Abstract
The NZM2410 and NZM TAN (TAN) are two of 27 inbred strains derived from an intercross between the NZW and NZB strains. NZM2410 mice develop a highly penetrant lupus nephritis mediated by three susceptibility loci, Sle1, Sle2 and Sle3. These three loci have been combined on a C57BL/6 background in a triple congenic strain that reconstitutes the NZM2410 autoimmune phenotype. Remarkably, inspite of the presence of Sle1, Sle2 and Sle3, TAN mice display a mild autoimmune phenotype reminiscent of NZW. Contrary to the lupus-prone strains, the majority of TAN CD4+ T cells are in a naïve-inactivated stage. TAN mice show B-cell developmental abnormalities similar to lupus-prone mice, such an accumulation of transitional T1 cells and peritoneal B-1a cells. TAN mice show, however, a unique expansion of the splenic marginal zone, in which B cells express high levels of CD5 and CD9, fail to migrate to the follicles in response to LPS, and show sub-optimal binding of T-independent type 2 antigens. Therefore, TAN mice present a functional silencing of marginal zone B cells, which have been previously implicated with autoimmune process. The TAN strain thus provides a novel model for the analysis of the genetic determinants of B-cell autoreactivity.
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The New Zealand Mixed (NZM) murine strains are homozygous for variable proportions of the NZB and NZW genomes.1 Among them, NZM2410 mice develops an accelerated form of systemic autoimmunity and ensuing fatal glomerulonephritis (GN) as compared to the parental (NZB × NZW)F1 (BWF1) mice, a classical systemic erythematosus (SLE) model. Linkage analysis of a cross between NZM2410 and C57BL/6 (B6) and subsequent congenic analysis have identified three lupus susceptible loci, Sle1 on chromosome 1, Sle2 on chromosome 4 and Sle3 on chromosome 7.2, 3 A similar approach conducted in the NZM2328 model has identified susceptibility loci in regions close to Sle1 and Sle2.4, 5 Sle1, Sle2 and Sle3 represent the three NZM2410 SLE susceptibility loci that are necessary and sufficient for the development of fatal GN on a B6 background in a triple congenic strain, B6.NZM2410.Sle1.Sle2.Sle3 (B6.TC).6
Potent NZW-derived Sles suppressor loci counter-balance these SLE-susceptibility loci,7 demonstrating that the disease phenotype of a given strain results from the integration of multiple susceptibility and resistance loci.8
In the present study, we first present the biologic, histologic and genetic features of an undescribed NZM strain, TAN. The TAN strain carries the same Sle1, Sle2 and Sle3 susceptibility loci as NZM2410, but displays a dominant resistance to SLE. Although they develop comparable levels of splenomegaly, TAN mice produce significantly less antinuclear antibodies, and do not develop lupus nephritis when followed to 12 months of age. In the second part of this paper, we explore mechanisms that may account for lupus resistance in TAN mice. We show that T-cell activation is profoundly reduced and that peripheral B-cell development is also profoundly altered. Most notably, TAN mice present a great expansion of the B-1a compartment and the splenic marginal zone (MZ), although the percentage of B cells expressing MZ B surface markers was not significantly altered. Both B-1a cells and MZ B cells have been implicated in systemic autoimmunity. These two B-cell compartments, which share many surface markers, are both part of the ‘natural immune memory’ and are enriched for autoreactive specificities.9 B-1a cells are present in increased number and percentage in the BWF1 model,10 including the NZM2410 and B6.TC strains.11, 12 MZ B-cell numbers are also increased in the BWF1 model,13 in which they have been implicated in lupus autoimmunity.14, 15, 16 In the TAN mouse, we show that B cells located in the marginal zone express CD5, which is normally present on B-1a cells. CD5, a negative regulator for B-cell receptor (BCR) signaling,17 may prevent the activation of autoreactive B cells and contribute to the SLE resistance phenotype. In addition, we show that TAN MZ B cells fail to bind T-independent type 2 (TI-2) antigens and to respond to lipopolysaccharide (LPS), two functional characteristics of normal MZ B cells,18 further indicating that the TAN MZ B compartment has been profoundly altered.
