T cell up-regulation of B cells via their idiotypes contributing to the development of systemic lupus erythematosus. A hypothesis

Am J Med. 1988 Dec 23;85(6A):32-4. doi: 10.1016/0002-9343(88)90379-8.

Abstract

A mechanism for sustained production of pathogenic autoantibody subsets in patients and mice with systemic lupus erythematosus may be centered on selective up-regulation of B cells bearing certain idiotypes. Public idiotypes are characteristic of some autoantibodies, including anti-DNA. Evidence is reviewed that suggests that immunoglobulins bearing certain public idiotypes, such as IdGN2, contain autoantibody subsets that are nephritogenic in human systemic lupus erythematosus and in New Zealand black/New Zealand white F1 mice. Up-regulation of such cells could promote development of nephritis. Work from several laboratories has shown that production of immunoglobulin G antibodies to DNA depends upon T cell help. In New Zealand black/New Zealand white F1 mice, cloned T cells are dominated by autoreactive cells that produce B cell growth factors. We suggest that this sustained release of B cell growth factors combined with selection by T helper cells for B cells bearing IdGN2 are a major mechanism for sustained up-regulation of nephritogenic subsets of autoantibodies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Autoantibodies / immunology
  • B-Lymphocytes / immunology*
  • DNA / immunology
  • Humans
  • Immunoglobulin Idiotypes / immunology*
  • Lupus Erythematosus, Systemic / immunology*
  • Mice
  • T-Lymphocytes / metabolism
  • T-Lymphocytes / physiology*

Substances

  • Autoantibodies
  • Immunoglobulin Idiotypes
  • DNA