Abstract
Mechanisms of tolerance break against desmoglein 3 (Dsg3) in patients with pemphigus vulgaris (PV) producing pathogenic anti-Dsg3 IgG autoantibodies are unclear. In this study, using a novel PV mouse model involving Dsg3 knockout mice, we investigated the mechanisms leading to production of autoantibodies against Dsg3. Adoptive transfer of Dsg3(-/-) splenocytes immunized with recombinant mouse Dsg3 to Rag2(-/-) recipient mice expressing Dsg3 resulted in the stable production of anti-Dsg3 IgG and development of PV phenotypes including oral erosions with suprabasilar acantholysis. When purified T and B cells from Dsg3(-/-), Dsg3(+/-) or Dsg3(+/+) mice were mixed with various combinations and transferred to Rag2(-/-) mice, pathogenic anti-Dsg3 IgG production was observed only with a combination of Dsg3(-/-) T and Dsg3(-/-) B cells but not with the other combinations. These results suggest that loss of tolerance against Dsg3 in both B and T cells is important for the development of autoimmune state of PV.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adoptive Transfer
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Animals
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Autoantibodies / biosynthesis*
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Autoantibodies / immunology
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Autoantigens / immunology*
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B-Lymphocyte Subsets / immunology*
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B-Lymphocyte Subsets / transplantation
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Cadherins / immunology*
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Cell Line
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Crosses, Genetic
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DNA-Binding Proteins / genetics
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DNA-Binding Proteins / physiology
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Desmoglein 3
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Disease Models, Animal
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Epidermis / pathology
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Female
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Flow Cytometry
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Humans
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Immunization
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Immunoglobulin G / biosynthesis
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Immunoglobulin G / immunology
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Keratinocytes / immunology
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Male
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Mice
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Mice, Inbred C57BL
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Mice, Knockout
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Mouth Mucosa / pathology
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Nuclear Proteins
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Pemphigus / immunology*
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Phenotype
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Recombinant Fusion Proteins / immunology
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Self Tolerance*
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T-Lymphocyte Subsets / immunology*
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T-Lymphocyte Subsets / transplantation
Substances
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Autoantibodies
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Autoantigens
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Cadherins
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DNA-Binding Proteins
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DSG3 protein, human
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Desmoglein 3
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Immunoglobulin G
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Nuclear Proteins
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RAG2 protein, human
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Rag2 protein, mouse
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Recombinant Fusion Proteins
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V(D)J recombination activating protein 2