Overall, the TAN mice represent a new model of great value to elucidate the genetic and cellular mechanisms of lupus susceptibility and resistance, and the role played by B-cell peripheral development in the process.
Materials and methods
Mice
Mice were bred and maintained at the Animal Resource Department of the University of Florida in accordance with NIH guidelines and IACUC approval. Initial breeding stocks from B6 and NZM2410 were obtained from the Jackson Laboratories, Bar harbor, ME, and TAN breeding stocks were obtained from Ulrich H Rudofsky, Wadsworth Center for Laboratories and Research, New York State Health Department. The B6.H-2z and B6.NZM.Sle1.Sle2.Sle3 (B6.TC) strains have been described previously.6, 19 Serum was collected bi-monthly by tail bleeds for determination of autoantibody levels. A cohort of (B6.TC × TAN)F1 hybrids was produced and analyzed in parallel with the parental strains to assess the eventual effects of the TAN genome on the Sle1, Sle2 and Sle3 loci. These F1 mice were B6/TAN heterozygous at the entire genome, except NZM2410/TAN heterozygous at Sle5, and homozygous at Sle1, Sle2 and Sle3 (Figure 1). Necropsies were performed when mice were clinically ill or at 12 months of age. Tissues were examined, weighed, snap frozen and/or fixed in 10% buffered formaldehyde.
Genomic Analysis
The NZB or NZW origin of the TAN genome was compared to NZM2410 with 172 microsatellite markers that are polymorphic between the parental strains, as previously described.7 These markers were distributed across all 19 autosomes with a higher density at the previously characterized Sle and Sles loci.2, 7 A complete list of these markers and allele segregation between the two strains is available upon request. Segregation of four coat color genes that are polymorphic between NZB and NZW, Agouti on chromosome 2, brown on chromosome 4, pink-eye-dilution and albino both on chromosome 7, is identical between TAN and NZM2410.
Serologic Studies
IgG autoantibodies directed against dsDNA and chromatin, total IgM and IgG levels were detected by ELISA assays as previously described.6 Samples with values greater than 2 s.d. from the B6 control mean were considered positive for autoantibodies.
Histology
Major organs were evaluated on hematoxylin and eosin (H&E) and periodic acid Schiff- (PAS) stained sections as previously described.6 GN was classified and graded based on the modified WHO classification of clinical lupus nephritis20 combined with semiquantitative scale.21 Briefly, glomerular lesions were classified as none, mesangiopathic, proliferative, membranous, crescentic and hyaline as determined by the predominant lesion and based in part on previous studies by us and others. The extent of involvement was based on percentage of glomeruli with lesions and was graded on a 0–4 scale as follows: 0 (none), 1 (1–10%), 2 (11–25%), 3 (26–50%), 4 (>50%). For further clarification, a comparison of this classification with WHO classification shows that a 1, 2 or 3 grade proliferative (P) or hyaline (H) lesion corresponds to focal proliferative GN (WHO Class III) and a grade 4P or H lesion corresponds to diffuse proliferative lupus nephritis (WHO Class IV). For immunofluorescence staining, fresh tissues embedded in OCT were snap-frozen and cut into sections of 6–7 μm in thickness. Acetone-fixed sections were first blocked with 10% rat serum in PBS, then stained with fluorochrome-conjugated monoclonal antibodies (anti-mouse MOMA1-FITC from Serotec (UK), SIGN-R1 (ER-TR9)-biotin from BMA (Switzerland), B220 (RA3-6B2)-APC, IgM (Igh6)-APC, CD1d (1B1)-biotin and hamster IgG1 anti-TNP (A19-3)-biotin were purchased from BD Pharmingen (San Diego, CA). Biotinylated antibodies were further detected with streptavidin-Alexia 568 from Molecular Probes (Carlsbad, CA). Sections were finally washed, mounted with Prolong Gold media from Molecular Probes and analyzed with a Zeiss Axiom fluorescent microscope.
