PMID- 31604370 OWN - NLM STAT- MEDLINE DCOM- 20200721 LR - 20200721 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 199 IP - 2 DP - 2020 Feb TI - Monoclonal anti-dsDNA antibody 2C10 escorts DNA to intracellular DNA sensors in normal mononuclear cells and stimulates secretion of multiple cytokines implicated in lupus pathogenesis. PG - 150-162 LID - 10.1111/cei.13382 [doi] AB - There have been many studies on the mechanisms of internalization of DNA-anti-DNA immune complexes by cells, including the one used for rheumatoid factor-expressing mouse B cells. In parallel, studies on the role of intracellular DNA sensors in the pathogenesis of systemic lupus erythematosus (SLE) have been conducted, including the one using a mouse model lacking one of the sensors. These and other data have established a framework for understanding the pathogenic role of anti-DNA antibodies, but studies on normal cells are limited. Here, we used the monoclonal anti-dsDNA antibody 2C10, 2-kbp dsDNA and healthy human peripheral blood mononuclear cells (PBMCs) to test whether and how 2C10 and/or DNA cause pathology in normal cells. We found that on culture with PBMCs, 2C10 preferentially entered monocytes and that DNA enhanced this internalization. In contrast, DNA alone was not significantly internalized by monocytes, but 2C10 facilitated its internalization. This was suppressed by cytochalasin D, but not by methyl-beta-cyclodextrin, chloroquine or an Fc blocker, suggesting the involvement of macropinocytosis in this process. Internalization of 2C10 and DNA together resulted in production of interferon (IFN)-alpha, IFN-gamma, tumor necrosis factor (TNF)-alpha, monocyte chemoattractant protein-1 (MCP-1), interleukin (IL)-1beta, IL-6, IL-10 and IL-33 by PBMCs. Cytokine production was suppressed by chloroquine and shikonin, but not by RU.521, suggesting dependence on activation of the Toll-like receptor (TLR)-9 and absent in melanoma 2 (AIM-2) pathways. These results established a simple model to demonstrate that anti-DNA antibodies can cause dysregulation of cytokine network mimicking systemic lupus erythematosus in culture of normal PBMCs, and emphasize again the importance of maintaining anti-DNA antibodies at low levels by treatment. CI - (c) 2019 The Authors. Clinical & Experimental Immunology published by John Wiley & Sons Ltd on behalf of British Society for Immunology. FAU - Inoue, K AU - Inoue K AUID- ORCID: 0000-0003-1388-4717 AD - Department of Microbiology and Immunology, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. FAU - Ishizawa, M AU - Ishizawa M AD - Department of Immunopathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. FAU - Kubota, T AU - Kubota T AUID- ORCID: 0000-0003-1021-7898 AD - Department of Immunopathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191029 PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Antibodies, Antinuclear) RN - 0 (Antibodies, Monoclonal) RN - 0 (Cell-Free Nucleic Acids) RN - 0 (Cytokines) SB - IM MH - Antibodies, Antinuclear/*immunology MH - Antibodies, Monoclonal/*immunology MH - Cell-Free Nucleic Acids/*immunology MH - Cytokines/*immunology MH - Humans MH - Leukocytes, Mononuclear/*immunology/pathology MH - Lupus Erythematosus, Systemic/*immunology/pathology MH - THP-1 Cells PMC - PMC6954677 OTO - NOTNLM OT - anti-DNA antibodies OT - endocytosis OT - macropinocytosis OT - systemic lupus erythematosus COIS- All the authors have no conflicts of interest to disclose. EDAT- 2019/10/12 06:00 MHDA- 2020/07/22 06:00 PMCR- 2019/10/29 CRDT- 2019/10/12 06:00 PHST- 2019/10/07 00:00 [accepted] PHST- 2019/10/12 06:00 [pubmed] PHST- 2020/07/22 06:00 [medline] PHST- 2019/10/12 06:00 [entrez] PHST- 2019/10/29 00:00 [pmc-release] AID - CEI13382 [pii] AID - 10.1111/cei.13382 [doi] PST - ppublish SO - Clin Exp Immunol. 2020 Feb;199(2):150-162. doi: 10.1111/cei.13382. Epub 2019 Oct 29.