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Oxidized galectin-1 in SLE fails to bind the inhibitory receptor VSTM1 and increases reactive oxygen species levels in neutrophils

Abstract

Inhibitory immune receptors set thresholds for immune cell activation, and their deficiency predisposes a person to autoimmune responses. However, the agonists of inhibitory immune receptors remain largely unknown, representing untapped sources of treatments for autoimmune diseases. Here, we show that V-set and transmembrane domain-containing 1 (VSTM1) is an inhibitory receptor and that its binding by the competent ligand soluble galectin-1 (Gal1) is essential for maintaining neutrophil viability mediated by downregulated reactive oxygen species production. However, in patients with systemic lupus erythematosus (SLE), circulating Gal1 is oxidized and cannot be recognized by VSTM1, leading to increased intracellular reactive oxygen species levels and reduced neutrophil viability. Dysregulated neutrophil function or death contributes significantly to the pathogenesis of SLE by providing danger molecules and autoantigens that drive the production of inflammatory cytokines and the activation of autoreactive lymphocytes. Interestingly, serum levels of glutathione, an antioxidant able to convert oxidized Gal1 to its reduced form, were negatively correlated with SLE disease activity. Taken together, our findings reveal failed inhibitory Gal1/VSTM1 pathway activation in patients with SLE and provide important insights for the development of effective targeted therapies.

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Data availability

The data are available upon reasonable request. All data relevant to the study are included in the paper or uploaded as supplementary information. The data are available from the corresponding author (email:zxpumch2003@sina.com ORCID: https://orcid.org/0000-0001-8775-1699) upon reasonable request.

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Acknowledgements

The authors are grateful to all of the patients who participated in the study. We thank Prof Dalong Ma Lab and Prof Wenling Han Lab at Peking University Health Science Center for providing plasmids and helpful discussions. We also thank the Center for Biomarker Discovery and Validation, National Infrastructures for Translational Medicine (PUMCH), Institute of Clinical Medicine, Peking Union Medical College Hospital for instrument support and assistance. This study was supported by grants from the National Natural Science Foundation of China (81788101, 82171799, 82100942, 82171726, 82171798, 82230060, 32141004), National Key R&D Program of China (2022YFC3602000), Chinese Academy of Medical Science Innovation Fund for Medical Sciences (2021-I2M-1-017, 2022-I2M-JB-003, 2021-I2M-1-047, 2021-I2M-1-040, 2021-I2M-1-016, and 2021-I2M-1-026), Capital’s Funds for Health Improvement and Research (2020-2-4019), and National High Level Hospital Clinical Research Funding (BJ-2022-116, BJ-2023-084).

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XZ, GCT, and MJ designed and supervised the study; XJ, XX, MW, HY, LZ, SM, YX, YL, YJ, and YW collected samples and performed clinical analysis; XJ, XX, and YG designed and performed experiments; XJ, YG, CZ, JL, YC, SF, and HD performed and analyzed the MS data; and XJ, XX, HL, YG, MJ, GCT and XZ drafted and revised the paper.

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Correspondence to George C. Tsokos, Minghong Jiang or Xuan Zhang.

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The study was approved by the Ethics Committee of PUMC Hospital Review Board.

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Jiang, X., Xiao, X., Li, H. et al. Oxidized galectin-1 in SLE fails to bind the inhibitory receptor VSTM1 and increases reactive oxygen species levels in neutrophils. Cell Mol Immunol 20, 1339–1351 (2023). https://doi.org/10.1038/s41423-023-01084-z

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