Flow Cytometry
Single cell suspensions from spleen or peritoneal lavage were treated with anti-CD16/32 (clone 2.4G2) in flow cytometry buffer (5% FCS in PBS) for 20 min on ice. For the in vitro TNP-Ficoll-binding assay, splenocytes suspensions were incubated with TNP-Ficoll (Biosearch, Novato, CA) at different concentrations for 30 min at 37°C. Samples were then stained for 20 min with fluorochrome- or biotin-conjugated monoclonal antibodies against mouse B220 (RA3-6B2), CD1d (1B1), CD3e (145-2C11), CD4 (H129.19), CD5 (53-7.3), CD9 (KMC8), CD19 (1D3), CD23 (B3B4), CD25 (7D4), CD62L (MEL-14), CD69 (H1.2F3), CD86 (GL1), CD93 (AA4.1), IgM (II/41) and anti-TNP (G235-2356) (all from BD Pharmingen). CD21 was purified from the 7E9 clone (kindly provided by Dr Boackle, University of Colorado, Denver, CO), which binds equally to the CD21 (CR2) NZW and B6 allotypes.22 Anti-MD-1/RP105 (MD14) antibody was obtained from Ebioscience). Biotinylated antibodies were further detected with Strepavidin PerCP-Cy5.5. Samples were finally analyzed with BD FACSCalibur flow cytometer, and at least 60 000 cells were acquired per sample.
Bone Marrow Chimeras
Bone marrow (BM) chimeras were performed as previously described.23 T-cell depleted BM from 3 weeks old TAN male mice were transferred intravenously into lethally irradiated MHC-matched B6.H-2z At 11 months post-transfer, MZB phenotypes were analyzed by flow cytometry and histology as described above for intact mice and compared to 11-month-old B6, B6.H-2z and TAN. B-cell development is indistinguishable between B6 and B6.H-2z mice (Morel L, unpublished data).
Treatment of Mice with TI Antigens
Mice (7- to 9-month old, three for each strain) were injected intraperitoneally with 100 μg LPS (Sigma, St Louis, MO) or 30 μg TNP-Ficoll (Biosearch Technol, Novado, CA) in 200 μl sterile saline buffer. Mice were sacrificed 3 h after the LPS treatment and 30 min after the TNP-Ficoll treatment, and spleens were snap-frozen, fixed and stored at −80°C for immunofluorescence staining.
Statistical Analysis
All data were analyzed using the GraphPad Prism 4 software. Depending on whether the data was normally distributed, parametric or nonparametric were used as indicated. When multiple groups were compared, ANOVA was used and selected pair comparisons were computed using the appropriate correction for multiple comparisons. Distributions between two groups were compared using χ2 tests. Statistical significance was obtained when P≤0.05.
Results
Genomic Comparison between TAN and NZM2410
Genotyping with 172 polymorphic markers determined that the TAN and NZM2410 genomes were 70 and 73% NZW-derived, respectively (difference not statistically significant). This is consistent with the presumed (NZB × NZW)F1 × NZW origin of the NZM strains. The two strains share the same allele at about 80% of the markers (137/172), further indicating a high level of genetic similarity. As shown in Figure 1, TAN shares with NZM2410 and consequently B6.TC, the three major SLE susceptibility loci, Sle1, Sle2 and Sle3, but not the Sle5 locus on centromeric chromosome 7.24 TAN and NZM2410 also share three NZW-derived SLE suppressor loci: Sles1, which is linked to H-2z on chromosome 17, and Sles4 on chromosome 9.7 Sles2, which overlaps with Sle2 on chromosome 4, has the NZB-nonsuppressive allele in both TAN and NZM2410, while Sles3 on chromosome 3 is the only suppressor locus that differs between the two strains, with the NZW suppressive allele in TAN and NZB-susceptibility allele in NZM2410.
