PMID- 27808577 OWN - NLM STAT- MEDLINE DCOM- 20171222 LR - 20180831 IS - 1607-842X (Electronic) IS - 0891-6934 (Linking) VI - 49 IP - 8 DP - 2016 Dec TI - Topoisomerase I peptide-loaded dendritic cells induce autoantibody response as well as skin and lung fibrosis. PG - 503-513 AB - DNA Topoisomerase I (TopoI) is a candidate autoantigen for diffuse cutaneous systemic sclerosis (dcSSc) associated with fatal lung disease. Dendritic cells (DCs) contribute to bleomycin-induced lung fibrosis. However, the possibility that TopoI-loaded DCs are involved in the initiation and/or perpetuation of dcSSc has not been explored. Here, we show that immunization with TopoI peptide-loaded DCs induces anti-TopoI autoantibody response and long-term fibrosis. Mice were repeatedly immunized with unpulsed DCs or DCs loaded with either TOPOIA or TOPOIB peptides, selected from different regions of TopoI. At week 12 after initial DC immunization, TOPOIA DCs but not TOPOIB DCs immunization induced mixed inflammation and fibrosis in lungs and skin. At a late time point (week 18), both TOPOIA DCs and TOPOIB DCs groups displayed increased alpha-smooth muscle actin expression in lungs and dermis along with skin fibrosis distal from the site of injection when compared with unpulsed DCs. Both TopoI peptide-DC-immunized groups developed IgG2a anti-TopoI autoantibody response. At week 10, signs of perivascular, peribronchial, and parenchymal pulmonary inflammation were already observed in the TOPOIA DCs group, together with transient elevation in bronchoalveolar lavage cell counts, IL-17A expression, and CXCL4 production, a biomarker of early human dcSSc. Collectively, TopoI peptide DCs induce progressive autoantibody response as well as development of protracted skin and lung dcSSc-like disease. Pronounced lung inflammation, transient IL-17A, and CXCL4 expression precede fibrosis development. Our immunization strategy, that uses self immune system and autoantigen, will help to further investigate the pathogenesis of this complex autoimmune disorder with unmet medical needs. FAU - Mehta, Heena AU - Mehta H AD - a Immunoregulation Laboratory and. FAU - Goulet, Philippe-Olivier AU - Goulet PO AD - a Immunoregulation Laboratory and. FAU - Nguyen, Vinh AU - Nguyen V AD - a Immunoregulation Laboratory and. FAU - Perez, Gemma AU - Perez G AD - b Laboratory for Research in Autoimmunity , Center de Recherche du Center Hospitalier de l'Universite de Montreal (CRCHUM) , Montreal , Quebec , Canada. FAU - Koenig, Martial AU - Koenig M AD - b Laboratory for Research in Autoimmunity , Center de Recherche du Center Hospitalier de l'Universite de Montreal (CRCHUM) , Montreal , Quebec , Canada. FAU - Senecal, Jean-Luc AU - Senecal JL AD - b Laboratory for Research in Autoimmunity , Center de Recherche du Center Hospitalier de l'Universite de Montreal (CRCHUM) , Montreal , Quebec , Canada. FAU - Sarfati, Marika AU - Sarfati M AD - a Immunoregulation Laboratory and. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20161103 PL - England TA - Autoimmunity JT - Autoimmunity JID - 8900070 RN - 0 (Actins) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Peptides) RN - EC 5.99.1.2 (DNA Topoisomerases, Type I) SB - IM MH - Actins/metabolism MH - Animals MH - Autoantibodies/*immunology MH - Autoimmunity MH - Biomarkers MH - Biopsy MH - Bronchoalveolar Lavage Fluid/immunology MH - Cytokines/metabolism MH - DNA Topoisomerases, Type I/chemistry/*immunology MH - Dendritic Cells/*immunology/metabolism MH - Fibrosis MH - Immunization MH - Lung/*immunology/metabolism/*pathology MH - Mice MH - Peptides/*immunology MH - Skin/*immunology/metabolism/*pathology OTO - NOTNLM OT - Systemic sclerosis OT - anti-Topoisomerase I OT - dendritic cells OT - fibrosis OT - inflammation EDAT- 2016/11/04 06:00 MHDA- 2017/12/23 06:00 CRDT- 2016/11/04 06:00 PHST- 2016/11/04 06:00 [pubmed] PHST- 2017/12/23 06:00 [medline] PHST- 2016/11/04 06:00 [entrez] AID - 10.1080/08916934.2016.1230848 [doi] PST - ppublish SO - Autoimmunity. 2016 Dec;49(8):503-513. doi: 10.1080/08916934.2016.1230848. Epub 2016 Nov 3.