Lupus: key pathogenic mechanisms and contributing factors

Clin Immunol Immunopathol. 1995 Dec;77(3):209-20. doi: 10.1006/clin.1995.1146.

Abstract

The past 30 years of research on murine and human systemic lupus erythematosus has served to identify an array of immunological aberrations--some shared, some unique, some primary, others secondary-- that may underlie this disease. In integrating these findings, it appears that at least four distinct pathogenic events characterize lupus: (1) Anti-DNA Abs and immune complexes induce renal damage; (2) B-cells produce pathogenic anti-DNA antibodies; (3) Th cells drive lupus B-cells; and (4) Increased concentrations and abnormal presentation of nucleosomes. The purpose of this review is to examine the roles of these four events in the pathogenesis of lupus and to identify the different factors that can precipitate these pathogenic events.

Publication types

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

MeSH terms

  • Animals
  • Antibodies, Antinuclear / immunology
  • Antigen-Antibody Complex / immunology
  • B-Lymphocytes / immunology
  • DNA / immunology
  • Disease Models, Animal
  • Humans
  • Lupus Erythematosus, Systemic / etiology*
  • Lupus Erythematosus, Systemic / immunology*
  • Lupus Nephritis / etiology*
  • Lupus Nephritis / immunology*
  • Lymphocyte Cooperation / immunology
  • Mice
  • Nucleosomes / immunology
  • T-Lymphocytes, Helper-Inducer / immunology

Substances

  • Antibodies, Antinuclear
  • Antigen-Antibody Complex
  • Nucleosomes
  • DNA