Autoimmune Phenotypes
SLE-related phenotypes (mortality, the presence of serum autoantibodies, and the anatomic characterization of lupus nephritis) of TAN and (B6.TC × TAN)F1 hybrid (F1) mice were compared with NZM2410, B6.TC and B6 mice. Cumulative mortality at 12 months was high in both NZM and B6.TC mice (90 and 100%, respectively) due to severe lupus nephritis (Figure 2a) as previously described.1, 2, 6 In contrast, mortality at this age was lower in the TAN strain (13%) and nil in the F1, indicating that the survival phenotype of the TAN strain was dominant or that mortality in each of the two strains was due to different recessive mechanisms. All the autoimmune strains had spleen weights four to sixfold greater than those of control B6. Spleen weights of F1 mice exhibited a modest but significant 25% reduction compared to either parental strain, further supporting the lack of complementation of the two genomes. The penetrance of severe proliferative GN in the strains (defined as grade P3-4) is shown in Figure 2c. Contrary to B6.TC and NZM2410, TAN mice did not develop severe proliferative GN, although 52% exhibited mild GN, primarily mesangiopathic or hyaline forms. This type of mild GN is the renal phenotype seen in NZW mice.25, 26 The F1 mice presented an intermediate phenotype with 54% of the mice having mild GN and another 29% exhibiting severe GN. Examples of normal (B6), hyaline (TAN), proliferative (B6.TC) and intermediate GN are illustrated in Figure 3. Although the renal lesions were mild in the TAN mice, a statistically significant gender dichotomy similar to what has been described for the BWF1 and NZM models in general was observed, with an overall penetrance of 13% in males and 59% in females (relative risk 2.10 for females, Fisher exact P=0.004).
TAN mice produced anti-dsDNA IgG antibodies at a level that was intermediate between B6 and B6.TC. TAN values were significantly lower than that of B6.TC at 5, 9 and 12 months of age (Figure 4a). Furthermore, the proportion of TAN mice positive for anti-dsDNA antibodies was significantly lower than that of B6.TC at 5 and 9 months of age (P<0.05 and <0.01, respectively). The anti-dsDNA IgG production by the F1 mice was similar to TAN at 5 months but increased at 7 months to levels comparable to those of B6.TC (Figure 4a), suggesting that heterozygosity at certain loci delayed autoantibodies production. The antichromatin IgG titers (Figure 4b) and penetrance (data not shown) in TAN and the F1 comparatively to B6.TC mice were similar to anti-dsDNA. Total serum IgM was significantly elevated in both TAN and B6.TC (Figure 4c), but IgG was elevated only in B6.TC mice (Figure 4d). This suggests that B cell function is abnormal in both TAN and B6.TC mice, but helper T-cell abnormalities further aggravate the B6.TC phenotypes.
