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Native/citrullinated LL37-specific T-cells help autoantibody production in Systemic Lupus Erythematosus #MMPMID32245990
Lande R; Palazzo R; Gestermann N; Jandus C; Falchi M; Spadaro F; Riccieri V; James EA; Butera A; Boirivant M; Feldmeyer L; Surbeck I; Di Lucca J; Stuber F; Spinelli FR; Botti E; Marinari B; Bianchi L; Pica R; Cerbelli B; Giannakakis K; Auteri SE; Daniels I; Durrant LG; Horstman S; Costanzo A; Romero P; Alessandri C; Conti F; Valesini G; Gilliet M; Chizzolini C; Frasca L
Sci Rep 2020[Apr]; 10 (1): 5851 PMID32245990show ga
LL37 exerts a dual pathogenic role in psoriasis. Bound to self-DNA/RNA, LL37 licenses autoreactivity by stimulating plasmacytoid dendritic cells-(pDCs)-Type I interferon (IFN-I) and acts as autoantigen for pathogenic Th17-cells. In systemic lupus erythematosus (SLE), LL37 also triggers IFN-I in pDCs and is target of pathogenic autoantibodies. However, whether LL37 activates T-cells in SLE and how the latter differ from psoriasis LL37-specific T-cells is unknown. Here we found that 45% SLE patients had circulating T-cells strongly responding to LL37, which correlate with anti-LL37 antibodies/disease activity. In contrast to psoriatic Th17-cells, these LL37-specific SLE T-cells displayed a T-follicular helper-(T(FH))-like phenotype, with CXCR5/Bcl-6 and IL-21 expression, implicating a role in stimulation of pathogenic autoantibodies. Accordingly, SLE LL37-specific T-cells promoted B-cell secretion of pathogenic anti-LL37 antibodies in vitro. Importantly, we identified abundant citrullinated LL37 (cit-LL37) in SLE tissues (skin and kidney) and observed very pronounced reactivity of LL37-specific SLE T-cells to cit-LL37, compared to native-LL37, which was much more occasional in psoriasis. Thus, in SLE, we identified LL37-specific T-cells with a distinct functional specialization and antigenic specificity. This suggests that autoantigenic specificity is independent from the nature of the autoantigen, but rather relies on the disease-specific milieu driving T-cell subset polarization and autoantigen modifications.
|Anti-Citrullinated Protein Antibodies/immunology[MESH]