex (IC) of dsDNA and its autoantibodies trigger the robust type I interferon (IFN-I) production through intracellular DNA sensors, which drives the adaptive immune system to break down self-tolerance. In this review, we will discuss the potential resources of self-dsDNA, the mechanisms of self-dsDNA-mediated inflammation through various DNA sensors and its functions in SLE pathogenesis.
Oxford University Press