TAN Lupus Resistance is Associated with a Decreased T Cell Activation and an Increased B-1a Cell Population
Flow cytometric analyses revealed lymphocyte differences in TAN mice as compared to either lupus-prone NZM2410 and B6.TC mice or B6 controls. The results will be presented as percentages of lymphocytes, although absolutes number showed magnified differences going in the same direction as did percentages (data not shown), due to the differences in total cell numbers secondary to splenomegaly in all three TAN, B6.TC and NZM2410 strains. Both TAN and the lupus-prone strains showed significantly increased T cell (Figure 5a) and decreased conventional CD5− B220hi B-2 cell (Figure 5b) populations in the spleen. Interestingly, in spite of their increased number, TAN CD4+ T cells were significantly less activated than either B6.TC or NZM2410, and equivalent to B6 levels (Figure 5c and d). Accordingly, the majority of TAN CD4+ T cells expressed a naïve CD62L+ CD44− phenotype, and the ratio naïve CD62L+ CD44−/effector (CD62L+ CD44+) or memory (CD62L− CD44+) was significantly higher in TAN mice (mean±s.e.=3.26±0.88) than in B6.TC (0.28±0.16, P<0.01), and restored to a level equivalent to B6 (2.18±0.26). We have already shown that Sle1 mediates a reduction in the number of CD4+ CD25+ CD62L+ regulatory T cells (Treg).27 Accordingly, TAN, B6.TC and NZM2410 mice, which all carry Sle1, showed a significantly decreased proportion of splenic Treg (Figure 5e), indicating that lupus resistance in TAN mice is not due to a restoration of normal Treg homeostasis. Finally, TAN T cells expressed significantly higher levels of CD5 than B6 (Figure 5f), suggesting that as for the B cells, increased CD5 expression may be a mechanism by which TAN controls T-cell activation.
Only the lupus-resistant TAN mice accumulated splenic CD5+ B-1a cells that were significantly higher than any of the other strains (Figure 5c). On average, the average percentage of TAN splenic B-1a cells was eight times higher than in B6 and almost three times higher than in NZM2410. A different result was obtained in the peritoneal cavity (perC), in which TAN, NZM2410 and B6.TC mice all showed an average three- to eightfolds increase in total cell numbers (data not shown), the majority of which were CD5+ B-1a cells in both NZM2410 and TAN (Figure 5d). The percentage of B-1a cells in B6.TC perC was intermediate between TAN or NZM2410 and B6. These results indicate that the large expansion of TAN splenic B-1a population is not the mere consequence of a general expansion of this B cell compartment, as seen is NZM2410 and B6.TC to a lesser extent, but represents an additional event in which B-1a cells expand in the TAN spleen to the expense of conventional B2 cells.
TAN Lupus Resistance is Associated with Marginal Zone B Cells Abnormalities
The distribution of the conventional B-cell subsets in the spleen was altered in TAN mice. As we have described previously for NZM2410 and B6.TC,12 the proportion of transitional T1 B cells was expanded and the proportion of follicular (Fo) B cells was reduced in TAN mice, corresponding to significantly increased T1/Fo ratio (Figure 6a). This was true either when T1 cells were gated as IgM+ CD21lo/int CD23lo and Fo cells as IgM+ CD21lo/int CD23+ as shown in Figure 6a, or when T1 cells were gated as CD93+ B220+ IgMhi CD23− and Fo cells as CD93− B220+ IgMint CD23+ (data not shown). The percentage of marginal zone (MZ) IgMhi CD21hi CD23− B cells was more variable in the lupus-prone and resistant mice as compared to B6 (Figure 6b, g and h), but not significantly different when corrections for multiple comparisons were factored in. This was in sharp contrast with the size of the marginal zone has shown by histological examination (Figure 7). Significantly reduced or absent splenic marginal zone areas were observed in both NZM and B6.TC mice. Further histological characterization showed that the MZ B cells that were readily detected by flow cytometry (Figure 6b) are in fact located inside the follicles in the two lupus-prone strains (Duan et al, in preparation). In contrast, the lupus-resistant strain TAN showed a markedly enlarged marginal zones. This enlargement was age-dependent, with a normal MZ area in young 2-month-old mice, and a significant expansion in 5- to 6-month-old mice (data not shown). The discrepancy between histological and flow cytometry results prompted us to further examined the surface marker phenotype of TAN MZ B cells. Histological examination indicated that many TAN MZ B cells were CD5+ (Figure 7c). Flow cytometry on MZ B cells gated either as IgMhi CD1dhi or IgM+ CD23− CD21hi confirmed that these cells expressed a significantly higher level of CD5 in TAN mice than in any of the other strains examined (Figure 6c and f). These TAN MZ B cells also expressed higher levels of CD9 (Figure 6d), a marker shared by MZ B B-1a cells and plasma cells, and upregulated in MZB cells by LPS exposure.28 No difference was found, however, for the expression level of IgM, activation markers C80 and CD86, and CXCR5, a chemokine receptor which has been implicated in the migration of the MZ B cells outside the MZ area29 (data not shown). Furthermore, the number of SIGN-R1+ MZ macrophages, for which a mutual dependence with the number of MZ B cells has been shown,30, 31 was similar between TAN and B6 mice (data not shown). Finally, differences in the recently described MZ B-cell precursor (IgM+ CD93− CD21hi CD23+) subset32 could be at the origin of the MZ differences that we observed between lupus-resistant, lupus-prone and controls mice. In old mice, the percentage of splenic MZ B precursors was lower in both TAN and B6.TC than in B6 mice, although statistical significance was achieved only for TAN (data not shown). In 2- to 3-month-old mice in which the marginal zone looks histologically normal for all three strains, a significant reduction of MZ B precursors was observed for both TAN and B6.TC, and the reduction was most pronounced in B6.TC than in TAN (Figure 6e). Consequently, both lupus-prone and lupus-resistant mice show an abnormal development of the MZ B precursor subset, which may be related to the retention of a large number of cells at the T1 stage (Figure 6a). The consequences of this reduced MZ B precursor pool are however, different on the phenotypes of the MZ B cells in each strain.
BM chimeras with TAN BM transferred into lethally irradiated B6.H2z hosts showed that the TAN MZ B phenotypes described above are an intrinsic property of TAN hematopoietic cells. CD5 and high CD9 expression, as well as a reduction of the MZ B precursor population were similar between the chimeric and TAN mice, and significantly different from that of B6 (Figure 8). Immunofluorescence showed that the same enlarged CD5+ MZ area in the chimeric mice as in intact TAN mice (Figure 7e). These results rule out a role for TAN stromal cell in inducing MZ expansion and CD5 expression.
TAN MZ B Cells Show Impaired Functions
MZ B cells are the major responders to T-independent antigens.9 They constitute the first line of defense against blood-borne Gram-positive bacteria, to which they bind through the bacterial wall polysaccharide residues. We analyzed the ability of TAN MZ B cells to perform this function in vivo with TNP-Ficoll, an experimental TI-II type antigen. As expected, Ficoll binding was intense and confined to the marginal zone in B6 spleens (Figure 9a). TAN spleens also showed MZ-restricted Ficoll binding, but contrary to B6, TNP-negative MZ B cells were readily detectable in TAN (Figure 9b). This result could be due, however, to the larger number of MZ B cells in TAN mice. In order to control for cell numbers and TNP-Ficoll concentration, we conducted in vitro assays in which total splenocytes were exposed to graded concentrations of TNP-Ficoll. Flow cytometry was then performed to assess TNP binding in each splenic B-cell subset. As expected, TNP binding was only found in MZ B gated cells (data not shown). At low Ficoll concentration (≤5 μg/ml), TAN and B6 MZ B cells had similar binding ability. B6 showed, however, a dose-dependent increased binding, while TAN MZ B cells showed a binding saturation at higher concentration (Figure 10). Similar results were obtained with either the level of TNP binding as shown in Figure 9, or the percentage of TNP+ MZ B cells (data not shown). Both the in vivo and in vitro results consequently showed an impaired binding of TI-II antigens by TAN MZ B cells. This difference is not due to a reduced BCR expression, as no difference in IgM expression was found between the two strains.
MZ B cells rapidly migrate into the follicles in response to LPS, where they participate to the immune response by stimulating T cells and differentiating into plasma cells.33 To assess whether this function was maintained by TAN MZ B cells, we examined the MZ B cells location 3 h after LPS challenge. As expected, B6 MZ B cells migrated inside the follicle (Figure 9c). TAN MZ B cells, however, were still located in the MZ area (Figure 9d), clearly showing an impaired response to LPS. Further staining showed that both CD5+ and CD5− MZ B cells were retained in the TAN MZ after LPS exposure (Figure 9f). TLR4 complex member MD-1/RP105 was expressed at a lower level by TAN MZ B cells as compared to B6 (Figure 10b and c). We feel, however, that it is unlikely that this small difference is sufficient to account for the failure of TAN MZ B cells to migrate in response to LPS. In addition, CD5+ MZ B cells expressed higher levels of MD-1/RP105 than the CD5− MZ B cells in both TAN and B6 (Figure 10c), although both CD5+ and CD5− MZ B cells remained in TAN MZ after LPS exposure (Figure 9f). These results overall suggest that the MD-1/RP105 variations in expression are not responsible for the TAN MZ B cell lack of response to LPS.
Discussion
The TAN strain is phenotypically similar to NZW in several ways with mild production of IgG autoantibody and mild renal pathology.25, 26, 34 We have shown that over 70% of the TAN genome was derived from NZW, which would be predictive of these phenotypes. NZM2410, however, was also derived from over 70% of the NZW genome, but showed markedly different clinical outcomes, with a high penetrance of severe proliferative GN that was not observed in TAN. The difference was even more striking with the NZM triple congenic strain B6.TC, which shares with TAN the three Sle1, Sle2 and Sle3 susceptibility loci that are necessary and sufficient for the development of autoimmune clinical pathology on a B6 background.6 The results presented here show that expression of these same loci on the TAN genetic background results in a mild autoimmune pathology similar to that of NZW. The absence of Sle5, an NZM2410 quantitative trait locus (QTL) linked to anti-dsDNA production,24 from the TAN genome is unlikely to be critical as other NZM strains also lacking this locus present high levels of severe GN (Waters et al4 and Morel L, unpublished data). TAN and NZM2410 share the same allele at three NZW-derived suppressor loci (Sles1, Sles2, Sles4) but differ at Sles3. Interestingly, this locus maps near the IL2 gene, which is a major susceptibility locus for both type 1 diabetes and experimental autoimmune encephalomyelitis.35 Whether or not this locus plays a significant role in protecting TAN mice will require an extensive genetic analysis. We have performed a preliminary characterization of autoimmune disease segregation between the TAN and B6.TC strains by examining the phenotype of their F1 hybrids. These mice were homozygous for the three Sle loci, but heterozygous for the rest of the genome. The F1 hybrids developed high levels of anti-dsDNA IgG antibodies, but an intermediate penetrance of severe proliferative GN that was not fatal during the first 12 months of life of the animals. These results indicate that the heterozygous TAN genetic background partially suppresses the pathogenic effects of the Sle1, Sle2 and Sle3 loci, which require an NZM2410 or B6 homozygous background for full expression. Further analysis should delineate the genetic basis for the lupus nephritis resistance offered by the TAN genome.
As lupus susceptibility is a polygenic process that involves multiple molecular and cellular processes, resistance in the TAN model is also likely to be polygenic and multimodal. The present study focuses on B-cell peripheral subsets. Examination of the activation status of CD4+ T cells indicates, however, that the great majority of TAN CD4+ T cells are in a naïve state. Interestingly, the mechanism by which TAN T-cells expressing Sle susceptibility loci are kept in check may share a common pathway with B cells as CD5 expression is increased in both lymphocyte populations. CD5 negatively regulates T-cell receptor signaling,36 and its function in TAN T cells deserves further analysis.
Both the lupus-prone and resistant mice have abnormal splenic B-cell development, as shown by accumulated T1 cells as well as decreased T2 and follicular B cells, suggesting a developmental arrest between the T1 and T2 stages. Immature B cells that just emerged from bone marrow (BM) contain a large number of autoreactive clones, which are largely removed at a negative selection checkpoint during the T1 stage.37, 38 Thus, the accumulation of T1 cells may overload this checkpoint and increase the possibility of autoreactive clones maturating in the periphery. In addition, transitional B cells can present antigens to CD4+ T cells and activate T cells if exogenous costimulation is provided.39 On the other hand, interactions with activated T cells can also protect immature B cells from negative selection.39 The accumulation of T1 cells in TAN mice suggests that, similar to NZM2410 and B6.TC, a large number of autoreactive B cells are present in secondary lymphoid organs, and therefore the lupus-resistance occurs downstream of this checkpoint.
Both NZM2410 and B6.TC lupus-prone and TAN lupus-resistant mice have abnormal lymphoid microstructures. This is at least partially due to the fact that they all carry the lupus susceptibility locus Sle3, which results in abnormal follicular structures.40 Our study here shows that the phenotype of the MZ cells correlate to the lupus susceptibility of the mouse strains. Lupus-prone strains NZM and B6.TC lack a marginal zone area, while lupus-resistant TAN mice, on the other hand, have an enlarged marginal zone. This morphological change is not associated, however, with a significant increase in the number of cells with a typical MZ B cell phenotype. MZ B cells have been implicated in lupus autoimmunity14, 15, 16 and early studies have shown that autoreactive B cells could be positively selected into MZ, which could be a mechanism to prevent autoimmunity. In addition, MZ B cells respond more rapidly than follicular B cells to T-dependent antigens and are more potent T-cell activators.41 Finally, MZ B cells may be exposed to a greater autoantigen load, which can induce T-independent terminal differentiation onto plasma cells.42 TAN spleens contain large amounts of CD5+ B-1a cells, and a large number of them are located within the marginal zone. As MZ B cells and B-1a cells share a large number of surface markers, it is not possible to determine at this point whether the CD5+ B cells in the TAN MZ are primary MZ B cells that secondarily express CD5, or are primary B-1a cells that have invaded the marginal zone. If the former hypothesis is correct, it would indicate that autoreactivity of MZ B cells is eliminated by the expression of CD5, a negative regulator whose expression has been associated with B-cell anergy.43 The expression of CD5 thus could increase the activation threshold of TAN MZB cells, which could be responsible for their poor binding of TI-2 antigens and the, failure to respond to LPS. The increased CD9 expression may indicate, however, an increased activation status,28 although the role of this surface marker in B-cell development is unclear at this point.44 The latter hypothesis may indicate that the sequestration of autoreactive B-1a cells in the TAN marginal zone has a protective effect on lupus pathogenesis. Functional in vivo and in vitro experiments are ongoing to address which of these two hypotheses is correct. In any case, the TAN strain presents a functional silencing of a B-cell compartment that combined with other factors, such as low T-cell activity, results in a lupus resistance phenotype.
Taken together, the novel NZM lupus-resistant TAN strain provides a model to elucidate the mechanisms involved in autoimmune pathogenesis. Comparison to the related NZM2410 and B6.TC lupus-prone strains should lead to a better understanding of the genetic determinants of this disease. The characterization of the TAN peripheral B-cell development has already shown a strong correlation between lupus-resistance and the development of an abnormal MZ B-cell population. A better characterization of this population should provide new leads on B-cell tolerance checkpoints.
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Acknowledgements
We thank Dr Eric Sobel for helpful suggestions, Daniel Perry, Jessica Lohman and Leilani Zeumer for their excellent work with the mouse colony. This work was supported by an American Cancer Society (RSG-01-230-01-LIB) and a National Institutes of Health (RO1-AI058150) grants to LM.
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Duan, B., Croker, B. & Morel, L. Lupus resistance is associated with marginal zone abnormalities in an NZM murine model. Lab Invest 87, 14–28 (2007). https://doi.org/10.1038/labinvest.3700497
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DOI: https://doi.org/10.1038/labinvest.3700497
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